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PertainsTo Letterof Intent Letterof Intent Letterof Intent Letterof Intent Letterof Intent
SocialSecurityActas amendedbyPL11234
New/AdditionalLanguageinIM
Proposal
Descriptionofthedemonstrationproject
Section1130(e)(1)
Proposals,pg20
Proposal
Thegoalsidentifiedinstatutethattheprojectisintendedto accomplish
Section1130(a)(3)(A)
Proposal
Thetargetpopulationthattheagencywishestoserve
Section1130(e)(1)
Proposals,pg20
Proposal
Geographicareasinwhichtheproposedprojectwillbe conducted
Section1130(e)(1)
Proposal
Serviceinterventionstobeimplemented
Section1130(e)(1)
Proposal,pg20
Proposal
Describetimeperiodinwhichprojectwillbeconducted
Section1130(e)(2)
Proposal,pg21
ComparisonofTitleIVEWaiverRequirements
PertainsTo
Requirement
SocialSecurityActas amendedbyPL11234
ACYFCBIM1205
New/AdditionalLanguageinIM
Proposal
Section1130(e)(3)"a discussionofthebenefits thatareexpectedfrom Theimpacttheinterventionisexpectedtohaveonoutcomes theproposedproject relatedtosafety,permanency,wellbeing (comparedtoa continuationofactivities undertheapprovedplan orplansoftheState)"
Proposal,pg21
Proposal Proposal
Section1130(e)(3) Section1130(e)(5)
Proposal
Descriptionoftheproposedevaluationdesign
Section1130(e)(6), Section1130(f)
Proposal,pg21, Evaluation,pg.1416
Proposal
Estimateoftheprojectedcostsorsavings
Section1130(e)(4)
Proposal,pg21
Proposal
Provideareliablemethodformeasuringandensuring Federalcostneutralityoverthecourseofthedemonstration.
Proposal,pg21
10
ComparisonofTitleIVEWaiverRequirements
PertainsTo
Requirement
SocialSecurityActas amendedbyPL11234
ACYFCBIM1205
New/AdditionalLanguageinIM
Proposal
Describeimpactonanysimilarprojectsalreadyunderway.
Proposal,pg21
"DescribeanysimilarprojectalreadyunderwayintheStateortribalserviceareathatis supportedbyState,tribalorprivatefoundationfundsandhowtheseactivitieswillbe affectedifthetitleIVEagencyisapprovedtoundertakethedemonstration.Ifthechild welfarewaiverdemonstrationisintendedtobeoperatedinconjunctionorcollaboration withotherrelevantFederalinitiatives(e.g.titleXIX(Medicaid)StatePlanAmendments and/orwaiversinMedicaidorotherprograms,provideinformationontheseassociated collaborativeactivities.Explaintowhatdegree(1)theproposedcollaborationcanbe accomplishedthroughcoordinationwithintheotherprogramsexistingauthorityoraplan amendment;or(2)whethercoordinatedactivitieswillrequireapprovalofwaiversin anotherprogram."
11
Proposal
Accountingofanyothersourcesoffundingthathavebeen usedtoprovidetheservicesthattheagencynowproposesto addressunderawaiverdemonstration ProvideanassurancethattheTitleIVEagencywillcontinue toprovideanaccountingofthatsamespendingforeachyear oftheapproveddemonstrationproject. Identifythestatutoryandregulatoryrequirementsunder titlesIVBandIVEoftheActforwhichwaiverswillbe neededtopermittheproposedprojecttobeconducted. Describeanyaffectonagency'sautomatedchildwelfare informationsystem
Section1130(e)(7)
Proposal,pg21
12
Proposal
Section1130(e)(7)
Proposal,pg22
13
Proposal
Proposal,pg22
14
Proposal
15
Proposal
Demonstrationofreadiness
Section1130(a)(3)(B)
16
Proposal
Identifystepstakentoassurecooperationandsupplycopies oflettersormemorandaofagreement.
Proposal,pg22
17
Proposal
Relationshipoftheprojecttothestate'sCFSRandPIP.
Section1130(a)(5)
Proposal,pg22
"DescribehowtheproposedprojectrespondstothefindingsoftheStatesChildandFamily ServiceReviewandhowitwillaffectimplementationoftheStatesCFSRPIP."
18
ComparisonofTitleIVEWaiverRequirements
PertainsTo
Requirement
SocialSecurityActas amendedbyPL11234
ACYFCBIM1205
New/AdditionalLanguageinIM
Proposal
Effecttheinterventionisexpectedtohaveoncertaincourt orders.
Section1130(a)(5)
Proposal,pg22
19
Proposal
Summaryofpublicinput
Proposal,pg22
"Describemethodsusedtoobtainpublicinput,asummaryofcommentsreceivedandhow publicinputshapedthedevelopmentoftheproposal."
20
Proposal
Assuranceofhealthinsurancecoverage
Section1130(a)(4)
Proposal,pg22
21
Proposal
Demonstrationofimplementedorplannedchildwelfare programimprovementpolicies
Section1130(a)(3)(C)
Proposal,pg22
22