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CMS-10716 2025 Paperwork Reduction Act Package Dual Eligible Special Needs Plan Coverage Decision Letter Model (English; rev 072

ICR 202507-0938-022 · OMB 0938-1386 · Object 160693001.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCMS-10716 2025 Paperwork Reduction Act Package Dual Eligible Special Needs Plan Coverage Decision Letter Model (English; rev 072
Subject2024 PRA Pkg DSNP CDL Model (English; ; rev 072024)
AuthorCMS/MMCO
File Created2025-12-30
Conversion Statepartial