Health Equity award Nominations

CMS Health Equity Award – Call for Nominations (CMS-10866)

OMB: 0938-1457

IC ID: 263665

Documents and Forms

Document Name Document Type
Form CMS-10866 Health Equity award Nominations Form and Instruction
CMS-10866 CMS Health Equity Nomination Form CMSHealthEquityNominationForm_Clean.pdf Form and Instruction
CMS-10866 CMS Health Equity Scoring Rubric CMS Health Equity Award 2020_scoring rubric and worksheet_Clean.pdf Form and Instruction