Medicare Participating Physician or Supplier Agreement (CMS-460)

ICR 202507-0938-010

OMB: 0938-0373

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-460 Medicare Participating Physician or Supplier Agreement Form and Instruction	Modified
CMS-460.Supporting Statement Part A.docx Supporting Statement A	2025-07-08

IC Document Collections

IC ID	Document Title	Status
8015	Medicare Participating Physician or Supplier Agreement Form and Instruction	Modified