OMB control number
Medicaid Savings Program Protection from Medicaid Estate Recovery -- State Plan Preprint Under Title 19 (CMS-10314)
OMB 0938-1108 · HHS/CMS.
OMB 0938-1108
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10314 Medicaid Savings Program Protection from Medicaid Estate Recovery -- State Plan Preprint Under Title 19 (CMS-10314) | Form |
 CMS-10314 Supporting Statement Part A.docx | Supporting Statement A |
 Medicaid Savings Program Protection from Medicaid Estate Recovery -- State Plan Preprint Under Title 19 (CMS-10314) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201009-0938-011 | New collection (Request for a new OMB Control Number) | 2010-09-23 | Approved without change |