Form CMS-10752 Acute Hospital at Home

Submissions of 1135 Waiver Request Automated Process (CMS-10752)

Acute Hospital Care at Home Screenshots

Acute Hospital Care at Home

OMB: 0938-1384

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1384 can be found here:

2025-01-10 - No material or nonsubstantive change to a currently approved collection
2024-10-08 - No material or nonsubstantive change to a currently approved collection

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