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IN.0004.R05.00

State: Indiana
Waiver Authority:
1915 (b1)
1915 (b4)
Status: Approved

Waiver Dates

Approval: 10/22/2025
Effective: 01/01/2026
Expiration: 12/31/2028

Supporting Documents

Approved Application(s) and Related Documents

Date Title
03/04/2026 Approved Application (PDF, 1.51 MB)
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