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OMB NO. 18200550 Expires: 12/31/2023ANNUAL STATE APPLICATION UNDER PART C OF THE INDIVIDUALS WITH DISABILITIES EDUCATION ACT AS AMENDED IN 2004 FOR FEDERAL FISCAL YEAR (FLY) 2021 CODA No. 84.181AED

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Individuals who are applying for benefits or services from the South Carolina Department of Health and Human Services (SCDHHS) may need to fill out OMB No - MSP-SCDHHSgov form.

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What is omb no - msp-scdhhsgov?

OMB No - MSP-SCDHHSgov is the Office of Management and Budget number assigned to the form used for reporting Medicaid Third Party Liability.

Who is required to file omb no - msp-scdhhsgov?

State Medicaid agencies are required to file OMB No - MSP-SCDHHSgov.

How to fill out omb no - msp-scdhhsgov?

OMB No - MSP-SCDHHSgov is usually filled out electronically through the designated reporting system provided by the Centers for Medicare & Medicaid Services (CMS).

What is the purpose of omb no - msp-scdhhsgov?

The purpose of OMB No - MSP-SCDHHSgov is to report information related to Medicaid Third Party Liability.

What information must be reported on omb no - msp-scdhhsgov?

Information such as third party liability coverage details, coordination of benefits, and claims payment data must be reported on OMB No - MSP-SCDHHSgov.

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