OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[Medicaid] Annual Report on §1915(c) Home and Community-Based Services Waivers (CMS-372(S))

OMB 0938-0272 · HHS/CMS.

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 [Medicaid] Annual Report on §1915(c) Home and Community-Based Services Waivers (CMS-372(S)) expires 2028-06-30 and is listed under ICR 202409-0938-022.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-372(S) Annual Report on Home and Community-based Services WaiversForm
CMS Response to Public Comments on CMS-372 (OMB 0938-0272).docx Supplementary Document
CMS-372(S) - Supporting Statement A (2024 version 6).docxSupporting Statement A
Annual Report on Home and Community-based Services Waivers Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202409-0938-022 Revision of a currently approved collection 2024-09-20
202110-0938-006 Revision of a currently approved collection 2021-10-21 Approved without change
201806-0938-008 Revision of a currently approved collection 2018-06-29 Approved without change
201505-0938-010 Extension without change of a currently approved collection 2015-05-26 Approved without change
201204-0938-003 Reinstatement without change of a previously approved collection 2012-04-09 Approved without change
200901-0938-011 Revision of a currently approved collection 2009-01-30 Approved without change
200607-0938-007 Extension without change of a currently approved collection 2006-07-12 Approved without change
200311-0938-002 Revision of a currently approved collection 2003-11-12 Approved without change
200106-0938-013 Extension without change of a currently approved collection 2001-06-25 Approved without change
199806-0938-005 Reinstatement without change of a previously approved collection 1998-06-17 Approved without change
199511-0938-006 Revision of a currently approved collection 1995-11-28 Approved without change
199210-0938-002 Extension without change of a currently approved collection 1992-10-21 Approved without change
199108-0938-008 Revision of a currently approved collection 1991-08-29 Approved without change
198808-0938-008 Revision of a currently approved collection 1988-08-30 Approved without change
198510-0938-005 Reinstatement with change of a previously approved collection 1985-10-02 Approved without change
198503-0938-024 Reinstatement with change of a previously approved collection 1985-03-22 Approved without change
198501-0938-011 Reinstatement without change of a previously approved collection 1985-01-11 Withdrawn
198409-0938-018 No material or nonsubstantive change to a currently approved collection 1984-09-28 Approved with change
198408-0938-022 No material or nonsubstantive change to a currently approved collection 1984-08-13 Approved with change
198212-0938-001 New collection (Request for a new OMB Control Number) 1982-12-02 Approved without change