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Form CMS-8003 Application for a Section 1915(c) Home and Community-Bas
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)
Waiver Application (2022 version 2)
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310
OMB: 0938-0449
OMB.report
HHS/CMS
OMB 0938-0449
ICR 202312-0938-007
IC 8072
Form CMS-8003 Application for a Section 1915(c) Home and Community-Bas
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0449 can be found here:
2024-07-31 - No material or nonsubstantive change to a currently approved collection
2024-03-19 - Revision of a currently approved collection
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