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Connect: Direct Applications for RAPS, Encounter, PDE, and MMP
Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations (CMS-10340)
OMB: 0938-1152
IC ID: 225029
OMB.report
HHS/CMS
OMB 0938-1152
ICR 202403-0938-009
IC 225029
( )
Documents and Forms
Document Name
Document Type
RAPS Connect Direct Form v7.pdf
Instruction
07172023 Enc Connect Direct Form.pdf
Instruction
03242022 PDE Connect Direct Form.pdf
Instruction
03242022 MMP Connect Direct Form.pdf
Instruction
07172023 Enc Connect Direct Form redlined.pdf
Enc Connect Direct Form Redline
IC Document
Information Collection (IC) Details
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