OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)

OMB 0938-0449 · HHS/CMS.

OMB 0938-0449

Under a Secretarial waiver, States may offer a wide array of home and community-based services to individuals who would otherwise require institutionalization. States requesting a waiver must provide certain assurances, documentation and cost & utilization estimates which are reviewed, approved and maintained for the purpose of identifying/verifying States' compliance with such statutory and regulatory requirements.

The latest form for [Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003) expires 2027-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Justification for No Material/Nonsubstantive Change
Supplementary Document
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 No material or nonsubstantive change to a currently approved collection 2024-07-31
Approved without change
 Revision of a currently approved collection 2024-03-19
Approved without change
 Extension without change of a currently approved collection 2023-12-26
Approved without change
 No material or nonsubstantive change to a currently approved collection 2022-02-25
Approved without change
 Reinstatement with change of a previously approved collection 2020-09-25
Approved without change
 Reinstatement without change of a previously approved collection 2017-03-02
Approved without change
 Reinstatement without change of a previously approved collection 2013-09-10
Approved without change
 Revision of a currently approved collection 2009-04-23
Approved without change
 Extension without change of a currently approved collection 2008-09-30
Approved without change
 Extension without change of a currently approved collection 2005-07-12
Approved without change
 Extension without change of a currently approved collection 2002-05-20
Approved without change
 Revision of a currently approved collection 1999-01-21
Approved without change
 Revision of a currently approved collection 1997-01-23
Approved without change
 Extension without change of a currently approved collection 1996-02-15
Approved without change
 Revision of a currently approved collection 1994-10-11
Approved without change
 Reinstatement with change of a previously approved collection 1993-09-08
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-04-18
Approved without change
 Reinstatement with change of a previously approved collection 1989-01-27
Approved without change
 New collection (Request for a new OMB Control Number) 1985-08-12