U.S. flag

An official website of the United States government

Washington Family Planning Only Program

State: Washington
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 03/06/2001
Effective: 07/01/2001
Expiration: 06/30/2025

Supporting Documents

Approved Application(s) and Related Documents

Date Title
04/30/2025 Demonstration Approval (PDF, 741.52 KB)
06/21/2024 CMS Temporary Extension Approval (PDF, 265.69 KB)
03/30/2021 Demonstration Approval (PDF, 1.27 MB)
03/06/2001 Fact Sheet (PDF, 41.14 KB)

Administrative Record

Date Title
02/28/2025 Quarterly Monitoring Report – October 1, 2024 – December 31, 2024 (PDF, 302.64 KB)
12/06/2024 Quarterly Monitoring Report – July 1, 2024 – September 30, 2024 (PDF, 828.04 KB)
09/30/2024 State Annual Report – July 1, 2023 – June 30, 2024 (PDF, 387.24 KB)
05/29/2024 Quarterly Monitoring Report – January 1, 2024 – March 31, 2024 (PDF, 442.27 KB)
02/29/2024 Quarterly Monitoring Report – October 1, 2023 – December 31, 2023 (PDF, 1.09 MB)
12/07/2023 Quarterly Monitoring Report – July 1, 2023 – September 30, 2023 (PDF, 1.37 MB)
09/29/2023 State Annual Report – July 1, 2022 - June 30, 2023 (PDF, 447.53 KB)
06/15/2023 CMS Temporary Extension Approval - 6/30/2024 (PDF, 329.78 KB)
05/30/2023 State Quarterly Report – January 1, 2023 - March 31, 2023 (PDF, 5.89 MB)
05/03/2023 Interim Evaluation Report (PDF, 1.14 MB)
02/27/2023 State Quarterly Report October – December 2022 (PDF, 892.49 KB)
02/03/2023 CMS Completeness Letter (PDF, 306.21 KB)
02/03/2023 Extension Application (PDF, 20.76 MB) View Comments
11/29/2022 State Quarterly Report – July 1, 2022 - September 30, 2022 (PDF, 353.11 KB)
09/28/2022 State Annual Report – July 1, 2021 - June 30, 2022 (PDF, 370.01 KB)
05/31/2022 State Quarterly Report – January  1, 2022 – March 31, 2022 (PDF, 367.56 KB)
02/28/2022 Quarterly Monitoring Report – October 1, 2021 – December 31, 2021 (PDF, 367.58 KB)
11/30/2021 Quarterly Monitoring Report – July 1, 2021 - September 30, 2021 (PDF, 366.43 KB)
09/30/2021 Annual Monitoring Report July 1, 2020 – June 30, 2021 (PDF, 790.91 KB)
07/09/2021 Quarterly Monitoring Report Including Narratives - January 1, 2021 - March 31, 2021 (PDF, 779.43 KB)
07/09/2021 Quarterly Monitoring Report Including Narratives - October 1, 2020 - December 31, 2020 (PDF, 593.05 KB)
04/05/2021 CMS Accepted Summative Evaluation (2012-2017) (PDF, 1.34 MB)
03/30/2021 CMS Approved Evaluation Design (PDF, 498.45 KB)
02/12/2021 CMS Letter to State (PDF, 39.14 KB)
11/26/2019 Quarterly Budget Neutrality Report July – September 2019 (XLSM, 419.3 KB)
11/26/2019 Quarterly Report July – September 2019 (PDF, 207.29 KB)
09/30/2019 Annual Report July 2018–June 2019 (PDF, 246.74 KB)
09/09/2019 Quarterly Budget Neutrality Report April – June 2019 (PDF, 108.32 KB)
06/13/2019 Quarterly Budget Neutrality Report January – March 2019 (PDF, 115.86 KB)
05/31/2019 Quarterly Report January – March 2019 (PDF, 188.75 KB)
04/15/2019 Quarterly Report October – December 2018 (PDF, 192.96 KB)
01/04/2019 Quarterly Report July – September 2018 (PDF, 185.74 KB)
10/04/2018 Annual Report July 2017–June 2018 (PDF, 829.06 KB)
