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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10008 Medicare Program IntegrityCenters for Medicare & Medicaid Services (CMS)Transmittal 936Date: January 31, 2020Change Request 11210
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How to fill out change request 11210

01
To fill out change request 11210:
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Start by opening the change request form.
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Fill in the necessary details such as the change request number, date, and requester information.
04
Identify the reason for the change request and provide a clear description of the requested change.
05
Specify any relevant deadlines or timeframes for the change implementation.
06
Outline the scope of the change and how it may impact other processes or systems.
07
Provide any supporting documentation or evidence to justify the change request.
08
Include any expected benefits or potential risks associated with the change.
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Obtain the required approvals and signatures from the appropriate stakeholders.
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Submit the completed change request form to the designated change management team or department.
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Follow up on the status of the change request to ensure that it is being reviewed and implemented accordingly.

Who needs change request 11210?

01
Change request 11210 is needed by the individual or team responsible for managing change requests within an organization.
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This could be a change management team, a project manager, or any authorized personnel involved in the change control process.
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The specific individual or team may vary depending on the organization's structure and procedures.
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Change request 11210 is a formal request to modify a specific aspect of a project or system.
The project manager or team lead is typically required to file change request 11210.
Change request 11210 can be filled out by providing detailed information about the proposed change, its impact, and the rationale behind it.
The purpose of change request 11210 is to document and track changes to ensure that they are properly evaluated and implemented.
Change request 11210 must include a description of the change, the reason for the change, potential impacts, and proposed solutions.
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