PACE State Plan Option Preprint (CMS-10227)

PACE State Plan Amendment Pre-print (CMS-10227)

SMDL-11-09-00.tif

PACE State Plan Option Preprint (CMS-10227)

OMB: 0938-1027

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1027 can be found here:

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