PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
CMS 10117,10118,10119,10135, 10135 - 021706 Supporting Statement.DOC
08/22/2006
Supporting Statement B
Document
Date Uploaded
Supplementary Documents
Title
Document
Document Type
Date Uploaded
State Certification Request
Cert and Instructions.doc
Supplementary Document
08/22/2006
MSA Revision Matrix
CMS 10136 Final Revision Matrix.xls
Supplementary Document
08/22/2006
Medicare Advantage Application Guidelines
Guidelines for all applications.DOC
Supplementary Document
08/22/2006
MSA Revision Matrix
HSD.XLS
Supplementary Document
08/22/2006
Legal 1
Legal-1.doc
Supplementary Document
08/22/2006
Legal 2 and Instructions
Legal-2 and Instructions.xls
Supplementary Document
08/22/2006
Matrix 1
Matrix1.doc
Supplementary Document
08/22/2006
Matrix 2
Matrixadm.DOC
Supplementary Document
08/22/2006
Matrixadm
Matrixadm.DOC
Supplementary Document
08/22/2006
PFFS License
PFFS License.doc
Supplementary Document
08/22/2006
RPPO's Essential
RPPO's Essential.doc
Supplementary Document
08/22/2006
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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