Crosswalk

372S_Crosswalk_508_Compliant (rev 06-29-2018 by OSORA PRA).pdf

Annual Report on Home and Community-based Services Waivers (CMS-372(S))

Crosswalk

OMB: 0938-0272

Document [pdf]
Download: pdf | pdf
372(S) Form Crosswalk
2015 (old version)
2016 (new version)
Service Name dropdown Service Name text box
field

Type of Change
Revision

Alternative service title
or other information
text box allowed free
format entries

Revision

Alternative service title or
other information text box
is disabled and no new
entries allowed

Reason for Change
States are able to enter the service name
exactly as it is listed in Appendix C of the
waiver - Previously, states could only choose
a service name from the drop down field or
use Alternate service or other information to
enter the service name as free format
The text box in this field is no longer
necessary because states are able to enter
the appropriate Service Name in the new text
box

Burden Change
No

No


File Typeapplication/pdf
File Title372S Form Crosswalk
AuthorCummins, Susan K. (CMS/CMCHO)
File Modified2018-06-29
File Created2018-03-02

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