#79 (New): COVID-19 Risk Corridor Reconciliation Reporting Template

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

OMB: 0938-1148

IC ID: 258773

Documents and Forms

Document Name Document Type
Form CMS-10398 #79 #79 (New): COVID-19 Risk Corridor Reconciliation Reporting Template Form and Instruction
Form CMS-10398 #79 #79 (New): COVID-19 Risk Corridor Reconciliation Reporting Template Form and Instruction
CMS-10398 #79 COVID-19 Risk Corridor Reconciliation Reporting Template COVID-19 Risk Corridor Reconciliation Reporting Template.xlsm Form and Instruction
COVID-19 Frequently Asked Questions (FAQs).pdf Other-Frequently Asked Questions (FAQs)
CMCS Outreach Email_2023-01-10.docx Other-CMCS Outreach Email
HI Risk Mitigation Approval Letter 12202021.pdf Other-Sample Section 1115 Approval Letter
#79 - Generic Supporting Statement (2023 version 8).docx Generic Supporting Statement IC Document