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pdfRevisions Crosswalk (Form 276-25)
Budget Forecast
Note: In Changes to the Application column, the quoted words are what are to be entered. Example in issue #1 is “276-25”; do not enter the words that
explain the change and that are outside of the quotations.
Issue
#
1.
Page #
Section
Worksheet S
Row 59
2.
Worksheet S
Row 68
3.
Worksheet A
4.
Worksheet B
Row 60 &
Row 110
Row 22
Action to be
performed
Change form
number
Remove
Change form
number
Change form
number
Changes to the Application
Changed form number 276-22 to “276-25”.
Remove Form Expiration Date: 9/30/2025
Changed form number 276-22 to “276-25”.
Changed form number 276-22 to “276-25”.
Reason for the Change
To reflect the most recent change in the
form number/year.
This date is not determined until approval
of the PRA package renewal.
To reflect the most recent change in the
form number/year.
To reflect the most recent change in the
form number/year.
Page 1 of 1
File Type | application/pdf |
File Title | Budget Forecast Crosswalk |
Subject | Budget Forecast Crosswalk |
Author | CMS |
File Modified | 2025-01-22 |
File Created | 2025-01-14 |