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CCA Health Rhode Island
Enrollment Department
30 Winter Street
Boston, MA 02108Disenrollment Form
If you request disenrollment, you must continue to get all medical care from CCA Medicare Maximum
(HMO
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What is notice of approval of?
The notice of approval of is a documentation confirming the approval of a particular process or action.
Who is required to file notice of approval of?
Any individual or organization who has received approval for a specific activity or project is required to file a notice of approval of.
How to fill out notice of approval of?
The notice of approval of can be filled out by providing the necessary information requested in the form, such as details of the approved activity, dates, and signatures.
What is the purpose of notice of approval of?
The purpose of the notice of approval of is to officially document and acknowledge that a specific action or project has been approved.
What information must be reported on notice of approval of?
The notice of approval of must include details of the approved activity, dates, signatures of approving authorities, and any other relevant information.
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