DSHP Clause Samples

DSHP. The Commonwealth must submit to CMS for approval a table of projected DSHP spending for specified state-funded health program expenditures authorized pursuant to section VIII, by approved program, no later than 45 business days after enactment of the state budget for each SFY. CMS must approve the Commonwealth’s projected DSHP expenditures within 30 business days of the Commonwealth’s submission of the update, provided that all DSHP projections are within the applicable SNCP limits specified in section VIII. The Commonwealth must submit to CMS for approval an update to the table of projected DSHP spending that reflects actual DSHP expenditures for each SFY, within 180 calendar days after the close of the SFY. CMS must approve the Commonwealth’s actual DSHP expenditures within 45 business days of the Commonwealth’s submission of the update, provided that all DSHP expenditures are within applicable limits. The Commonwealth may submit to CMS for approval further updates to the table of projected DSHP spending by approved program at such other times as may be required to reflect projected or actual changes in DSHP expenditures. CMS must approve the Commonwealth’s updated charts within 45 business days of the Commonwealth’s submission of the update, provided that all DSHP expenditures are within applicable limits. No demonstration amendment is required to update the table of projected DSHP spending by approved program within the expenditure limits specified in section VIII. Prior CMS approval is required to make changes to Chart C of Attachment E. No demonstration amendment is required in order to add to the list of DSHP programs in Chart C of Attachment E as long as the additional programs are approved by CMS and are within the expenditure limits for that demonstration year.