Supporting Statement for Billing and Collection of the Separate Payment for Certain Abortion Services (CMS-10681)

OMB 0938-1358

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10681 Separate Billing_Supporting Statement doc.docx Supporting Statement A
Billing and Collection of the Separate Payment for Certain Contraceptive Services (State)
Segregation Plan
Billing and Collection of the Separate Payment for Certain Contraceptive Services (Issuers)