OMB control number
Patient Intake Data Form For The National Home Health Agency Prospective Payment Demonstration
OMB 0938-0570 · HHS/CMS.
OMB 0938-0570
Latest Forms, Documents, and Supporting Material
PATIENT INTAKE DATA FORM FOR THE NATIONAL HOME HEALTH AGENCY PROSPECTIVE PAYMENT DEMONSTRATION All Historical Document Collections
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Approved without change |
Reinstatement with change of a previously approved collection | 1993-11-15 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1990-08-08 |