| State: | Indiana |
|---|---|
| Waiver Authority: | |
| Status: | Withdrawn |
Waiver Dates
| Approval: | |
|---|---|
| Effective: | |
| Expiration: |
Supporting Documents
Pending Application(s) and Related Documents
| Date | Title | |
|---|---|---|
| 10/30/2020 | Pending Application (PDF, 1.75 MB) | View/Submit Comments |
Administrative Record
| Date | Title | |
|---|---|---|
| 06/03/2021 | MOMII Withdrawal Letter (PDF, 141.92 KB) | |
| 11/09/2020 | CMS Completeness Letter (PDF, 137.49 KB) | |