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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S21426 Baltimore, Maryland 212441850 Disabled and Elderly Health Programs Group December
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It is a document that outlines the first amendment to an approved waiver appendix K.
The party responsible for implementing the approved waiver is required to file this document.
The document must be filled out accurately and completely according to the instructions provided.
The purpose is to amend the original approved waiver appendix K with additional information or changes.
The document must include all relevant details pertaining to the amendment being made.
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