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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 212441850CENTER FOR MEDICARE DATE:December 8, 2011TO:All Part D Plan SponsorsFROM:Array
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d-irmaadisenrollment-20111208docx is a document related to enrollment and disenrollment processes.
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d-irmaadisenrollment-20111208docx can be filled out by providing accurate information about the enrollment or disenrollment of a patient.
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Information such as patient details, enrollment date, disenrollment date, reason for disenrollment, and any other relevant information must be reported on d-irmaadisenrollment-20111208docx.
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