Hardcopy Submission to FI or MAC

Electronic Submission of Medicare Graduate Medical Education (GME) Affiliation Agreements (CMS-10326)

OMB: 0938-1111

IC ID: 193421

Documents and Forms

Document Name Document Type
Form CMS-10326 Hardcopy Submission to FI or MAC Form
CMS-10326 SAMPLE Affiliation Agreement CMS-10326 Sample_Affiliation_Agreement_01-29-21.pdf Form