U.S. flag

An official website of the United States government

Strengthening and Investing in Home and Community Based Services for Medicaid Beneficiaries: American Rescue Plan Act of 2021 Section 9817

Background

The COVID-19 public health emergency (PHE) has underscored the urgent need to reduce the reliance on institutional services and expand access to high-quality home and community-based services (HCBS) to improve outcomes for people with long-term services and supports (LTSS) needs. HCBS allow millions of Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings.

Consistent with many beneficiaries’ preferences for where they would like to receive their care, HCBS have become a critical component of the Medicaid program and of broader efforts across the federal government to promote community integration of older adults and individuals with disabilities. As the primary funder of HCBS nationally, Medicaid plays a critical role in supporting states’ efforts to strengthen these services for their beneficiaries. In November 2020, CMS released a toolkit (PDF, 1.27 MB) to help states to rebalance their LTSS systems by increasing the share of spending and service use delivered through HCBS, relative to spending and services provided through institutional care.

On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (ARP) (Pub. L. 117-2). Section 9817 of the ARP provides qualifying states with a temporary 10 percentage point increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures for HCBS beginning April 1, 2021, and ending March 31, 2022. This increased funding, an estimated $12.7 billion, represents a rare opportunity for states to identify and implement changes aimed at addressing existing HCBS workforce and structural issues, expand the capacity of critical services, and begin to meet the needs of people on HCBS waitlists and family caregivers. This funding also provides states an important opportunity to enhance individual autonomy and community integration in accordance with the home and community-based settings regulation, Olmstead implementation, and other rebalancing efforts.

Use of the Funds to Enhance, Expand, or Strengthen HCBS

CMS recognizes the significant value of these additional funds, and is committed to working with our state partners to realize these improvements in the HCBS system, both in response to the COVID-19 PHE and in response to longstanding reform priorities. While states have broad flexibility in the use of the funds, CMS strongly encourages states to use the funds to implement structural changes to:

Expand eligibility and increase access to HCBS for all Medicaid beneficiaries including those on waiting lists for HCBS waiver programs, children with disabilities, and people with behavioral health conditions;

• Offer a broader range of community-based services, particularly for people with behavioral health conditions;

Make long term investment in HCBS infrastructure, including capital investments to expand access to non-disability specific settings as part of a state’s implementation of the home and community-based settings regulation;

• Support compliance with the home and community-based settings regulatory criteria and promote community integration;

Strengthen the direct service workforce, including by increasing the pay and benefits of direct support professionals; and

Address social determinants of health and improve equity for older adults and people with disabilities.

* In addition to demonstrating enhancing, enhancing, or strengthening HCBS, any use of the funds for capital investments must result in settings that are fully compliant with the home and community-based settings criteria.

State Activities Under ARP Section 9817

All 50 states and the District of Columbia have been fully approved to claim the HCBS FMAP increase April 1, 2021, until March 31, 2022, and to begin implementing activities in their spending plans and narratives.

States have included a number of innovative and exciting activities in their spending plans and narratives. For example, states are:

Providing recruitment and retention bonuses, pay increases, and student loan forgiveness for direct support professionals, including behavioral health providers, as well as developing certification and training programs for direct support professionals (Nearly all state spending pans and narratives include workforce development initiatives);

Expanding coverage of HCBS services to those who are currently on wait lists;

Implementing in-home and mobile COVID-19 vaccination programs for people with disabilities and older adults;

Developing deed-restricted accessible and affordable housing units for people with disabilities;

Expanding access to assistive technologies to promote independence and community integration;

Expanding HCBS eligibility to children with disabilities in the TEFRA group (commonly referred to as the Katie Beckett waiver);

Implementing new behavioral health crisis response services for people with intellectual and developmental disabilities;

Providing additional home-based services to support people to return home and avoid a skilled nursing facility admission following a hospitalization;

Building partnerships to increase access to affordable and accessible housing and housing assistance for people with disabilities and older adults;

Providing housing-related services and supports, such as home accessibility modifications and case management and other supportive services to help people obtain and maintain housing; and

Developing new initiatives to increase access to competitive integrated employment for people with disabilities.

