CMS-10629. Emergency Justification
CMS-10629.Emergency Justification (signed).pdf
Waiver Application for Providers and Suppliers Subject to an Enrollment Moratorium (CMS-10629)
CMS-10629. Emergency Justification
OMB: 0938-1313
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1313 can be found here:
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| File Type | application/pdf |
| File Title | Scan-to-email |
| Author | Copier User |
| File Modified | 0000-00-00 |
| File Created | 2016-08-03 |