Medicaid Program; Medicaid State Plan Preprint for Use by States When Implementing Section 6401, Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP

OMB 0938-1151

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10402 Medicaid State Plan Preprint for Use by States When Implementing Section 6401, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP Form
CMS-10402 - Supporting Statement part A [rev 10-07-11].doc Supporting Statement A
Medicaid State Plan Preprint for Use by States When Implementing Section 6401, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid and CHIP Form