CMS-10398 #22 Submission Summary – Screenshots

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-I1

GenIC #22 - Health Home State Plan Amendment (SPA)

OMB: 0938-1188

Document [pdf]
Download: pdf | pdf
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
I1-Submission Summary PRA document
Version 1.0
08/16/2017

Document Number: 189-QSSI-MACPro-PRA-I1-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. I1-Submission Summary – Screenshots................................................................ 1
1.1
1.2
1.3

Submission Summary ..................................................................................... 1
“Governor’s Office Review” Section – Path 1 .................................................. 2
“Governor’s Office Review” Section – Path 2 .................................................. 3

List of Figures
Figure 1: Submission Summary – 1 ................................................................................ 1
Figure 2: Submission Summary – 2 ................................................................................ 1
Figure 3: Submission Summary – 3 ................................................................................ 2
Figure 4: Submission Summary – 4 ................................................................................ 2
Figure 5: Governor’s Office Review - 1 ........................................................................... 2
Figure 6: Governor’s Office Review - 2 ........................................................................... 3

I1-Submission Summary PRA document Version 1.0

i

08/16/2017

CMS XLC

I1-Submission Summary – Screenshots

1. I1-Submission Summary – Screenshots
1.1

Submission Summary

Figure 1: Submission Summary – 1

Figure 2: Submission Summary – 2

I1-Submission Summary PRA document Version 1.0

1

08/16/2017

CMS XLC

I1-Submission Summary – Screenshots

Figure 3: Submission Summary – 3

Figure 4: Submission Summary – 4

1.2

“Governor’s Office Review” Section – Path 1

Figure 5: Governor’s Office Review - 1

I1-Submission Summary PRA document Version 1.0

2

08/16/2017

CMS XLC

1.3

I1-Submission Summary – Screenshots

“Governor’s Office Review” Section – Path 2

Figure 6: Governor’s Office Review - 2

I1-Submission Summary PRA document Version 1.0

3

08/16/2017


File Typeapplication/pdf
File Modified2017-08-22
File Created2017-08-22

© 2024 OMB.report | Privacy Policy