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Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)
ICR 202405-0938-022
OMB: 0938-1368
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1368
ICR 202405-0938-022
( )
Forms and Documents
Document
Name
Status
CMS Responses CMS-10711 (60-days).docx
Supplementary Document
2024-05-22
CMS-10711.Supporting Statement Part Af.pdf
Supporting Statement A
2024-05-21
IC Document Collections
IC ID
Document
Title
Status
254983
Prior Authorization Process (Facet Joint Interventions)
Modified
237862
Prior Authorization Process (Five Original Categories)
Modified
ICR Details
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