| State: | Pennsylvania |
|---|---|
| Waiver Authority: | |
| Status: | Approved |
Waiver Dates
| Approval: | 12/26/2024 |
|---|---|
| Effective: | 12/26/2024 |
| Expiration: | 12/31/2029 |
Supporting Documents
Approved Application(s) and Related Documents
| Date | Title | |
|---|---|---|
| 12/30/2024 | Demonstration Approval – Attachment F (PDF, 1.16 MB) | |
| 12/26/2024 | Demonstration Approval - Keystones of Health (PDF, 1.07 MB) | |
Administrative Record
| Date | Title | |
|---|---|---|
| 01/22/2025 | State Acceptance Letter (PDF, 120.53 KB) | |
| 02/09/2024 | CMS Completeness Letter (PDF, 222.68 KB) | |
| 01/26/2024 | Application - Keystones of Health (PDF, 1.39 MB) | View Comments |