CMS–10429 | Centers for Medicare & Medicaid Services

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.

Skip to Main Content

CMS Form Number: CMS–10429
Date: 2012-06-27
Subject: Surveys of Physicians and Home Health Agencies to Assess Access Issues for Specific Medicare Beneficiaries as Defined in Section 3131(d) of the ACA

Downloads

CMS-10429 [ZIP, 1MB]

A federal government website managed by the Centers for Medicare & Medicaid Services
7500 Security Boulevard, Baltimore, MD 21244

Centers for Medicare & Medicaid Services

7500 Security Boulevard

Baltimore, MD21244

USA

Paperwork Reduction Act (PRA) of 1995

Downloads

CMS & HHS Websites

Tools

Helpful Links