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Form Approved OMB No. 09381230 Expires: 01/25DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESAPPLICATION FOR ENROLLMENT IN MEDICARE PART B (MEDICAL INSURANCE) WHO CAN
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Individuals who are applying for benefits or services through the agency that requires OMB 0938-1230 application form
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OMB 0938-1230 is an application form used by healthcare providers and organizations to report information required by the Centers for Medicare & Medicaid Services (CMS).
Healthcare providers and organizations participating in Medicare and/or Medicaid programs are typically required to file the OMB 0938-1230 application.
To fill out the OMB 0938-1230 application, gather necessary documentation, provide accurate information as requested on the form, and ensure all sections are completed before submission.
The purpose of the OMB 0938-1230 application is to collect data and ensure compliance with regulations related to Medicare and Medicaid services.
The application requires reporting information such as provider identity, service details, and compliance with federal regulations.
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