Washington Family Planning Only Program

State:	Washington
Waiver Authority:	1115
Status:	Pending

Waiver Dates

Approval:	03/06/2001
Effective:	07/01/2001
Expiration:	06/30/2024

Supporting Documents

Pending Application(s) and Related Documents

Date	Title
Date		02/03/2023	Title		Pending Application (PDF, 20.76 MB)	View/Submit Comments

Approved Application(s) and Related Documents

Date
Date	06/15/2023	Title	CMS Temporary Extension Approval (PDF, 329.78 KB)
Date	03/30/2021	Title	Demonstration Approval (PDF, 1.27 MB)
Date	03/06/2001	Title	Fact Sheet (PDF, 41.14 KB)

Administrative Record

Date
Date	05/30/2023	Title	State Quarterly Report – January 1, 2023 - March 31, 2023 (PDF, 5.89 MB)
Date	05/03/2023	Title	Interim Evaluation Report (PDF, 1.14 MB)
Date	02/27/2023	Title	State Quarterly Report October – December 2022 (PDF, 892.49 KB)
Date	02/03/2023	Title	CMS Completeness Letter (PDF, 306.21 KB)
Date	11/29/2022	Title	State Quarterly Report – July 1, 2022 - September 30, 2022 (PDF, 353.11 KB)
Date	09/28/2022	Title	State Annual Report – July 1, 2021 - June 30, 2022 (PDF, 370.01 KB)
Date	05/31/2022	Title	State Quarterly Report – January 1, 2022 – March 31, 2022 (PDF, 367.56 KB)
Date	02/28/2022	Title	Quarterly Monitoring Report – October 1, 2021 – December 31, 2021 (PDF, 367.58 KB)
Date	11/30/2021	Title	Quarterly Monitoring Report – July 1, 2021 - September 30, 2021 (PDF, 366.43 KB)
Date	09/30/2021	Title	Annual Monitoring Report July 1, 2020 – June 30, 2021 (PDF, 790.91 KB)
Date	04/05/2021	Title	CMS Accepted Summative Evaluation (2012-2017) (PDF, 1.34 MB)
Date	03/30/2021	Title	CMS Approved Evaluation Design (PDF, 498.45 KB)
Date	02/12/2021	Title	CMS Letter to State (PDF, 39.14 KB)
Date	11/26/2019	Title	Quarterly Budget Neutrality Report July – September 2019 (XLSM, 419.3 KB)
Date	11/26/2019	Title	Quarterly Report July – September 2019 (PDF, 207.29 KB)
Date	09/30/2019	Title	Annual Report July 2018–June 2019 (PDF, 246.74 KB)
Date	09/09/2019	Title	Quarterly Budget Neutrality Report April – June 2019 (PDF, 108.32 KB)
Date	06/13/2019	Title	Quarterly Budget Neutrality Report January – March 2019 (PDF, 115.86 KB)
Date	05/31/2019	Title	Quarterly Report January – March 2019 (PDF, 188.75 KB)
Date	04/15/2019	Title	Quarterly Report October – December 2018 (PDF, 192.96 KB)
Date	01/04/2019	Title	Quarterly Report July – September 2018 (PDF, 185.74 KB)
Date	10/04/2018	Title	Annual Report July 2017–June 2018 (PDF, 829.06 KB)
Date	10/04/2018	Title	Draft Evaluation Design (PDF, 252.96 KB)
Date	08/30/2018	Title	Quarterly Report Q2 October -December 2017 (PDF, 290.5 KB)
Date	08/30/2018	Title	Quarterly Report Q3 January - March 2018 (PDF, 287.13 KB)
Date	05/09/2018	Title	CMS Approval – Demonstration Extension (PDF, 282.51 KB)
Date	04/30/2018	Title	CMS Approval – 2018 Temporary Extension (PDF, 692.41 KB)
Date	04/12/2018	Title	Quarterly Report Q1 July – September 2017 (PDF, 292.9 KB)
Date	12/06/2017	Title	Extension Completeness and Temporary Extension Approval Letter (12/6/2017) (PDF, 1.37 MB)
