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6 Effective Date: July 1, 2009

Approval Date:

1.2

Please provide an assurance that expenditures for child health assistance will not be claimed prior to the time that the State has legislative authority to operate the State plan or plan amendment as approved by CMS. (42 CFR 457.40(d))

Washington State assures that expenditures for child health assistance will not be claimed prior to the time the State has legislative authority to operate the State plan or before the State plan amendment is approved by CMS.

1.3

Please provide an assurance that the state complies with all applicable civil rights requirements, including title VI of the Civil Rights Act of 1964, title II of the Americans with Disabilities Act of 1990, section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, 45 CFR part 80, part 84, and part 91, and 28 CFR part 35. (42CFR 457.130)

Washington State assures that the state complies with all applicable civil rights requirements.

1.4 Please provide the effective (date costs begin to be incurred) and implementation (date services begin to be provided) dates for this plan or plan amendment (42 CFR 457.65):

Amendment 1 - This amendment allowed the assignment of eligible children into managed care plans and created eligibility requirements similar to the Washington State Medicaid program. Submitted: February 8, 2001 Approved: May 7, 2001 Effective date: January 1, 2001 Amendment 2 - This amendment removed the co-pay requirement. Submitted: April 3, 2002 Approved: July 1, 2002 Effective date: January 1, 2002 Amendment 3 - This amendment updated the plan to specify the States compliance with the final CHIP regulation.

Submitted: October 3, 2002 Approved: December 19, 2002 Effective date: July 1, 2002