- Title
- New HCFA-855(A) and (B) Applications and Procedures
- Memo #
- 01-22
- Posting Date
- 08/15/2001
- Fiscal Year
- 2001
- Summary
- The purpose of this memorandum is to notify states and regional offices of changes in the HCFA-855 application and procedures. The new applications relevant for your use are the HCFA-855A and HCFA-855B. These replace the HCFA-855 and HCFA-855C applications dated January 1998.
