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.
Q: What is the Form CMS-R-0235U?
A: Form CMS-R-0235U is a Data Use Agreement.
Q: Why do I need to update an existing Data Use Agreement?
A: Updating an existing Data Use Agreement ensures that the information and data being accessed or shared is up to date and accurate.
Q: How can I update an existing Data Use Agreement?
A: To update an existing Data Use Agreement, you may need to complete and submit a new Form CMS-R-0235U.
Q: Who needs to use the Form CMS-R-0235U?
A: The Form CMS-R-0235U is typically used by organizations or individuals who need access to Medicare or Medicaid program data for research or other authorized purposes.
Q: What is the purpose of the Data Use Agreement?
A: The purpose of the Data Use Agreement is to define the terms and conditions under which the data will be accessed, used, and protected.
Q: What information is required in the Form CMS-R-0235U?
A: The Form CMS-R-0235U requires information such as the name and address of the requester, purpose of the data use, and details on the data being requested.
Q: Are there any fees associated with the Form CMS-R-0235U?
A: There are no fees associated with the Form CMS-R-0235U. However, there may be fees for data acquisition or access, depending on the specific request and agreement.
Q: Can I use the Form CMS-R-0235U for non-Medicare or non-Medicaid data?
A: No, the Form CMS-R-0235U is specifically designed for Medicare and Medicaid program data.
Q: How long does it take to process an updated Data Use Agreement?
A: The processing time for an updated Data Use Agreement can vary depending on the complexity of the request and the workload of the CMS.
Q: Can I make changes to an existing Data Use Agreement after it has been approved?
A: Changes to an existing Data Use Agreement may be possible, but they typically require a formal request and approval process by the CMS.
Q: What happens if I violate the terms of the Data Use Agreement?
A: Violating the terms of the Data Use Agreement can result in penalties, legal consequences, and loss of access to Medicare and Medicaid program data.
Form Details:
Download a fillable version of Form CMS-R-0235U 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.