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GenIC #7 (Revision): Connecting Kids to Coverage Outreach and Enrollment
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
OMB: 0938-1148
IC ID: 256905
OMB.report
HHS/CMS
OMB 0938-1148
ICR 202401-0938-016
IC 256905
( )
Documents and Forms
Document Name
Document Type
Form CMS-10398 #7
GenIC #7 (Revision): Connecting Kids to Coverage Outreach and Enrollment
Form
Form CMS-10398 #7
GenIC #7 (Revision): Connecting Kids to Coverage Outreach and Enrollment
Form
CMS-10398 #7 Semi-Annual Report Template
ATTACHMENT 1-Semi-Annual Report Template508.pdf
Form
CMS-10398 #7 Final Report Template
ATTACHMENT 2-Final Report Template508.pdf
Form
CMS-10398 #7 HK2019 and HK2020 Monthly Progress Report Template
ATTACHMENT 3-HK2019 and HK2020 Monthly Progress Report Template508.pdf
Form
CMS-10398 #7 HK2019 Monthly Progress Report with Targets Template
ATTACHMENT 4-Monthly Progress Report with Targets.pdf
Form
CMS-10398 #7 HK2022 and HK2023 Monthly Progress Report Template
ATTACHMENT 5-HK2022 and HK2023 Monthly Progress Report Template.pdf
Form
GenIC_7-Generic SupportingStatement_(2022 version 14).docx
Generic Supporting Statement
IC Document
Track Change - Attachment 5 - HK2022 and HK2023 Monthly Progress Report Template.pdf
Track Change - HK2022 and HK2023 Monthly Progress Report Template
IC Document
Information Collection (IC) Details
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