Qualifying Clinical Trial Attestation Form

[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

74 - QUALIFYING CLINICAL TRIAL ATTESTATION FORM CLEAN 8.17.21 I

#74 (New): Coverage of Routine Patient Cost for Items & Services in Qualifying Clinical Trials

OMB: 0938-1148