Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310

[Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)

OMB: 0938-0449

IC ID: 8072

Documents and Forms

Document Name Document Type
Form CMS-8003 Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310 Form and Instruction
CMS-8003 Application for a Section 1915(c) Home and Community-Based Services Waiver 1915(c) waiver template V3.7 2023 CLEAN 3-1-24 (Final 508 Compliant).pdf Form and Instruction
Instructions_TechnicalGuide_V3.7 CLEAN 3-1-24 (backup 3-7-2024 355pm) FINAL 6.pdf Instruction
1915(c) waiver application V3.7 change crosswalk updated 2-20-24.pdf Crosswalk: Application IC Document
1915(c) waiver tech guide V3.7 change crosswalk 2023 updated 2-20-24.pdf Crosswalk: Technical Guide IC Document
1915(c) waiver template V3.7 2023 MARK-UP 2-27-24.docx Track Changes: Application IC Document
Instructions_TechnicalGuide_V3.7 MARK-UP 2-27-24.docx Track Change: Technical Guide IC Document