CMS-10434 #15 Intergovernmental Cooperation Act Waivers

Centers for Medicare & Medicaid
Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
A2-Intergovernmental Cooperation Act Waivers
RU PRA document
Version 1.0
08/11/2017

Document Number: 163-QSSI-MACPro-PRA-A2-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. A2- Intergovernmental Cooperation Act Waivers Screenshots ........................... 1
1.1
1.2
1.3

Section A. Intergovernmental Cooperation Act Waivers ................................. 1
Add Waiver...................................................................................................... 2
Section B. Additional Information (optional) .................................................... 3

List of Figures
Figure 1: Section A .......................................................................................................... 1
Figure 2: Add Waiver....................................................................................................... 2
Figure 3: Section B .......................................................................................................... 3

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A2- Intergovernmental Cooperation Act Waivers Screenshots

1. A2- Intergovernmental Cooperation Act Waivers Screenshots
1.1

Section A. Intergovernmental Cooperation Act Waivers

Figure 1: Section A

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1.2

A2- Intergovernmental Cooperation Act Waivers Screenshots

Add Waiver

Figure 2: Add Waiver
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1.3

A2- Intergovernmental Cooperation Act Waivers Screenshots

Section B. Additional Information (optional)

Figure 3: Section B

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