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The CMS Data Use Agreement (DUA) requires a notification of a change in custodianship within 15 days. If you need to change a custodian on your DUA, please complete CMS-R-0235A. Please submit this form with a cover letter that includes your DUA number to: Director, Division of Privacy Compliance Centers for Medicare & Medicaid Services OIS/EASG/DPC 7500 Security Boulevard Mailstop: N2-04-27 Baltimore, MD 21244-1850
Page Last Modified: 09/09/2008 8:21:07 AM
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