OMB control number
Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD ) (CMS-10385)
OMB 0938-1125 · HHS/CMS.
OMB 0938-1125
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10385 Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD) (CMS-10385) | Form and Instruction |
| CMS-10385 Supporting Statement part A [rev 10-06-11.doc | Supporting Statement A |
 Expedited Checklist: Medicaid Eligibility & Enrollment Systems - Advance Planning Document (E&E-APD) (CMS-10385) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201110-0938-003 | Extension without change of a currently approved collection | 2011-10-07 | Approved without change | |
| 201104-0938-003 | New collection (Request for a new OMB Control Number) | 2011-04-12 | Approved with change |