Suporting Statement #19 - Eligibility and Enrollment Performance Indicators
Supporting Statement (#19) Eligibility and Enrollment Performace Indicators [rev 10-23-2014 by OSORA PRA].docx
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions
Suporting Statement #19 - Eligibility and Enrollment Performance Indicators
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⚠️ Notice: This form may be outdated.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/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CMS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |