| State: | Pennsylvania |
|---|---|
| Waiver Authority: | |
| Status: | Approved |
Waiver Dates
| Approval: | 12/17/2014 |
|---|---|
| Effective: | 01/01/2022 |
| Expiration: | 12/31/2026 |
Supporting Documents
Approved Application(s) and Related Documents
| Date | Title | |
|---|---|---|
| 10/01/2015 | Approved Application (PDF, 866.96 KB) | |