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CMS-304 Reconciliation of State Invoice (ROSI)
Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQRS) (CMS-304a)
CMS Form-304 Reconciliation of State Invoice (ROSI)_07.2021_508
OMB: 0938-0676
OMB.report
HHS/CMS
OMB 0938-0676
ICR 202403-0938-004
IC 8261
CMS-304 Reconciliation of State Invoice (ROSI)
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