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MIPS: Virtual Group Election Process
Virtual Groups for Merit-Based Incentive Payment System (MIPS) (CMS-10652)
OMB: 0938-1343
IC ID: 228101
OMB.report
HHS/CMS
OMB 0938-1343
ICR 202401-0938-010
IC 228101
( )
Documents and Forms
Document Name
Document Type
Form CMS-10652
MIPS: Virtual Group Election Process
Form and Instruction
CMS-10652 Virtual Group Agreement Template
Appendix A Virtual Group Agreement Template.docx
Form and Instruction
Information Collection (IC) Details
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