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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 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. 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, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration Demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 14section III, paragraph 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) 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, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. d. If applicable, a description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these the STCs, including but not limited to failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. Amendment requests must include, be accompanied by information that includes but are is not limited to, to the following: a. a) An explanation of the public process used by the state, consistent with the requirements of STC 14paragraph 16, 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) eligibility group the impact of the amendment; c. An up-to-date CHIP allotment neutrality worksheet, if necessary; d. c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and, e. d) If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration Demonstration amendment based on non-compliance with these STCs, including including, but not limited to to, failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified hereintherein. Amendment requests must include, but are not limited to, the following: a. a) An explanation of the public process used by the state, State consistent with the requirements of STC 14, paragraph 12 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 limit. 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. An up-to-date CHIP allotment neutrality worksheet, if necessary; d. c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. d) If applicable, a description of how the evaluation design will 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 1415, 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, including a conforming title Title XIX and/or title Title XXI state plan amendment, if necessary; and e. If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 14paragraph 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 Federal share “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, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. d. If applicable, a description of how the evaluation evaluations 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to to, failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 1416, 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. d) A detailed description of the amendment, including the impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title or XXI state plan amendment, if necessary; and, e. e) If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration Demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 14section III, paragraph 9 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 Federal share “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, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. d. If applicable, a description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 1415, prior to reach a decision regarding submission of the requested amendment; b. b) A data analysis worksheet 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;; and d. d) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. If applicable, a e) A description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including including, but not limited to to, failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified hereintherein. Amendment requests must include, but are not limited to, the following: a. a) An explanation of the public process used by the state, Commonwealth consistent with the requirements of STC 14, 14 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 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. c) An up-to-date CHIP allotment neutrality worksheet, if necessary; d. d) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, documentation including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. e) If applicable, a description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 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. 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, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration Demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. Amendment requests must include, but are not limited to, the following: a. a) An explanation of the public process used by the stateState, consistent with the requirements of STC 1412, 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. An up-to-date CHIP allotment neutrality worksheet, if necessary; d. c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and, e. d) If applicable, a description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including including, but not limited to to, failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified hereintherein. Amendment requests must include, but are not limited to, the following: a. a) An explanation of the public process used by the state, Commonwealth consistent with the requirements of STC 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 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. c) An up-to-date CHIP allotment neutrality worksheet, if necessary; d. d) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, documentation including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. e) If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. Amendment requests must include, but are not limited to, the following: a. a) An explanation of the public process used by the stateState, consistent with the requirements of STC 14paragraph 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. An up-to-date CHIP allotment neutrality worksheet, if necessary; d. c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. d) If applicable, a description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 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 federal share “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, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and e. d. If applicable, a description of how the evaluation 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. CMS reserves the right to deny or delay approval of a demonstration amendment based on non-compliance with these STCs, including but not limited to to, failure by the state to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. 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 STC 14STC17, 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. d) A detailed description of the amendment, including the impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title or XXI state plan amendment, if necessary; and, e. e) If applicable, a description of how the evaluation design 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. CMS reserves the right to deny or delay approval of a demonstration Demonstration amendment based on non-compliance with these the STCs, including but not limited to failure by the state State to submit required reports and other deliverables in a timely fashion according to the deadlines specified herein. Amendment requests must include, be accompanied by information that includes but are is not limited to, to the following: a. a) An explanation of the public process used by the stateState, consistent with the requirements of STC 14paragraph 13, 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) Group the impact of the amendment; c. An up-to-date CHIP allotment neutrality worksheet, if necessary; d. c) A detailed description of the amendment, including impact on beneficiaries, with sufficient supporting documentation, including a conforming title XIX and/or title XXI state plan amendment, if necessary; and, e. d) If applicable, a description of how the evaluation design will be modified to incorporate the amendment provisions.