OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0938-0449 · HHS/CMS.

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 2027-07-31 and is listed under ICR 202407-0938-020.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-8003 Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310Form 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).docxSupporting Statement A
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310 Form and Instruction

All Historical Document Collections

Historical document collections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