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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 | 3x | export const ChipSpaAttachments = () => ( <> <p className="font-bold">CHIP SPA Attachment Types:</p> <p className="ml-12">Note: “*” indicates a required attachment.</p> <table className="faq-table ml-12 border-collapse border border-gray-300 w-full "> <tbody> <tr> <th className="border border-gray-300 px-4 py-2">Attachment Name</th> <th className="border border-gray-300 px-4 py-2">Description</th> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Current State Plan*</td> <td className="border border-gray-300 px-4 py-2"> Current version of the CHIP state plan that details how the State operates its CHIP program </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2 whitespace-nowrap"> Amended State Plan Language* </td> <td className="border border-gray-300 px-4 py-2"> Track changes to <span className="underline">only</span> the currently approved CHIP state plan pages that the State is proposing to amend </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Cover Letter*</td> <td className="border border-gray-300 px-4 py-2"> Cover letter to CMS with an authorized signature that outlines the purpose of the CHIP SPA submission </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Budget Documents</td> <td className="border border-gray-300 px-4 py-2"> Updated 1-year budget if applicable of the State's planned expenditures if the CHIP SPA submission has a significant impact on the approved budget </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Public Notice</td> <td className="border border-gray-300 px-4 py-2"> Process used by the State if applicable to accomplish involvement of the public that occurred specifically for this CHIP SPA submission </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Tribal Consultation</td> <td className="border border-gray-300 px-4 py-2"> Consultation process with Indian Tribes if applicable that occurred specifically for this CHIP SPA submission </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Other</td> <td className="border border-gray-300 px-4 py-2"> Other supporting document(s) needed to process the CHIP SPA submission </td> </tr> </tbody> </table> <p className="font-bold mt-12">CHIP Eligibility SPA Attachment Types:</p> <p className="ml-12">Note: “*” indicates a required attachment.</p> <table className="faq-eligibility-table ml-12 border-collapse border border-gray-300 w-full "> <tbody> <tr> <th className="border border-gray-300 px-4 py-2">Attachment Name</th> <th className="border border-gray-300 px-4 py-2">Description</th> </tr> <tr> <td className="border border-gray-300 px-4 py-2 whitespace-nowrap"> CHIP Eligibility Template* </td> <td className="border border-gray-300 px-4 py-2"> Amendment to the eligibility section of the CHIP state plan using a PDF template repository, including statutory and regulatory background, required information, and minimum review criteria </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Cover Letter*</td> <td className="border border-gray-300 px-4 py-2"> Cover letter to CMS with an authorized signature that outlines the purpose of the CHIP SPA submission </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Current State Plan</td> <td className="border border-gray-300 px-4 py-2"> Current version of the CHIP state plan that details how the State operates its CHIP program </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2 whitespace-nowrap"> Amended State Plan Language </td> <td className="border border-gray-300 px-4 py-2"> Track changes to <span className="underline">only</span> the currently approved CHIP state plan pages that the State is proposing to amend </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Budget Documents</td> <td className="border border-gray-300 px-4 py-2"> Updated 1-year budget if applicable of the State's planned expenditures if the CHIP SPA submission has a significant impact on the approved budget </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Public Notice</td> <td className="border border-gray-300 px-4 py-2"> Process used by the State if applicable to accomplish involvement of the public that occurred specifically for this CHIP SPA submission </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Tribal Consultation</td> <td className="border border-gray-300 px-4 py-2"> Consultation process with Indian Tribes if applicable that occurred specifically for this CHIP SPA submission </td> </tr> <tr> <td className="border border-gray-300 px-4 py-2">Other</td> <td className="border border-gray-300 px-4 py-2"> Other supporting document(s) needed to process the CHIP Eligibility SPA submission </td> </tr> </tbody> </table> </> ); |