OMB control number
Medicaid Program; Medicaid State Plan Preprint for Use by States When Implementing Section 6401, Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP
OMB 0938-1151 · HHS/CMS.
OMB 0938-1151
Latest Forms, Documents, and Supporting Material
Document Name |
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Form |
Supporting Statement A |
Form CMS-10402 Medicaid State Plan Preprint for Use by States When Implementing Section 6401, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP
CMS-10402 - Supporting Statement part A [rev 10-07-11].doc
Medicaid State Plan Preprint for Use by States When Implementing Section 6401, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP All Historical Document Collections
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Approved with change |
New collection (Request for a new OMB Control Number) | 2011-10-12 |