CMS is committed to streamlining and simplifying the process to review Medicaid and CHIP state plan amendments (SPA) and waivers. As part of that effort, we compiled a centralized toolkit. A one-stop-shop for states preparing amendments and waivers for approval.
We also issued an Informational Bulletin in November highlighting four specific improvements to SPA and waiver process. This summer we issued a second Informational Bulletin highlighting the successes of implementing those strategies, outlining two additional long-term process improvements CMS is implementing, and highlighting specific improvements made to the 1915(c) waiver review process.