1 Former Foster Care Children

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

QSSI-MACPro-PRA-S33

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

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
S33-Former Foster Care Children PRA document
Version 1.0
08/18/2017

Document Number: 216-QSSI-MACPro-PRA-S33-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S33-Former Foster Care Children – Screenshots ................................................. 1
1.1

Former Foster Care Children .......................................................................... 1

List of Figures
Figure 1: Former Foster Care Children – 1 ..................................................................... 1
Figure 2: Former Foster Care Children – 2 ..................................................................... 1

S33-Former Foster Care Children PRA document Version 1.0

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08/18/2017

CMS XLC

S33-Former Foster Care Children – Screenshots

1. S33-Former Foster Care Children – Screenshots
1.1

Former Foster Care Children

Figure 1: Former Foster Care Children – 1

Figure 2: Former Foster Care Children – 2

S33-Former Foster Care Children PRA document Version 1.0

1

08/18/2017


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