Temporary Reclassification for Grandfathered LTCH HwHs for Qualification for Temporary Exception from the Site Neutral Payment Rate for Certain Discharges

OMB 0938-1306

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10619.Emergency Justification (signed).pdf Supplementary Document
CMS-10619 Supporting Statement Part A -FINAL.doc Supporting Statement A
CMS-10619. Emergency Justification 4-15-16.doc Supplementary Document
Application