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Paperwork Reduction Act (PRA) Package for the Proposed Model Medicare Advantage (MA) and Prescription Drug Plan (PDP) Individual Enrollment Request Form

Guidance for stakeholders that PRA package (CMS-10718, OMB 0938-New) for the model MA and PDP enrollment form is available in the Federal Register (84 FR63655) and the accompanying Correction Notice (84 FR 64319) for review and comment from November 18, 2019 through January 17, 2019.

Download the Guidance Document

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

Issue Date: November 22, 2019

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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.