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OMB Approved No. 10240009 Form 10168 Rev. 2014UNITED STATES DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICEHISTORIC PRESERVATION CERTIFICATION APPLICATION AMENDMENT / ADVISORY DETERMINATION NPS Project
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Individuals or entities who need to make amendments to their Health Plan Contract Applications (HPCA) in accordance with regulatory requirements.
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Form 10-168b HPCA amendment is a specific form used to make amendments or updates to previously submitted HPCA (Health Care Provider Application) documents.
Individuals or organizations that need to amend their previously filed HPCA applications are required to file form 10-168b.
To fill out form 10-168b, you need to provide accurate and updated information in the specified sections of the form, adhering to any instructions provided with it.
The purpose of form 10-168b HPCA amendment is to ensure that any changes or corrections to health care provider information are officially documented and processed.
The form typically requires updated personal information, changes in practice details, and any other relevant information that requires amendment.
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