OMB control number

Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD ) (CMS-10385)

OMB 0938-1125 · HHS/CMS.

OMB 0938-1125

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10385 Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD) (CMS-10385) Form and Instruction
CMS-10385 Supporting Statement part A [rev 10-06-11.doc Supporting Statement A
Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD) (CMS-10385) Form and Instruction

All Historical Document Collections

201110-0938-003 Approved without change	Extension without change of a currently approved collection	2011-10-07
201104-0938-003 Approved with change	New collection (Request for a new OMB Control Number)	2011-04-12