Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53

OMB 0938-0429

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-R-53 Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 Form
CMS-R-0053_Supporting_Statement.doc Supporting Statement A
Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 Form