Generic Supporting Statement
GenIC #69 - Generic Supporting Statement (2021 version 4).docx
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
Generic Supporting Statement
OMB: 0938-1148
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1148 can be found here: