Crosswalk - Waiver Flexibility Request
CMS 10752 1135 Waiver_Flexibility Request and 1135 Inquiry Form Revision Table - 2023 Destructive Storms and Tornadoes_Mar.docx
Submissions of 1135 Waiver Request Automated Process (CMS-10752)
Crosswalk - Waiver Flexibility Request
OMB: 0938-1384
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1384 can be found here: