Crosswalk for Non-substantial Changes to CHIP SPA Template (CMS R-211)
Section #  | 
		Type of Change  | 
		Rationale for Change  | 
	
Whole document  | 
		Changed text in italics to bold or underline.  | 
		Contributes to making document 508-compliant.  | 
	
Whole document  | 
		Adjusted spacing and left margin alignment, as necessary.  | 
		Contributes to document readability and consistency.  | 
	
Whole document  | 
		Changed font size of statue/regulation references to 12 point, not bold.  | 
		Makes document consistent and contributes to readability.  | 
	
Whole document  | 
		Changed numbering of sections to add decimal after number where needed.  | 
		Document consistency.  | 
	
Introduction  | 
		Changed “1005-33” to “105-33” on pg. 2.  | 
		Correct error.  | 
	
Introduction  | 
		Deleted “indicating State” under last bullet for Medicaid SPA Requirements on pg. 5.  | 
		Not necessary.  | 
	
Introduction  | 
		Changed address from “Center for Medicaid, CHIP and Survey & Certification” to “Center for Medicaid and CHIP Services” on pg. 6.  | 
		Consistent with update of the Center name.  | 
	
Section 1.1.3. Guidance  | 
		Changed “1.1. and 1.2.” to “1.1.1. and 1.1.2.”.  | 
		More accurate section reference.  | 
	
Section 1.1-DS  | 
		Revised instruction on further sections to complete when choosing section 1.1-DS.  | 
		Instruction in earlier version was inaccurate.  | 
	
Section 1.4-TC  | 
		Changed statute citation from “2107(e)(1)” to “2107(e)(1)(C)”; and made not bold.  | 
		More accurate citation; for consistency in document.  | 
	
Section 2.2.  | 
		Changed regulation citation from “42 CFR 457.1005” to “42 CFR 457.10”; changed statute citation from “2105(c)(2)(B)” to “2105(a)(1)(D)(ii)”; changed “(if applicable,” to “(if applicable),”.  | 
		Correct errors.  | 
	
Section 2.2.  | 
		Deleted “(formerly 2.4)”.  | 
		Not necessary.  | 
	
Section 2.3-TC  | 
		Changed statute citation from “2107(e)(1)” to “2107(e)(1)(C)”.  | 
		More accurate citation.  | 
	
Section 3. Guidance  | 
		Changed “CMS’” to “the CMS”; changed “2105(a)(2)” to “2105(c)(2)(A)”.  | 
		Correct punctuation; more accurate citation.  | 
	
Section 3.1.  | 
		Changed “CMS’” to “CMS”.  | 
		Correct punctuation.  | 
	
Section 4. Guidance  | 
		Changed “4.1.12” to “4.1-LR”.  | 
		Correct section reference.  | 
	
Section 4.1.  | 
		Changed “4.9-PW” to “4.1-PW”; changed “4.9-LR” to “4.1-LR”; changed “4.9.1-LR” to 4.1.1-LR”; changed “4.9-DS” to “4.1-DS”.  | 
		Correct numbering errors.  | 
	
Section 4.1-PW  | 
		Changed “4.1.1-P” to “4.1.1-PW”; revised instruction on further sections to complete when choosing section 4.1-PW.  | 
		Correct error; instruction in earlier version was incomplete.  | 
	
Section 4.1.-LR Guidance  | 
		Changed “2107(e)(1)(D)” to “2107(e)(1)(J)” in two instances in the paragraph and one instance in Section 4.1-LR.  | 
		Correct to the updated citation.  | 
	
Section 4.1-LR  | 
		Changed “1993(v)(4)(A)” to “1903(v)(4)(A)”.  | 
		Correct error.  | 
	
Section 4.1-DS  | 
		Changed “2103(a)(5)” to “2103(c)(5)”; revised instruction on further sections to complete when choosing section 4.1-DS.  | 
		Correct error; instruction in earlier version was incomplete.  | 
	
Section 4.2-DS  | 
		Revised instruction on further sections to complete when choosing section 4.2-DS.  | 
		Instruction in earlier version was incomplete.  | 
	
Section 4.3.1.  | 
		Deleted “(formerly 4.3.1)”; changed “2106(b)(7)” to “2102(b)(2)”.  | 
		Not necessary; correct error.  | 
	
Section 4.3.3-EL  | 
		Changed “2107(e)(1)(B)” to “2107(e)(1)(E)” in two instances in the paragraph; revised instruction on further sections to complete when choosing section 4.3.3-EL.  | 
		Correct to the updated citation; instruction in earlier version was incomplete.  | 
	
Section 4.4.  | 
		Deleted parenthesis following “2102” in numerous instances throughout the section; changed “4.3-EL” to 4.4-EL”.  | 
		Correct erroneous punctuation; correct numbering error.  | 
	
Section 4.4.4.  | 
		Deleted “; states should check the appropriate box”; moved “(42CFR 457.810(a)-(c))” to section 4.4.4.1..  | 
		No longer necessary; more accurate placement of citation.  | 
	
Section 5.2.  | 
		Added parenthesis before “Section”; placed statutory citations in order and replaced one “and” with a comma; deleted “described in Section 5.2”.  | 
		Correct punctuation; contributes to readability; document clarity.  | 
	
Section 5.3.  | 
		Moved guidance to above the section heading; moved sentence beginning with “Describe the procedures” and ending with the citations from guidance to the section heading.  | 
		Document consistency; clarity and consistency with previous template.  | 
	
Section 6.1.3.  | 
		Changed “8/5/97” to “August 5, 1997”.  | 
		Document consistency and readability.  | 
	
Section 6.2-DC  | 
		Revised instruction on further sections to complete when choosing section 6.2-DC.  | 
		Instruction in earlier version was incomplete.  | 
	
Section 6.2.2.2-DC  | 
		Deleted “Page - 11 – State Health Official”.  | 
		Correct error.  | 
	
Section 6.2-DS  | 
		Changed “2103(a)(5)” to “2110(b)(5)(C)(ii)”; revised instruction on further sections to complete when choosing section 6.2-DS.  | 
		More accurate citation; instruction in earlier version was incomplete.  | 
	
Sections 6.2.14., 6.2.24. and 6.2.27.  | 
		Deleted “(See instructions)”.  | 
		No longer necessary.  | 
	
Section 6.3.2.  | 
		Changed “Previously 8.6” to “(Formerly 8.6.)”.  | 
		Consistency in document.  | 
	
Section 6.4.1.  | 
		Changed “%” to “percent”.  | 
		Consistency with HHS style sheet.  | 
	
Section 6.4.1.3. Guidance  | 
		
			Changed “%” to “percent” in two instances;
			changed “1886(  | 
		Consistency with HHS style sheet; correct error.  | 
	
Section 6.4.2. Guidance  | 
		Changed “6.6.2.” to “6.4.2.”.  | 
		Correct error.  | 
	
Section 6.4.3.2.-PA  | 
		Changed “6.4.2.2.2-PA” to “6.4.3.2.2-PA”.  | 
		Correct numbering error.  | 
	
Section 7.2. Guidance  | 
		Added “Section” to the statutory citation and section 7.2. heading.  | 
		Document consistency.  | 
	
Section 8.2. Guidance  | 
		Changed “%” to “percent” in three instances; changed “447.50-.59” to “447.50 - 447.59”; changed “&” to “and” in two instances in guidance and two instances in section 8.2..  | 
		Consistency with HHS style sheet; contributes to clarity and readability; consistency with HHS style sheet.  | 
	
Sections 8.2. and 8.2-DS  | 
		Added check boxes to options in within the sections.  | 
		Document consistency and clarity.  | 
	
Section 8.2-DS  | 
		Revised instruction on further sections to complete when choosing section 8.2-DS.  | 
		Instruction in earlier version was incomplete.  | 
	
Section 8.3.  | 
		Changed “2103(e)((1)(B)” to “2103(e)(1)(A)”.  | 
		Correct punctuation and more accurate citation.  | 
	
Section 8.7.1. Guidance  | 
		Changed “8.8.1is” to “8.7.1. is”; added “(Section 2103(e)(3)(C))”; moved “(42CFR 457.570(a))” to section 8.7.1.1..  | 
		Correct errors; more accurate section reference; more accurate placement of citation.  | 
	
Section 8.7.1.  | 
		Added numbering to each of the four assurances in the section.  | 
		Document consistency.  | 
	
Section 8.8.  | 
		Changed second paragraph number “8.8.5.” to “8.8.6.”.  | 
		Correct error.  | 
	
Section 9.6.  | 
		Changed “of audit” to “or audit”.  | 
		Correct error.  | 
	
Section 9.9.  | 
		Changed “insuring” to “ensuring”.  | 
		Correct error.  | 
	
Section 9.9.2  | 
		Changed second paragraph number “9.9.2.” to “9.9.3.”.  | 
		Correct error.  | 
	
Section 9.10.  | 
		Moved “Health Services Initiative” line item from Benefit to Administration Costs section in the CHIP Budget; moved “Cost of Proposed SPA Changes” line item from Benefit Costs to separate line after Administration Costs.  | 
		Health Services Initiatives are administrative costs; a separate line for Cost of SPA Changes contributes to document clarity.  | 
	
Section 10.3-DC  | 
		Deleted “Specify that”.  | 
		Contributes to document clarity and readability.  | 
	
Section 11.2.  | 
		Moved parenthesis at “Previously” to include the prior sentence that begins with “The items below”.  | 
		Correct punctuation.  | 
	
Section 12.2.  | 
		Changed “comply” to “complies”.  | 
		Correct error.  | 
	
CMS Regional Offices  | 
		Updated list of Associate Regional Administrators on pg. 45, as necessary.  | 
		Reflect changes in personnel.  | 
	
	
	
| File Type | application/msword | 
| Author | CMS | 
| Last Modified By | Martin Burian | 
| File Modified | 2012-09-19 | 
| File Created | 2012-08-02 |