(CMS-10069) Medicare/Medicaid Demonstration/Model Application

OMB 0938-0880

OMB 0938-0880

This application provides an opportunity for States and organizations to apply for Medicare and Medicaid demonstrations/models. CMS seeks to test new demonstrations and models of care that aim to improve health, lower costs through improvement, and provide better care for Medicare and Medicaid beneficiaries.

The latest form for (CMS-10069) Medicare/Medicaid Demonstration/Model Application expires 2020-08-31 and can be found here.


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