Report of State Buy-In Problem
Form CMS-1957 (11-12).pdf
Report of Medicaid State Office on Beneficiary's Buy-In Status
Report of State Buy-In Problem
OMB: 3220-0185
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0185 can be found here:
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| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 2013-11-01 |