Common Contracts
1 similar Cap Physician Election Agreement contracts
ContractCap Physician Election Agreement • February 4th, 2016
The CAP Physician Election Agreement is used annually by physicians to elect to participate in the CAP or to make changes to the previous year’s selections. The information collected by these documents is used by CMS, its Medicare contractor, and the approved CAP vendor to meet programmatic requirements pertaining to physician election as established by the MMA. Form Number: CMS–10167 (OMB# 0938–0955); Frequency: Yearly; Affected Public: Business or other for- profits; Number of Respondents: 3,800; Total Annual Responses: 3,800; Total Annual Hours: 7,600.
