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Sample of new TCM SPA for CMS review. Supplement 1g to Attachment 3.1A Page 1 State Plan under Title XIX of the Social Security Act State/Territory: SAMPLE TARGETED CASE MANAGEMENT SERVICES JUSTICE
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How to fill out this sample state plan?

01
Start by carefully reading through the instructions provided for filling out the state plan. Make sure you understand the purpose and requirements.
02
Begin with the identification section. Fill in all the required information about the state, such as its name, date, and any other relevant details.
03
Move on to the goals and objectives section. Here, you should clearly state the goals you want to achieve through the state plan and outline specific objectives that will help fulfill these goals.
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Next, proceed to the action plan section. Break down the steps you will take to implement the state plan, specifying responsible parties, timelines, and necessary resources.
05
Allocate a section for budgeting. Calculate and detail the financial resources needed to execute the state plan effectively. Include estimates for expenses, funding sources, and any necessary cost-sharing arrangements.
06
Consider the monitoring and evaluation section. Describe how you will track progress and assess the state plan's effectiveness. Define key performance indicators and methods to measure outcomes.
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Lastly, review the completed state plan thoroughly for accuracy, consistency, and coherence. Make any necessary revisions or additions.

Who needs this sample state plan?

01
State agencies or departments responsible for planning and policy development would benefit from this sample state plan. It provides guidance on creating an effective and comprehensive plan that aligns with state objectives.
02
Organizations or individuals involved in state planning initiatives can use this sample plan as a reference or template when developing their own state plans. It offers a framework that can be tailored to suit specific needs and priorities.
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Researchers or analysts studying state planning processes may find value in reviewing this sample state plan. It provides insights into the structure, content, and methodologies used in planning efforts.
In summary, this sample state plan serves as a valuable resource for individuals or organizations involved in state planning. It provides a step-by-step guide on filling out the plan, along with insights into who could benefit from utilizing it.
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This sample state plan is a template that outlines the guidelines and requirements for reporting certain information to the state.
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This sample state plan can be filled out by entering the requested information in the designated fields and following the provided instructions.
The purpose of this sample state plan is to ensure that organizations or individuals comply with state regulations by reporting the required information in a timely manner.
The information that must be reported on this sample state plan typically includes details such as financial data, operational statistics, and any other information specified by the state.
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