Official Federal Forms
Centers For Medicare And Medicaid Services
Last updated: 2/19/2024
Health Insurance Benefit Agreement {CMS-1561}
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Description
CMS-1561 - HEALTH INSURANCE BENEFIT AGREEMENT. Agreement with Provider Pursuant to Section 1866 of the Social Security Act (as amended) and Title 42 Code of Federal Regulations (CFR) Title IV, Part 489. www.FormsWorkflow.com
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