GenIC # 59 (Revision) - Medicaid Section 1115 Severe Mental Illness and Children with Serious Emotional Disturbance Demonstrations

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

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1148 can be found here:

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Video: Populating and Submitting Monitoring Templates (8:24 minutes) (see link)