Recently Announced Changes

On June 3, 2022, CMS announced that it will not require states to demonstrate compliance with the March 31, 2024, deadline to fully expend the additional funding they received. States originally had a three-year period—from April 1, 2021, through March 31, 2024—to use the additional funding.  Instead, CMS expects states to expend the funds by March 31, 2025.  The extended timeframe of an additional year will help to facilitate high quality, cost-effective, person-centered services for people with Medicaid to remain in the setting of their choice, whether it is their home or another setting, and remain a valued part of their communities.  CMS also announced that it has updated states’ reporting requirements to reduce state reporting burden while ensuring that CMS continues to receive timely and up to date information on state spending under ARP section 9817. See CMS’s State Medicaid Director letter (PDF, 255.41 KB) announcing these changes for more information.

Additional Information

For more information, contact HCBSincreasedFMAP@cms.hhs.gov.

American Rescue Plan Act of 2021 Section 9817 State Spending Plans and Narratives (as of federal fiscal year quarter 2)

To be eligible for additional federal funding under American Rescue Plan Act of 2021 (ARP) section 9817, participating states must submit a quarterly HCBS spending plan to provide information on the amount of funds attributable to the increase in FMAP that the state is claiming.  States must also report on the cost of the activities they are implementing to enhance, expand, or strengthen HCBS.  In addition, every other quarter, states must provide an updated spending plan narrative describing the state’s activities to enhance, expand, or strengthen HCBS.

This page provides:

  • Each state’s spending plan and narrative;
  • Letters that CMS has issued in response to the state’s spending plan and narrative.
State Spending Plan CMS Letters to States

AK

07/12/2021

10/28/2021 (rev)

PDF icon
AK eFMAP Spending Plan Chart (PDF, 186.34 KB)


AK Adjusting ARP eFMAP Spending Plan (XLSX, 34.64 KB)

PDF icon
AK ARP 98 17 Partial 09-23-202 (PDF, 265.16 KB)

PDF icon
AK Q2 FY2022 Conditional Approval (PDF, 292.16 KB)

AL

07/12/2021

11/02/2021 (rev)

PDF icon
AL State Spending Plan Quarterly Repo (PDF, 149.21 KB)

PDF icon
AL ARP 9817 Partial 08-19-21 (PDF, 194.26 KB)

PDF icon
AL Q2 FY2022 Conditional Approval 01-24-2022 (PDF, 264.56 KB)

AR

07/12/2021

PDF icon
HCBS Spending Plan Draft_DMS (9.1) (PDF, 340.79 KB)

PDF icon
HCBS Spending Plan Draft Arkansas (PDF, 246.04 KB)

PDF icon
AR ARP 9817 RAI 08-27-21 (PDF, 275.76 KB)

PDF icon
AR ARP 9817 Conditional 09-30-21 (PDF, 197.18 KB)

AZ

07/12/2021

11/01/2021 (rev)

PDF icon
AZ ARPA HCBS Spending Plan (PDF, 2.58 MB)

PDF icon
AZ ARP 9817 Partial 09-28-21 (PDF, 247.85 KB)

PDF icon
AZ FY2022 Conditional Approval (PDF, 263.08 KB)

CA

07/12/2021
09/17/2021 (rev)

10/29/2021 (rev)

PDF icon
CA HCBS Spending Plan Quarterly Repo (PDF, 1.15 MB)

PDF icon
CA ARP 9817 Partial 09-03-21 (PDF, 406.13 KB)

PDF icon
CA Q2 FY 2022 Conditional Approval (PDF, 280.05 KB)

CO

06/13/2021

11/16/2021 (rev)

PDF icon
CO APRA Spending Plan Quarterly Repo (PDF, 375.72 KB)

PDF icon
CO ARP 9817 Partial 07-23-21 (PDF, 340.85 KB)

PDF icon
CO ARP 9817 Addendum 08-02-21 (PDF, 159.13 KB)

PDF icon
CO ARP 9817 Conditional 09-21-21 (PDF, 303.28 KB)

PDF icon
CO Q2 FY 2022 Conditional Approval 01-24-2022 (PDF, 287.54 KB)

CT

07/12/2021

11/03/2021 (rev)

PDF icon
CT 9817 Spending Plan (PDF, 965.5 KB)

PDF icon
CT ARP 9817 Partial 08-30-21 (PDF, 326.58 KB)

PDF icon
CT Q2 FY 2022 Conditional Approval Letter (PDF, 254.87 KB)

DC

07/12/2021

11/01/2021 (rev)

