OMB control number
State Plan Pre-print to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288)
OMB 0938-1076 · HHS/CMS.
OMB 0938-1076
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supporting Statement A |
Form CMS-10288 State Plan Preprint to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288)
CMS-10288 State Plan Pre-Print to Implement Required Dental Benefit Supporting Statement.doc
State Plan Preprint to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288) All Historical Document Collections
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Approved without change |
New collection (Request for a new OMB Control Number) | 2009-10-21 |