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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10008 Medicare Program IntegrityCenters for Medicare & Medicaid Services (CMS)Transmittal 12100Date: June 29, 2023Change Request 13209
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Access the Change Request Form 13209.
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Fill out the form by providing the necessary details such as the reason for the change, the impact of the change, and any relevant supporting documents.
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Clearly state the desired outcome of the change request.
04
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Submit the completed form to the designated individual or department for approval.

Who needs change request 13209?

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Anyone who identifies a need for a change in a particular process, system, or project may need change request 13209 to formally document and request the change.
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Change request 13209 refers to a specific request to modify a previously approved change in a project or system.
The project manager or the person responsible for overseeing the project is required to file change request 13209.
To fill out change request 13209, one must include details about the proposed modification, reasons for the change, impact on the project timeline and budget, and any supporting documentation.
The purpose of change request 13209 is to ensure that any proposed modifications to the project are documented, reviewed, and approved before implementation.
Change request 13209 must include details about the proposed modification, reasons for the change, impact on the project timeline and budget, and any supporting documentation.
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