OMB control number

State Plan Preprint for Medicaid Recovery Audit Contractor (RAC) Program (CMS-10343)

OMB 0938-1126 · HHS/CMS.

OMB 0938-1126

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10343 State Plan Preprint for Medicaid Recovery Audit Contractor (RAC) Program (CMS-10343) Form
CMS-10343_Supporting_Statement_Part_A.docx Supporting Statement A
State Plan Preprint for Medicaid Recovery Audit Contractor (RAC) Program (CMS-10343) Form

All Historical Document Collections

201410-0938-007 Approved without change	Reinstatement without change of a previously approved collection	2014-10-03
201103-0938-008 Approved without change	New collection (Request for a new OMB Control Number)	2011-03-21