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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10008 Medicare Program IntegrityCenters for Medicare & Medicaid Services (CMS)Transmittal 10800Date: May 20, 2021Change Request 12162
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To fill out change request 12353, follow these steps:
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Open the change request form.
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Fill in the requested information, such as the project name, change ID, and description of the change.
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Specify the reasons for the change request, including the desired outcome or improvement.
05
Provide any supporting documents or evidence that may be necessary for the change request.
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Include any relevant stakeholders or individuals who need to be notified or involved in the change process.
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Review the completed change request form for accuracy and completeness.
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Communicate the status and outcome of the change request to relevant parties.

Who needs change request 12353?

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Change request 12353 may be needed by project managers, team leaders, or individuals responsible for managing changes and improvements within a project.
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It can also be required by stakeholders who want to initiate a change, or by departments or authorities responsible for reviewing and approving changes.
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Change request 12353 is a formal submission that outlines a proposed modification to an existing project, policy, or system. It specifies the nature of the change, the reasons for the change, and its expected impact.
Any stakeholder involved in the project, including project managers, team leads, or department heads, is required to file change request 12353 if they identify a need for a change.
To fill out change request 12353, provide detailed information including the change description, rationale, impact assessment, resources required, and any timelines for implementation.
The purpose of change request 12353 is to formally document and seek approval for changes to ensure that all stakeholders are aware of and agree to the proposed modifications.
The information reported on change request 12353 must include the change title, detailed description, justification, impact analysis, affected areas, and any relevant supporting documentation.
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