Form CMS-10398 (#19) CMS-10398 (#19) Monthly Report
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
_ 19 - MonthlyReportForm-State
#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⚠️ Notice: This form may be outdated.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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| File Type | application/pdf |
| File Modified | 2014-09-03 |
| File Created | 2014-09-03 |