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Medicaid State Plan Preprint for Use by States When Implementing Section 6505, the Prohibition on Payments to Institutions or Entities Located Outside of the United States
OMB 0938-1128
OMB.report
HHS/CMS
OMB 0938-1128
OMB 0938-1128
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10367 Medicaid State Plan Preprint for Use by States When Implementing Section 6505, the Prohibition on Payments to Institutions or Entities Located Outside of the United States.
Form
6505 PRA Supporting Statement on Prohibition on Payments 508 Compliant [rev 03-15-11].doc
Supporting Statement A
Medicaid State Plan Preprint for Use by States When Implementing Section 6505, the Prohibition on Payments to Institutions or Entities Located Outside of the United States.
Form
All Historical Document Collections
201103-0938-011
Approved with change
New collection (Request for a new OMB Control Number)
2011-03-21
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