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Appendix A: Basic Dual Eligible Special Needs Plans State Medicaid Agency Contract Attestations [PAPERWORK REDUCTION ACT CMS-107
ICR 202503-0938-002 · OMB 0938-1410 · Object 154668601.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Appendix A: Basic Dual Eligible Special Needs Plans State Medicaid Agency Contract Attestations [PAPERWORK REDUCTION ACT CMS-107 |
| Subject | PRA Pkg: Appendix A: DSNP SMAC Attestations |
| Author | CMS-MMCO |
| Last Modified By | MMCO |
| File Modified | 2025-01-30 |
| File Created | 2025-01-30 |
| Conversion State | pending |