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Forms & Templates

On this page, you will find various forms that Military Health System uses to support its programs. Please scroll down the page or use the search box to find specific forms and templates.

Please note that files more than two years old may not be compliant with Section 508 of the Rehabilitation Act. If you need an accessible version of a particular file, please contact us and we will provide one for you.

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ABACUS Mapping Table

Technical Document
8/3/2022

ABACUS Mapping Movie

CY22 CMAC Rates

Technical Document
8/3/2022

Revenue Mapping Table

Technical Document
8/3/2022

CY22 DMIS ID to CMAC Locality Table

Technical Document
8/3/2022

DMIS ID to CMAC Locality Table

Modifier Mapping Table

Technical Document
8/3/2022

2022 DME Rates

Technical Document
8/3/2022

2022 Anesthesia Rates

Technical Document
8/3/2022

2022 Ambulance Rates

Technical Document
8/3/2022

JYNNEOS Smallpox and Monkeypox Vaccine Storage and Handling Summary

Publication
8/2/2022

A guide for health care providers on how to properly store and handle Jynneos smallpox and monkeypox vaccine.

HITECH Act

Policy

The Health Information Technology for Economic and Clinical Health Act, abbreviated the HITECH Act, was enacted under Title XIII of the American Recovery and Reinvestment Act of 2009.

MDR Future MEPRS

Technical Document
8/2/2022

M2 Future MEPRS

Technical Document
8/2/2022

Cisneros Mullen

Congressional Testimony
7/29/2022

Honorable Gilbert R. Cisneros, Under Secretary of Defense for Personnel and Readiness and Ms. Seileen Mullen, Acting Assistant Secretary of Defense for Health and Affairs [testified] before the House Armed Services Committee Subcommittee on Personnel on Women's Reproductive Health Issues

Beneficiary Advisory Panel Meeting Minutes for May 2022 P&T Committee Meeting

Meeting Reference
7/28/2022

MDR Data Dictionary

Technical Document
7/28/2022

The MDR Data Dictionary contains information on datasets and data elements in the MDR. Appendices contain additional information related to fields in the MDR.

Recommended Content:

MDR, M2, ICDs Functional Support | MDR Functional Specifications
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Last Updated: July 19, 2022

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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