Medicare - Election To Recalculate Medicare Reimbursement Based On 42 Cfr 405.457

OMB 0938-0482

Latest Forms, Documents, and Supporting Material

Document Name
MEDICARE - ELECTION TO RECALCULATE MEDICARE REIMBURSEMENT BASED ON 42 CFR 405.457 Form

All Historical Document Collections

198807-0938-001 Approved without change	Extension without change of a currently approved collection	1988-07-19
198606-0938-002 Approved without change	New collection (Request for a new OMB Control Number)	1986-06-19