10/04/2018 Draft Evaluation Design (PDF, 252.96 KB)
08/30/2018 Quarterly Report Q2 October -December 2017 (PDF, 290.5 KB)
08/30/2018 Quarterly Report Q3 January - March 2018 (PDF, 287.13 KB)
05/09/2018 CMS Approval – Demonstration Extension (PDF, 282.51 KB)
04/30/2018 CMS Approval – 2018 Temporary Extension (PDF, 692.41 KB)
04/12/2018 Quarterly Report Q1 July – September 2017 (PDF, 292.9 KB)
12/06/2017 Extension Completeness and Temporary Extension Approval Letter (12/6/2017) (PDF, 1.37 MB)
11/23/2017 State Application – 2017 Extension (PDF, 8.12 MB) View Comments
11/07/2017 Annual Report DY16 July 1, 2016-June 30, 2017 (PDF, 857.93 KB)
09/06/2017 Quarterly Report April-June 2017 (09/06/2017) (PDF, 285.88 KB)
05/30/2017 Quarterly Report January-March 2017 (05/30/2017) (PDF, 654.67 KB)
02/27/2017 Quarterly Report October-December 2016 (2/27/2017) (PDF, 444.05 KB)
11/30/2016 Quarterly Report July-September 2016 (11/30/2016) (PDF, 213.58 KB)
10/07/2016 Annual Report July 2012-June 2013 (PDF, 3.11 MB)
09/30/2016 Annual Demonstration Report - 6/1/15 - 6/30/16 (09/30/2016) (PDF, 343.82 KB)
08/29/2016 Quarterly Report - 04/01/16 - 06/30/16 (08/29/2016) (PDF, 65.55 KB)
06/02/2016 State’s Notice of Not Extending 1115 Demo (06/02/2016) (PDF, 3.68 MB)
05/31/2016 Quarterly Report January - March 2016 (PDF, 78.65 KB)
02/29/2016 Quarterly Report – 10/1/15 – 12/31/15 (02/29/2016) (PDF, 3.28 MB)
11/29/2015 Quarterly Report July - September 2015 (PDF, 70.91 KB)
11/12/2015 Temporary Extension Letter (11/12/2015) (PDF, 99.08 KB)
08/28/2015 DY14 - Quarter 4 State Report (08/28/2015) (PDF, 347.31 KB)
06/30/2015 Quarterly Report January - March 2015 (PDF, 82.93 KB)
11/26/2014 Quarterly Report July-September 2014 (PDF, 251.24 KB)
09/30/2014 Annual Report July 2013-June 2014 (PDF, 517.67 KB)
07/22/2014 Extension Letter (07/22/2014) (PDF, 117.52 KB)
05/30/2014 Quarterly Report January-March 2014 (PDF, 214.36 KB)
03/10/2014 Quarterly Report October - December 2014 (PDF, 228.78 KB)
02/28/2014 Quarterly Reports July-September 2013 and October-December 2013 (PDF, 1.81 MB)
08/30/2013 Quarterly Report April-June 2013 (PDF, 1.51 MB)
05/31/2013 Quarterly Report January-March 2013 (PDF, 1.5 MB)
09/30/2011 Letter Regarding Resubmission of Family Planning Demo Waiver for TAKE CHARGE (09/30/11) (PDF, 557.71 KB)
09/27/2011 App Template for Family Planning 1115 Demo (Submitted 12/31/08 Resubmitted (09/27/11) (PDF, 1.86 MB)
09/15/2011 Letter of Support for Contiuation of Planning Waiver (09/15/11 and 08/22/11) (PDF, 355.71 KB)
07/01/2011 Draft Implementation Plan TAKE CHARGE Waiver Extension (07/01/11-06/30/12) (PDF, 50.56 KB)
05/22/2011 Senate Bill 5912 (Passed by Senate 05/17/11 Passed by House 05/22/11) (PDF, 14.43 KB)
03/22/2011 Letter of Intent to Renew Planning Waiver (03/22/11) (PDF, 476.02 KB)
09/30/2009 TAKE CHARGE Final Evaluation (09/2009) (PDF, 1.52 MB)
2010 Washington State Population Density Map (PDF, 414.33 KB)
Budget Neutrality (PDF, 131.36 KB)
Budget Neutrality Worksheet (PDF, 47.18 KB)
TAKE CHARGE Provider Sites Map (PDF, 707.19 KB)
Take Charge App for Family Planning Services (PDF, 46.72 KB)
Return to State Waivers List