Official Federal Forms
Centers For Medicare And Medicaid Services
Last updated: 2/5/2024
Transmittal And Notice Of Approval Of State Plan Material {CMS-179}
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Description
CMS-179 - TRANSMITTAL AND NOTICE OF APPROVAL OF STATE PLAN MATERIAL FOR: CENTERS FOR MEDICARE & MEDICAID SERVICES. Use this form to transmit State plan material to the Center for Medicaid & CHIP Services for approval. Submit a separate typed transmittal form with each plan/amendment. www.FormsWorkflow.com
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