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Medicare State Operations Manual - CMS

Medicare State Operations Manual chapter 9 - Exhibits Exhibits (Rev. 199, 01-17-20) Exhibit Description Download 1A Model Letter Transmitting Materials to Providers 1B-1 Model Letter Transmitting CLIA Application and CMS-855 to Laboratories 1B-2 Model Letter Transmitting CLIA Application and CMS-1513 to Laboratories delete 1B-3 Initial Forms Required by Laboratories for CLIA Registration delete 1C Model Letter transmitting Forms to Persons Furnishing Portable X-Ray Services 1D Model Letter Transmitting Materials to Rural Health Clinics 1E Model Letter to Operational ESRD Facility Requesting

Chapter 9 - Exhibits . Exhibits (Rev. 199, 01-17-20) Exhibit Description Download ... 14D Home Health Agency Survey and Deficiencies Report, CMS-1572 Deleted 14H Outpatient Physical ... 22 Guidance to Distinguish Between the Priorities of Immediate Jeopardy and

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