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Annual 372(S) Reporting: Timeliness of Report Submissions

This measure reports the percent of CMS 372(S) reports that were submitted within one month of the report's due date during the Calendar Year (CY) 2020. CMS requires states to submit 372(S) reports annually for each approved section 1915(c) waiver. Section 1915(c) waivers are a way for states to provide home and community-based services (HCBS) as an alternative to institutional care. States may have more than one waiver. The 372(S) reports identify the number of people who received HCBS and Medicaid expenditures for those services under a section 1915(c) waiver program. The reports also document whether a waiver meets federal cost neutrality, health and welfare, and other quality assurance requirements.

CMS typically approves section 1915(c) waivers for a three to five-year period. States have six months after the end of each waiver year to report on quality assurance requirements and an additional 12 months for financial reporting. As a result, the annual 372(S) report includes quality assurance information for the most recent waiver year and financial information for the prior waiver year.

During CY 2020, CMS approved 1915(c) waiver amendments related to the COVID-19 public health emergency. Those amendments, referred to as Appendix Ks, provide some states with a timeline extension for their annual 372(S) report submissions. States with this flexibility approved in an Appendix K amendment are not counted as late.