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Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636)
ICR 202303-0938-009
OMB: 0938-1346
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1346
ICR 202303-0938-009
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1346 can be found here:
2024-06-28 - Revision of a currently approved collection
2023-09-25 - Revision of a currently approved collection
Forms and Documents
Document
Name
Status
CMS-10636 - Supporting Statement A (CMS-4201-P version 3).docx
Supporting Statement A
2023-03-15
IC Document Collections
IC ID
Document
Title
Status
227912
Three-Year Network Adequacy Review for Medicare Advantage Organizations
Instruction
Modified
ICR Details
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