PDF
Word
Form CMS-R-0235 Data Use Agreement (Dua) (Agreement for Use of Centers for Medicare and Medicaid Services (Cms) Data Containing Individual Identifiers)
What Is Form CMS-R-0235?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on June 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form CMS-R-0235?
A: Form CMS-R-0235 is a Data Use Agreement (DUA) for the use of Centers for Medicare and Medicaid Services (CMS) data containing individual identifiers.
Q: What is a Data Use Agreement (DUA)?
A: A Data Use Agreement (DUA) is a legal agreement that governs the use and protection of sensitive data.
Q: What does the Form CMS-R-0235 DUA cover?
A: The Form CMS-R-0235 DUA covers the use of CMS data that contains individual identifiers.
Q: Who can use the CMS data covered by Form CMS-R-0235?
A: The CMS data covered by Form CMS-R-0235 can be used by authorized individuals, organizations, or entities.
Q: What is the purpose of the Form CMS-R-0235?
A: The purpose of the Form CMS-R-0235 is to establish the terms and conditions for the use of CMS data containing individual identifiers.
Q: Is the Form CMS-R-0235 mandatory?
A: The use of Form CMS-R-0235 is mandatory for individuals, organizations, or entities that wish to use CMS data containing individual identifiers.
Q: Who should sign the Form CMS-R-0235?
A: The Form CMS-R-0235 should be signed by both the CMS data requester and the CMS data steward.
Form Details:
- Released on June 1, 2020;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-R-0235 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-R-0235 Data Use Agreement (Dua) (Agreement for Use of Centers for Medicare and Medicaid Services (Cms) Data Containing Individual Identifiers)
1
2
3
4
5
6