Date	11/23/2017	Title	State Application – 2017 Extension (PDF, 8.12 MB)	View Comments
Date	11/07/2017	Title	Annual Report DY16 July 1, 2016-June 30, 2017 (PDF, 857.93 KB)
Date	09/06/2017	Title	Quarterly Report April-June 2017 (09/06/2017) (PDF, 285.88 KB)
Date	05/30/2017	Title	Quarterly Report January-March 2017 (05/30/2017) (PDF, 654.67 KB)
Date	02/27/2017	Title	Quarterly Report October-December 2016 (2/27/2017) (PDF, 444.05 KB)
Date	11/30/2016	Title	Quarterly Report July-September 2016 (11/30/2016) (PDF, 213.58 KB)
Date	10/07/2016	Title	Annual Report July 2012-June 2013 (PDF, 3.11 MB)
Date	09/30/2016	Title	Annual Demonstration Report - 6/1/15 - 6/30/16 (09/30/2016) (PDF, 343.82 KB)
Date	08/29/2016	Title	Quarterly Report - 04/01/16 - 06/30/16 (08/29/2016) (PDF, 65.55 KB)
Date	06/02/2016	Title	State’s Notice of Not Extending 1115 Demo (06/02/2016) (PDF, 3.68 MB)
Date	05/31/2016	Title	Quarterly Report January - March 2016 (PDF, 78.65 KB)
Date	02/29/2016	Title	Quarterly Report – 10/1/15 – 12/31/15 (02/29/2016) (PDF, 3.28 MB)
Date	11/29/2015	Title	Quarterly Report July - September 2015 (PDF, 70.91 KB)
Date	11/12/2015	Title	Temporary Extension Letter (11/12/2015) (PDF, 99.08 KB)
Date	08/28/2015	Title	DY14 - Quarter 4 State Report (08/28/2015) (PDF, 347.31 KB)
Date	06/30/2015	Title	Quarterly Report January - March 2015 (PDF, 82.93 KB)
Date	11/26/2014	Title	Quarterly Report July-September 2014 (PDF, 251.24 KB)
Date	09/30/2014	Title	Annual Report July 2013-June 2014 (PDF, 517.67 KB)
Date	07/22/2014	Title	Extension Letter (07/22/2014) (PDF, 117.52 KB)
Date	05/30/2014	Title	Quarterly Report January-March 2014 (PDF, 214.36 KB)
Date	03/10/2014	Title	Quarterly Report October - December 2014 (PDF, 228.78 KB)
Date	02/28/2014	Title	Quarterly Reports July-September 2013 and October-December 2013 (PDF, 1.81 MB)
Date	08/30/2013	Title	Quarterly Report April-June 2013 (PDF, 1.51 MB)
Date	05/31/2013	Title	Quarterly Report January-March 2013 (PDF, 1.5 MB)
Date	09/30/2011	Title	Letter Regarding Resubmission of Family Planning Demo Waiver for TAKE CHARGE (09/30/11) (PDF, 557.71 KB)
Date	09/27/2011	Title	App Template for Family Planning 1115 Demo (Submitted 12/31/08 Resubmitted (09/27/11) (PDF, 1.86 MB)
Date	09/15/2011	Title	Letter of Support for Contiuation of Planning Waiver (09/15/11 and 08/22/11) (PDF, 355.71 KB)
Date	07/01/2011	Title	Draft Implementation Plan TAKE CHARGE Waiver Extension (07/01/11-06/30/12) (PDF, 50.56 KB)
Date	05/22/2011	Title	Senate Bill 5912 (Passed by Senate 05/17/11 Passed by House 05/22/11) (PDF, 14.43 KB)
Date	03/22/2011	Title	Letter of Intent to Renew Planning Waiver (03/22/11) (PDF, 476.02 KB)
Date	09/30/2009	Title	TAKE CHARGE Final Evaluation (09/2009) (PDF, 1.52 MB)
Date		Title	2010 Washington State Population Density Map (PDF, 414.33 KB)
Date		Title	Budget Neutrality (PDF, 131.36 KB)
Date		Title	Budget Neutrality Worksheet (PDF, 47.18 KB)
Date		Title	TAKE CHARGE Provider Sites Map (PDF, 707.19 KB)
Date		Title	Take Charge App for Family Planning Services (PDF, 46.72 KB)

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