PDF icon
DC ARPA November 21 Quarterly Narrative (PDF, 385.5 KB)

PDF icon
DC ARP 9817 Partial 08-31-21 (PDF, 211.44 KB)

PDF icon
DC Q2 FY 2022 Partial (PDF, 293.93 KB)

DE

07/12/2021

10/26/2021

11/01/2021 (rev)

PDF icon
DE Quarterly Update HCBS Spending Plan (PDF, 373.79 KB)

PDF icon
DE ARP 9817 RAI 08-24-21 (PDF, 273.59 KB)

 PDF icon
DE ARP 9817 RAI 08-24-21 (PDF, 286.72 KB)

 PDF icon
DE Q2 FY2022 Partial Approval (PDF, 269.08 KB)

FL

07/12/2021
09/23/2021 (rev)

10/15/2021 (rev)

PDF icon
FL FY 2022 Q2 ARPA HCBS Quarterly Repo (PDF, 230.71 KB)

PDF icon
FL ARP 9817 RAI 08-11-21 (PDF, 296.65 KB)

PDF icon
FL ARP 9817 Conditional 09-27-21 (PDF, 247.75 KB)

PDF icon
FL Q2 FY 2022 Conditional Approval (PDF, 292.61 KB)

GA

07/12/2021

11/01/2021 (rev)

PDF icon
GA ARPA Quarterly HCBD Spending Plan (PDF, 117.64 KB)

PDF icon
GA ARP 987 Partial 09-13-21 (PDF, 389.82 KB)

PDF icon
GA Q2 FY 2022 Conditional Approval (PDF, 264.69 KB)

HI

07/12/2021

PDF icon
HI Spending Implementation (PDF, 1.38 MB)

PDF icon
HI ARP 9817 Partial 09-14-21 (PDF, 316.83 KB)

PDF icon
HI Q2 FY 2022 Partial Approval (PDF, 294.56 KB)

IA

07/12/2021

10/12/2021 (rev)

PDF icon
IA Medicaid ARPA HBCS Spending Plan and Narrative (PDF, 419.38 KB)

PDF icon
IA ARP Partial 09-13-21 (PDF, 267.95 KB)

PDF icon
IA Q2 FY 2022 Conditional Approval (PDF, 263.39 KB)

ID

06/14/2021

10/13/2021 (rev)

PDF icon
ID 9817 Amended Spending Plan (PDF, 332.94 KB)

PDF icon
ID 9817 Quarterly Spending Plan (PDF, 162.75 KB)

PDF icon
ID ARP 9817 Conditional 07-23-21 (PDF, 351.12 KB)

PDF icon
ID ARP 9817 Addendum 08-02-21 (PDF, 161.42 KB)

PDF icon
ID Q2 FY2022 Conditional Approval (PDF, 263.6 KB)

IL

07/12/2021

11/01/2021 (rev)

PDF icon
IL 11-01-2021 ARP HCBS Quarterly Spending Narrative (PDF, 559.05 KB)

PDF icon
IL ARP 9817 Partial 09-29-21 (PDF, 276.39 KB)

PDF icon
IL FY22 Q2 Conditional Approval (PDF, 263.59 KB)

IN

07/09/2021

10/18/2021 (rev)

PDF icon
IN HCBS Spending Plan First Quarterly (PDF, 832.42 KB)

PDF icon
IN ARP 9817 Partial 09-30-21 (PDF, 383.41 KB)

PDF icon
IN Q2 FY2022 Partial Approval (PDF, 268.4 KB)

KS

07/09/2021

10/05/2021 (rev)

PDF icon
KS Revised HCBS 10% FMAP Enhancement Project Spending Plan (PDF, 138.44 KB)

PDF icon
KS Revised Executive Summary (PDF, 768.97 KB)

PDF icon
KS ARPA Section 9817 Initial Spending Plan (PDF, 171.1 KB)

PDF icon
KS ARP 9817 Partial 09-30-21 (PDF, 226.74 KB)

PDF icon
KS Q2 FY2022 9817 Conditional Approval (PDF, 262.71 KB)

KY

07/12/2021

11/01/2021 (rev)

PDF icon
KY Enhanced FMAP Quarterly Update (PDF, 1.19 MB)

PDF icon
KY ARP 9817 09-30-21 (PDF, 238.02 KB)

