1 Income Standards – Poverty Level – Territories

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

QSSI-MACPro-PRA-S14a

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

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
S14a-Income Standards – Poverty Level Territories PRA document
Version 1.0
08/18/2017

Document Number: 210-QSSI-MACPro-PRA-S14a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S14a- Income Standards – Poverty Level – Territories – Screenshots ............... 1
1.1

Income Standards – Poverty Level – Territories ............................................. 1

List of Figures
Figure 1: Income Standards – Poverty Level – Territories – 1 ........................................ 1
Figure 2: Income Standards – Poverty Level – Territories – 2 ........................................ 1

S14a-Income Standards – Poverty Level - Territories PRA document
Version 1.0

i

08/18/2017

CMS XLC

S14a- Income Standards – Poverty Level – Territories – Screenshots

1. S14a- Income Standards – Poverty Level – Territories
– Screenshots
1.1

Income Standards – Poverty Level – Territories

Figure 1: Income Standards – Poverty Level – Territories – 1

Figure 2: Income Standards – Poverty Level – Territories – 2

S14a-Income Standards – Poverty Level - Territories PRA document
Version 1.0
1

08/18/2017

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

© 2024 OMB.report | Privacy Policy