GenIC #72 (New): Expressions of Interest in the Infant Well-Child Visit Affinity Group

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

OMB: 0938-1148

IC ID: 248500

Documents and Forms

Document Name Document Type
Form CMS-10398 #72 GenIC #72 (New): Expressions of Interest in the Infant Well-Child Visit Affinity Group Form and Instruction
Form CMS-10398 #72 GenIC #72 (New): Expressions of Interest in the Infant Well-Child Visit Affinity Group Form and Instruction
CMS-10398 #72 Expression of Interest Form well-child-visit-ag-interest-form.pdf Form and Instruction
well-child-visit-ag-fact-sheet.pdf Other-Fact Sheet
GenIC #72 - Generic Supporting Statement (2021 version 3).docx Generic Supporting Statement IC Document