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

OMB 0938-0449

Under a Secretarial waiver, States may offer a wide array of home and community-based services to individuals who would otherwise require institutionalization. States requesting a waiver must provide certain assurances, documentation and cost & utilization estimates which are reviewed, approved and maintained for the purpose of identifying/verifying States' compliance with such statutory and regulatory requirements.

The latest form for [Medicaid] Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003) expires 2023-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-8003 Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310 Form and Instruction
Justification for Non-Substantive Change (2024 version 1).docx Justification for No Material/Nonsubstantive Change
CMS-8003 - Response to 30-day Comments (July 2024) 508.pdf Supplementary Document
1915(c) Waiver PRA Comments Summary with CMS Responses.pdf Supplementary Document
CMS-8003 - Supporting Statement A (2024 version 5).docx Supporting Statement A
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310 Form and Instruction

All Historical Document Collections

202407-0938-020 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-07-31
202403-0938-010 Approved without change	Revision of a currently approved collection	2024-03-19
202312-0938-007 Approved without change	Extension without change of a currently approved collection	2023-12-26
202202-0938-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-02-25
202009-0938-008 Approved without change	Reinstatement with change of a previously approved collection	2020-09-25
201702-0938-023 Approved without change	Reinstatement without change of a previously approved collection	2017-03-02
201309-0938-006 Approved without change	Reinstatement without change of a previously approved collection	2013-09-10
200904-0938-013 Approved without change	Revision of a currently approved collection	2009-04-23
200809-0938-016 Approved without change	Extension without change of a currently approved collection	2008-09-30
200507-0938-002 Approved without change	Extension without change of a currently approved collection	2005-07-12
200205-0938-013 Approved without change	Extension without change of a currently approved collection	2002-05-20
199901-0938-007 Approved without change	Revision of a currently approved collection	1999-01-21
199701-0938-004 Approved without change	Revision of a currently approved collection	1997-01-23
199602-0938-005 Approved without change	Extension without change of a currently approved collection	1996-02-15
199410-0938-005 Approved without change	Revision of a currently approved collection	1994-10-11
199309-0938-004 Approved without change	Reinstatement with change of a previously approved collection	1993-09-08
198904-0938-040 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-18
198901-0938-004 Approved without change	Reinstatement with change of a previously approved collection	1989-01-27
198508-0938-010 Approved without change	New collection (Request for a new OMB Control Number)	1985-08-12