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 2013.maclc.hpe hospital interest form template

Guidance for: forms related to Hospital Presumptive Eligibility (HPE), Statement of Interest, Qualified Entity Application, Responsibilities and Agreement and Simplified Agreement

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 01, 2013

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.