CHIP State Plan Eligibility (ICR #17)
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions
CHIP_E_Forms_Bucket2_25JUN2013.zip
CHIP State Plan Eligibility (ICR #17)
OMB: 0938-1148
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1148 can be found here:
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pdf| File Type | application/zip |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |