An approved SCHIP plan file is comprised of the following documents:

The SCHIP (Title XXI) Plan Submission
In order to be approved, Title XXI plans must contain all the information required by statute, as described in the model application template. Therefore, the first item that constitutes the approved plan file is the State's original application.

Responses to Requests for Additional Information
DHHS must review, and CMS either approve or disapprove, the Title XXI plan within 90 days of receipt. Informal clarification and discussion between the State and the DHHS review team are permitted and encouraged during the review period and these activities do not affect the "90-day clock." The 90-day review period may, however, be stopped by formal written requests for additional information. The 90-day review period resumes when the finalized additional information is received by HCFA. Written requests for additional information, whether formal or informal, and the States' written responses to these requests, are considered part of the approved plan file. The State responses modify the original submission.

Information received from States in response to requests for additional information supersedes any contrary information that is included in the original plan. Moreover, if there are several responses from the State, the latest submission is the governing document. Most often the information in the additional responses clarifies or adds to the language of the original submission.

Please note it is important to view the materials in each approved plan file collectively and in their entirety to ensure that all aspects of the approved SCHIP plan are understood. The Department of Health and Human Services (DHHS) works with the States to obtain complete information in the initial plan submission and during the review and approval process.

Written correspondence between DHHS and the State becomes part of the approved SCHIP plan. By reading the entire file, interested parties will be able to obtain the most accurate and up-to-date information about the approved plan.

Subsequent Plan Amendment
If a plan amendment is submitted by the State, another 90-day review period begins. Documents pertaining to the plan amendment are also components of the approved SCHIP plan file.

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Page Last Modified: 12/14/2005 10:40:00 AM
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