Form CMS-10398 #34 CMS-10398 #34 Title XXI State Plan Template
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
34 - Draft title-xxi-state-plan-template Childrens Vaccine Assurances FINAL (CLEAN)8-10-23
[Medicaid] GenIC #34 (Revised): Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program
OMB: 0938-1148
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1148 can be found here: