Common use of Amendment Process Clause in Contracts

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) a. An explanation of the public process used by the State, consistent with the requirements of paragraph 14 15, to reach a decision regarding the requested amendment; b) b. A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) c. An up-to-date CHIP allotment neutrality worksheet, if necessary; d. A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) e. If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 15, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 STC 15, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” ―with waiver‖ impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” ―with waiver‖ and “without waiver” ―without waiver‖ status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” ―with waiver‖ expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 15, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “"with waiver” " impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “"with waiver” " and “"without waiver” " status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “"with waiver” " expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the Statestate, consistent with the requirements of paragraph 14 STC 13, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group/EG) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 12, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) An up-to-date CHIP allotment neutrality worksheet, if necessary; d) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and de) If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, Commonwealth consistent with the requirements of paragraph 14 15 to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreementexpenditure cap. Such analysis shall must include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current extension approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, amendment which isolates (by Eligibility GroupGroup (EG)) the impact of the amendment; c) An up-to-date SCHIP allotment neutrality worksheet, if necessary; d) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentationdocumentation including a conforming title XIX and/or title XXI State plan amendment, if necessary; and de) If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests will be reviewed by the Federal Review Team and must include, but are not limited to, the following: a) a. An explanation of the public process used by the State, consistent with the requirements of paragraph 14 State to reach a decision regarding the requested amendment; b) b. A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreementexpenditure cap. Such analysis shall must include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through though the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, amendment which isolates (by Eligibility Group) the impact of the amendment; c) c. A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) d. If applicable, a description of how the evaluation designs will design must be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests will be reviewed by the Federal Review Team and must include, but are not limited to, the following: a) a. An explanation of the public process used by the State, consistent with the requirements of paragraph 14 State to reach a decision regarding the requested amendment; b) b. A data analysis which identifies the specific “"with waiver” " impact of the proposed amendment on the current budget neutrality agreementexpenditure cap. Such analysis shall must include current total computable “"with waiver” " and “"without waiver” " status on both a summary and detailed level through though the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “"with waiver” " expenditure total as a result of the proposed amendment, amendment which isolates (by Eligibility Group) the impact of the amendment; c) c. A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) d. If applicable, a description of how the evaluation designs will design must be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the Statestate, consistent with the requirements of paragraph 14 STC 14, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 15, to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreement. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs design will be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must be reviewed by the Federal Review Team and must include, but are not limited to, the following: a) An explanation of the public process used by the State, consistent with the requirements of paragraph 14 State to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreementexpenditure cap. Such analysis shall include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current extension approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, amendment which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs will design shall be modified to incorporate the amendment provisions.

Amendment Process. Requests to amend the Demonstration must be submitted to CMS for approval no later than 120 days prior to the planned date of implementation of the change and may not be implemented until approved. Amendment requests must be reviewed by the Federal Review Team and must include, but are not limited to, the following: a) An explanation of the public process used by the State, State consistent with the requirements of paragraph 14 to reach a decision regarding the requested amendment; b) A data analysis which identifies the specific “with waiver” impact of the proposed amendment on the current budget neutrality agreementexpenditure cap. Such analysis shall must include current total computable “with waiver” and “without waiver” status on both a summary and detailed level through the current extension approval period using the most recent actual expenditures, as well as summary and detailed projections of the change in the “with waiver” expenditure total as a result of the proposed amendment, amendment which isolates (by Eligibility Group) the impact of the amendment; c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation; and d) If applicable, a description of how the evaluation designs will design must be modified to incorporate the amendment provisions.