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The following provides access and/or information for many CMS forms. You may also use the "Search" feature to more quickly locate information for a specific form number or form title.

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  There are 211 items in this list.
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HCFA 378EAMBULATORY SURGICAL CTR REPORT--CRUCIAL DATA EXTRACTN/A
HCFA 1450UB-92 MEDICARE UNIFORM INSTITUTIONAL PROVIDER BILL08/01/2005
CMS R-296HOME HEALTH ADVANCE BENEFICIARY NOTICE06/01/2002
CMS R-285Request for Retirement Benefit Information03/01/2006
CMS R-193IMPORTANT MESSAGE FROM MEDICARE (IM)10/01/2007
CMS R-131ADVANCE BENEFICIARY NOTICE (ABN)06/01/2002
CMS R-0235U (48 KB)Data Use Agreement (DUA)- Update to Existing DUA06/01/2008
CMS R-0235STState Data Use Agreement03/01/2006
CMS R-0235MCCompliance Plan for Accounting for Disclosures of Privacy Protected Data Released From a System of Records (SOR) Housed in a State-Located Server03/01/2006
CMS R-0235MAAddendum to the Medicaid State Agency Data Use Agreement03/01/2006
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Data Last Updated : 01/08/2009
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