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Form Instructions for the Applicable Integrated Plan Coverage Decision Letter CMS-10716 (rev 072025)

ICR 202507-0938-022 · OMB 0938-1386 · Object 160692701.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleForm Instructions for the Applicable Integrated Plan Coverage Decision Letter CMS-10716 (rev 072025)
Subject2024 PRA DSNP CDL Form Instructions (rev 072024)
AuthorCMS/MMCO
File Created2026-01-01
Conversion Statepartial