PDF icon
KY FY 2022 Q2 Conditional Approval (PDF, 267.34 KB)

LA

07/12/2021

PDF icon
LA HCBS Cover Letter (PDF, 297.52 KB)

PDF icon
LA ARP 9817 Partial 08-17-21 (PDF, 227.31 KB)

PDF icon
LA Q2 FY 2022 Partial Approval (PDF, 269.42 KB)

MA

06/17/2021

10/15/2021 (rev)

PDF icon
MA APRA HCBS Quarterly Spending Plan Update (PDF, 996.06 KB)

PDF icon
MA ARP 9817 Partial 07-23-21 (PDF, 393.67 KB)

PDF icon
MA ARP 9817 Addendum 08-02-21 (PDF, 168.21 KB)

PDF icon
MA Q2 FY 2022 Partial Approval (PDF, 304.16 KB)

MD

07/13/2021

11/01/2021 (rev)

PDF icon
MD Quarterly HCBS Spending Plan (PDF, 269.54 KB)

PDF icon
MD ARP 9817 Partial 09-28-21 (PDF, 257.08 KB)

PDF icon
MD FY2022 Q2 Conditional Approval (PDF, 261.62 KB)

ME

07/09/2021

11/01/2021 (rev)

PDF icon
ME Quarterly Report to CMS - HCBS FMAP Increase Plan (PDF, 365.79 KB)

PDF icon
ME ARP 9817 Partial 09-20-21 (PDF, 267.68 KB)

 PDF icon
ME ARP 9817 Conditional 11-23-21 (PDF, 162.66 KB)

 PDF icon
ME Q2 FY2022 Conditional Approval (PDF, 262.28 KB)

MI

07/12/2021

PDF icon
MDHHS HCBS Spending Plan Final (PDF, 277.06 KB)

PDF icon
MI ARP 9817 Partial 09-30-21 (PDF, 259.07 KB)

MN

07/12/2021
08/11/2021 (rev)

11/02/2021 (rev)

PDF icon
MN HCBS Spending Plan Quarterly Repo (PDF, 326 KB)

PDF icon
MN ARP 9817 Partial 09-22-2021 (PDF, 437.57 KB)

PDF icon
MN FY 22 Q2 Conditional Approval (PDF, 173.02 KB)

MO

07/12/2021

10/13/2021 (rev)

PDF icon
MO Quarterly Spending Plan Q2-22 (PDF, 201.57 KB)

PDF icon
MO ARP 9817 Partial 08-13-21 (PDF, 374.44 KB)

PDF icon
MO Q2 FY 2022 9817 Partial Approval (PDF, 211.24 KB)

MS

07/12/2021

10/27/2021 (rev)

PDF icon
MS ARPA HCBS Spending Plan (PDF, 297.14 KB)

PDF icon
MS ARP 9817 Partial 09-30-21 (PDF, 300.75 KB)

PDF icon
MS Q2 2022 9817 Conditional Approval (PDF, 264 KB)

MT

07/12/2021
09/28/2021 (rev)

PDF icon
Montana HCBS Spending Narrative (PDF, 449.66 KB)

PDF icon
MT ARP 9817 RAI 08-11-21 (PDF, 288.36 KB)

PDF icon
MT ARP 9817 Conditional 09-30-2021 (PDF, 244.44 KB)

PDF icon
MT Q2 FY 2022 Conditional Approval (PDF, 288.96 KB)

NC

07/12/2021

11/01/2021 (rev)

PDF icon
NC Q2 ARP 9817 Spending Plan (002) (PDF, 345.67 KB)

PDF icon
NC ARP 9817 Partial 09-24-21 (PDF, 294.56 KB)

PDF icon
NC Q2 FY 2022 ARP Partial Approval (PDF, 297.94 KB)

ND

06/11/2021

PDF icon
ND State Spending Plan for Implementation (PDF, 777.56 KB)

PDF icon
ND ARP 9817 Partial 07-23-21 (PDF, 334.33 KB)

PDF icon
ND ARP 9817 Addendum 08-02-21 (PDF, 158.58 KB)

NE

07/12/2021

10/15/2021 (rev)

PDF icon
NE FY22 Q2 HCBS Spending Plan (PDF, 756.92 KB)

PDF icon
NE ARP 9817 Partial 09-30-21 (PDF, 354.3 KB)

PDF icon
NE Q2 FY2022 Conditional Approval (PDF, 264.62 KB)

