PDE Connect Direct Form - Red Lined

01242023 PDE Connect Direct Form - Red Lined.docx

Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations (CMS-10340)

PDE Connect Direct Form - Red Lined

OMB: 0938-1152

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1152 can be found here:

2024-03-28 - Revision of a currently approved collection

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