1 Reasonable Classification of Children Limit

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

QSSI-MACPro-PRA-S11a

GenIC #15 (Transition from 0938-1148) - Medicaid State Plan Eligibility

OMB: 0938-1188

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Medicaid and CHIP Program (MACPro)
S11a - Reasonable Classification of Children Limit PRA Document
Version 1.0
08/21/2017

Document Number: 239-QSSI-MACPro-R5.1-S11a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S11a - Reasonable Classification of Children – Limit Screenshots .................... 1
1.1
1.2
1.3

Reasonable Classification of Children – Limit – Screenshot 1 ........................ 1
Reasonable Classification of Children - Limit– Screenshot 2 .......................... 2
Reasonable Classification of Children - Limit– Screenshot 3 .......................... 2

List of Figures
Figure 1: Reasonable Classification of Children - Limit– Screenshot 1 ........................... 1
Figure 2: Reasonable Classification of Children - Limit– Screenshot 2 ........................... 2
Figure 3: Reasonable Classification of Children - Limit– Screenshot 3 ........................... 2

List of Tables
No table of figures entries found.

S11a - Reasonable Classification of Children - Limit PRA Document Version
1.0
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08/21/2017

CMS XLC

Reasonable Classification of Children – Limit – Screenshot 1

1. S11a - Reasonable Classification of Children – Limit
Screenshots
1.1

Reasonable Classification of Children – Limit – Screenshot 1

Figure 1: Reasonable Classification of Children - Limit– Screenshot 1

S11a - Reasonable Classification of Children - Limit PRA Document Version
1.0
1

08/21/2017

CMS XLC

1.2

Reasonable Classification of Children - Limit– Screenshot 2

Reasonable Classification of Children - Limit– Screenshot 2

Figure 2: Reasonable Classification of Children - Limit– Screenshot 2

1.3

Reasonable Classification of Children - Limit– Screenshot 3

Figure 3: Reasonable Classification of Children - Limit– Screenshot 3

S11a - Reasonable Classification of Children - Limit PRA Document Version
1.0
2

08/21/2017


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