NH

07/09/2021

PDF icon
NH HCBS Final (PDF, 3.66 MB)

PDF icon
NH ARP 9817 Partial 09-29-21 (PDF, 221.73 KB)

PDF icon
NH FY 2022 Q2 Conditional Approval (PDF, 265.8 KB)

NJ

07/12/2021

PDF icon
New Jersey HCBS FMAP Increase Spending Plan (PDF, 400.73 KB)

PDF icon
NJ ARP 9817 Partial 09-29-21 (PDF, 221.54 KB)

PDF icon
NJ 2022 Q2 Conditional Approval (PDF, 264.62 KB)

NM

07/12/2021

10/16/2021

PDF icon
NM HCBS Spend Plan Cover Letter (PDF, 195.72 KB)

 PDF icon
NM HCBS Spending Plan with RAI Response (PDF, 617.71 KB)

 PDF icon
NM HCBS Spending Plan Exhibit A (PDF, 215.27 KB)

 PDF icon
NM HCBS Spending Plan Exhibit B (PDF, 206.99 KB)

PDF icon
NM ARP 9817 RAI 09-27-21 (PDF, 287.29 KB)

 PDF icon
NM ARP 9817 Partial 11-05-21 (PDF, 288.88 KB)

NV

07/13/2021

PDF icon
Nevada Initial Spending Plan (PDF, 757.19 KB)

PDF icon
NV ARP 9817 Partial 09-30-21 (PDF, 365.99 KB)

PDF icon
NV Q2 FY 2022 Conditional Approval Letter (PDF, 264.79 KB)

NY

07/08/2021

10/18/2021 (rev)

PDF icon
NY Partial Approval Response ARPA HCBS FMAP (PDF, 253.09 KB)

PDF icon
NY ARP 9817 Partial 08-25-21 (PDF, 313.29 KB)

PDF icon
NY 2022 Q2 9817 Partial Approval (PDF, 270.16 KB)

OH

07/12/2021

10/19/2021 (rev)

PDF icon
OH Q2 FY22 ARP Spending Plan (PDF, 621.65 KB)

PDF icon
OH ARP 9817 RAI 09-28-21 (PDF, 266.39 KB)

 PDF icon
OH Q2 FY 2022 Partial Approval 12-13-21 (PDF, 302.18 KB)

OK

07/15/2021

PDF icon
OK ARP Initial Spending Plan 07-15-21 (PDF, 1 MB)

PDF icon
OK ARP 9817 Partial 09-15-21 (PDF, 217.74 KB)

PDF icon
OK Q2 FY 2022 Conditional Approval (PDF, 263.89 KB)

OR

06/11/2021

PDF icon
OR OHA Letterhead (PDF, 179.39 KB)

PDF icon
OHA-ODHS HCBS Enhanced Funding (PDF, 139.12 KB)

PDF icon
OR ARP 9817 RAI 07-23-21 (PDF, 284.92 KB)

PDF icon
OR ARP 9817 Addendum 08-02-21 (PDF, 165.89 KB)

PDF icon
OR ARP 9817 Partial 09-30-21 (PDF, 344.74 KB)

PA

06/14/2021

11/15/2021 (rev)

PDF icon
PA DHS Quarterly Rev II Aug 2021 (PDF, 590.63 KB)

PDF icon
PA ARP 9817 Partial 07-23-21 (PDF, 353.2 KB) (PNG, 113.75 KB)

 PDF icon
PA ARP 9817 Addendum 08-02-21 (PDF, 160.75 KB)

 PDF icon
PA ARP 9817 Conditional Approval 12-01-2021 (PDF, 256 KB)

RI

07/09/2021

PDF icon
RI Spending Plan ARPA HCBS (PDF, 797.84 KB)

PDF icon
RI ARP 9817 Partial 08-09-21 (PDF, 186.7 KB)

PDF icon
RI Q2 FY 2022 Partial Approval (PDF, 274.58 KB)

SC

07/12/2021

10/19/2021 (rev)

PDF icon
SC Quarterly Spending Plan Oct. 21 (PDF, 360.96 KB)

PDF icon
SC ARP 9817 Partial 08-11-21 (PDF, 183.64 KB)

PDF icon
SC Q2 FY2022 Conditional Approval (PDF, 266.74 KB)

