Shown below are the details for the item you selected from the list.
Form # |
CMS R-0235M |
Form Title |
Medicaid Agency Data Use Agreement |
Revision Date |
03/01/2006 |
O.M.B. # |
0938-0734 |
O.M.B. Expiration Date |
06/30/2011 |
CMS Manual |
N/A |
Special Instructions |
N/A |
| Downloads | CMS R-0235M
| 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 : 12/12/2008
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