CMS-8003 - Supporting Statement A (2024 version 5)
CMS-8003 - Supporting Statement A (2024 version 5).docx
[Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)
OMB: 0938-0449
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0449 can be found here:
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