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CMS Manual SystemDepartment of Health &
Human Services (HHS)Pub 10004 Medicare Claims ProcessingCenters for Medicare &
Medicaid Services (CMS)Transmittal 12553Date: March 21, 2024Change Request 13574
SUBJECT:
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How to fill out change request 13574

How to fill out change request 13574
01
Open the change request form 13574
02
Fill in the overview section with a brief description of the change
03
Provide details on the reason for the change in the justification section
04
Specify the impact of the change in the impact analysis section
05
List the resources required for the change in the resource section
06
Include a timeline for the change implementation in the schedule section
07
Obtain necessary approvals and signatures before submitting the change request
Who needs change request 13574?
01
The project manager or team leader overseeing the project where the change is needed
02
The stakeholders affected by the proposed change
03
The change management team responsible for evaluating and implementing changes
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What is change request 13574?
Change request 13574 is a formal document submitted to propose modifications or updates to a project, process, or system.
Who is required to file change request 13574?
Typically, team members, stakeholders, or project managers who identify the need for changes in a project are required to file change request 13574.
How to fill out change request 13574?
To fill out change request 13574, complete the designated form by providing details such as the nature of the change, reason for the request, impact analysis, and any supporting documentation.
What is the purpose of change request 13574?
The purpose of change request 13574 is to formally document and seek approval for proposed changes to ensure proper project management and control.
What information must be reported on change request 13574?
The change request 13574 must report information such as the title of the change, description, rationale, affected processes, risks, and any potential costs involved.
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