B-3: Number of Individuals Served - Attachment #1 Waiver Phase-In/Phase Out Schedule Based on Waiver Proposed Effective Date: a. The waiver is being (select one): Phased-in Phased-out Phase-In/Phase-Out Time Schedule. Complete the following table: b. Beginning (base) number of Participants: Phase-In or Phase-Out Schedule Waiver Year: Base Number of Change in Number of Month Participants Participants Participant Limit
B-3: Number of Individuals Served - Attachment #1 Waiver Phase-In/Phase Out Schedule Based on Waiver Proposed Effective Date: a. The waiver is being (select one): Phased-in Phased-out b. Phase-In/Phase-Out Time Schedule. Complete the following table: Beginning (base) number of Participants: Phase-In or Phase-Out Schedule Waiver Year: Month Base Number of Participants Change in Number of Participants Participant Limit