Attachment 5b Monitoring Report Workbook
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
Attachment 5b. The Medicaid Section 1115 SMISED Monitoring WorkbookPlanned Metrics_Clean.xlsx
GenIC #59 (Revision): Medicaid Section 1115 Severe Mental Illness and Children with Serious Emotional Disturbance Demonstrations
OMB: 0938-1148
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1148 can be found here: