Official Federal Forms
Centers For Medicare And Medicaid Services
Last updated: 5/17/2023
SSO Report Of State Buy In Program {CMS-1957}
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Description
CMS-1957 - SSO REPORT OF STATE BUY-IN PROBLEM. This form is used to report issues related to the state buy-in program for Medicare. It collects identification details of the individual, including their Medicare Beneficiary Identifier, Railroad Retirement Board (RRB) Number, sex, welfare ID number, and Social Security Number. www.FormsWorkflow.com
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