Annual Report on Home and Community-based Services Waivers (CMS-372(S))

OMB 0938-0272

States with an approved waiver under section 1915 (c) of the act are required to submit a report annually in order for CMS to: (1) Verify that State assurances regarding waiver cost-neutrality are met, and (2) determine the waiver's impact on the type, amount, and cost of services provided under the State Plan and health welfare of recipients.

The latest form for Annual Report on Home and Community-based Services Waivers (CMS-372(S)) expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-372(S) Annual Report on Home and Community-based Services Waivers Form
CMS-372(S) - Supporting Statement A (2021 version 5).docx Supporting Statement A
Response to 60-Day Comments (2021 version 2).docx Supplementary Document
Annual Report on Home and Community-based Services Waivers Form

All Historical Document Collections

202110-0938-006 Approved without change	Revision of a currently approved collection	2021-10-21
201806-0938-008 Approved without change	Revision of a currently approved collection	2018-06-29
201505-0938-010 Approved without change	Extension without change of a currently approved collection	2015-05-26
201204-0938-003 Approved without change	Reinstatement without change of a previously approved collection	2012-04-09
200901-0938-011 Approved without change	Revision of a currently approved collection	2009-01-30
200607-0938-007 Approved without change	Extension without change of a currently approved collection	2006-07-12
200311-0938-002 Approved without change	Revision of a currently approved collection	2003-11-12
200106-0938-013 Approved without change	Extension without change of a currently approved collection	2001-06-25
199806-0938-005 Approved without change	Reinstatement without change of a previously approved collection	1998-06-17
199511-0938-006 Approved without change	Revision of a currently approved collection	1995-11-28
199210-0938-002 Approved without change	Extension without change of a currently approved collection	1992-10-21
199108-0938-008 Approved without change	Revision of a currently approved collection	1991-08-29
198808-0938-008 Approved without change	Revision of a currently approved collection	1988-08-30
198510-0938-005 Approved without change	Reinstatement with change of a previously approved collection	1985-10-02
198503-0938-024 Approved without change	Reinstatement with change of a previously approved collection	1985-03-22
198501-0938-011 Withdrawn	Reinstatement without change of a previously approved collection	1985-01-11
198409-0938-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-09-28
198408-0938-022 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-08-13
198212-0938-001 Approved without change	New collection (Request for a new OMB Control Number)	1982-12-02