The forms below have recently been revised and will publish on the date listed. Do NOT use these forms until the date published.

Publish Date Form No. and Title
March 1, 2018 Form 1578, Qualified Income Trust (QIT) Copayment Agreement, Form 1578-S (Spanish), and Instructions
March 1, 2018 Form 2114, Nine-Month Transition Letter, Form 2114-S (Spanish), and Instructions
March 1, 2018 Form H2118, STAR+PLUS HCBS Program Interest List – Confirmation of Continued Interest, Form H2118-S (Spanish), and Instructions
March 1, 2018 Form 2442, Notification of Interest List Release Closure, Form 2442-S (Spanish), and Instructions
March 1, 2018 Form H3675, Application Acknowledgement, Form H3675-S (Spanish), and Instructions
June 1, 2018 Form H1700-3, Nursing Service Plan, Form H1700-3S (Spanish), and Instructions