Get the free FORM APPROVED OMB NO 09380193 TRANSMITTAL AND NOTICE OF - medicaid

FORM APPROVED OMB NO. 0938.0193 DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH CARE FINANCING ADMINISTRATION TRANSMITTAL AND NOTICE OF APPROVAL OF STATE PLAN MATERIAL 1. TRANSMITTAL NUMBER: 2. STATE

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What is form approved omb no?

Form approved omb no is a standardized form approved by the Office of Management and Budget (OMB) for a specific purpose.

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Certain individuals or organizations may be required to file form approved omb no depending on the guidelines set by the OMB.

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