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

Pending Application(s) and Related Documents

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

Approved Application(s) and Related Documents

Date	Title
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
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)
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)
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)

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