SD

07/27/2021

PDF icon
10 Percent HCBS Spending Plan 07-27-21 (PDF, 269.68 KB)

PDF icon
SD ARP 9817 Partial 09-27-21 (PDF, 327.22 KB)

PDF icon
SD Q2 FY 2022 Conditional Approval Letter (PDF, 264.68 KB)

TN

07/12/2021
09/15/2021 (rev)

PDF icon
TN Initial Plan for ARP Enhanced HCBS (PDF, 256.74 KB)

PDF icon
TN ARP 9817 Partial 08-02-21 (PDF, 243.15 KB)

PDF icon
TN ARP Conditional 09-22-21 (PDF, 213.36 KB)

PDF icon
TN Q2 FY 2022 Conditional Approval (PDF, 264.85 KB)

TX

07/12/2021
09/21/2021 (rev)

10/26/2021 (rev)

PDF icon
TX HCBS Spending Plan Narrative (PDF, 180.46 KB)

PDF icon
TX ARP 9817 Partial 08-19-21 (PDF, 205.41 KB)

PDF icon
TX Q2 FY2022 Conditional Approval (PDF, 255.89 KB)

UT

06/14/2021

09/30/2021 (rev)

PDF icon
UT Spending Plan Narrative for HCBS Funding (PDF, 463.71 KB)

PDF icon
UT ARP 9817 Partial 07-23-21 (PDF, 379.32 KB)

PDF icon
UT ARP 9817 Addendum 08-02-21 (PDF, 161.66 KB)

PDF icon
UT Q2 FY2022 Partial Approval (PDF, 286.47 KB)

VA

06/11/2021

10/18/2021 (rev)

PDF icon
VA ARP HCBS Sec 9817 FFY22Q2 Spending Plan (PDF, 368.46 KB)

PDF icon
VA ARP RAI 07-23-21 (PDF, 350.85 KB)

PDF icon
VA ARP 9817 Addendum 08-02-21 (PDF, 160.61 KB)

PDF icon
VA ARP 9817 Partial 09-13-21 (PDF, 377.14 KB)

PDF icon
VA Q2 FY 2022 Partial Approval (PDF, 267.48 KB)

VT

06/14/2021

PDF icon
Vermont HCBS FMAP Proposal (PDF, 565.94 KB)

PDF icon
VT ARP 9817 Partial 07-23-21 (PDF, 348.21 KB)

PDF icon
VT ARP 9817 Addendum 08-02-21 (PDF, 161.8 KB)

PDF icon
VT Q2 FY2022 Partial Approval (PDF, 266 KB)

WA

06/11/2021

PDF icon
WA State ARPA Spending Plan June 2021 (PDF, 478.26 KB)

PDF icon
WA ARP 9817 RAI 07-23-21 (PDF, 297.09 KB)

PDF icon
WA ARP 9817 Addendum 09-02-21 (PDF, 174.39 KB)

PDF icon
WA ARP 9817 Partial 09-03-21 (PDF, 260.32 KB)

PDF icon
WA Q2 FY 2022 Partial Approval (PDF, 266.81 KB)

WI

06/25/2021

11/01/2021 (rev)

PDF icon
WI 20211101 APRA HCBS Quarterly Narrative and Spending Plan (PDF, 253.28 KB)

PDF icon
WI ARP 9817 RAI 08-02-21 (PDF, 291.04 KB)

PDF icon
WI ARP 9817 Conditional 09-03-21 (PDF, 286.73 KB)

PDF icon
WI Q2 FY 2022 Conditional Approval (PDF, 264.94 KB)

WV

07/12/2021
08/12/2021 (rev)

PDF icon
WV State ARP HCBS Initial Spending 08-12-21 (PDF, 511.87 KB)

PDF icon
WV ARP 9817 RAI 08-02-21 (PDF, 272.31 KB)

PDF icon
WV ARP 9817 Partial 09-02-21 (PDF, 237.99 KB)

PDF icon
WV Q2 FY 2022 Partial Approval (PDF, 304.85 KB)

WY

07/08/2021
09/03/2021 (rev)

PDF icon
Wyoming HCBS Initial Spending Plan (PDF, 2.97 MB)

PDF icon
WY ARP 9817 Partial 08-09-21 (PDF, 180.43 KB)

PDF icon
WY Q2 FY 2022 Conditional Approval (PDF, 270.37 KB)