Shown below are the details for the item you selected from the list.
Form # |
CMS 1561A |
Form Title |
HEALTH INSURANCE BENEFIT AGREEMENT-RURAL HEALTH CLINIC |
Revision Date |
04/01/2002 |
O.M.B. # |
0938-0832 |
O.M.B. Expiration Date |
12/31/2010 |
CMS Manual |
N/A |
Special Instructions |
N/A |
| Downloads | CMS 1561A
| Related Links Inside CMS | There are no Related Links Inside CMS
| Related Links Outside CMS | | There are no Related Links Outside CMS
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Last Modified Date : 08/18/2008
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