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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
OMB.report
HHS/CMS
OMB 0938-0449
ICR 202407-0938-020
IC 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 July 2024 CLEAN[2].pdf
Form and Instruction
Instructions_TechnicalGuide_V3.7 CLEAN July 2024.pdf 3[1].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 2024 MARK-UP 7-26-24.pdf
Redline (Revised): Application
IC Document
Instructions_TechnicalGuide_V3.7 MARK-UP 7-25-24[1].docx
Redline (Revised): Technical Guide
IC Document
Information Collection (IC) Details
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