INSTRUCTIONS FOR MODEL NOTICE (OMB Control Number[removed]This model notice may, but is not required to, be used by an eligible organization to provide notice to the Secretary of Health and Human Services (HHS) that

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Date: 2014-08-21 14:48:58 Government Health Employee Retirement Income Security Act Patient Protection and Affordable Care Act Medicare Health insurance Medicaid Third-party administrator Employee Benefits Security Administration Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson		INSTRUCTIONS FOR MODEL NOTICE (OMB Control Number[removed]This model notice may, but is not required to, be used by an eligible organization to provide notice to the Secretary of Health and Human Services (HHS) that Add to Reading List Source URL: www.dol.gov Download Document from Source Website File Size: 48,00 KB Share Document on Facebook

	Centers for Medicare & Medicaid Services, HHS from the clinic or center and the conditions for release of information. (3) The patient’s written consent is required for release of information not authorized to be relea DocID: 1xTVP - View Document
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