Crosswalk for Changes to Dental Benefit Form
Section #
on Type of Change Rational for Change
Current CMS-
I
GENERAL
INFORMATION Modified format
Improve ease of completing form and
provide spaces for States to include necessary information
| File Type | application/msword |
| Author | CMS |
| Last Modified By | Mitch |
| File Modified | 2011-11-04 |
| File Created | 2011-11-04 |