TX

1. Texas currently maintains a paper state plan. The State will require a significant amount of time to complete the initial conversion from the paper plan to the MACPro system. What timeframe will CMS allow for states to enter their initial state plan information? a. Will it be possible to process amendments during the initial data entry period or will states have to suspend the process? b. How will CMS ensure that the Texas plan is the same as the one CMS has on file? How will differences be noted and handled? c. When there is not an easy way to translate current paper state plan pages into the electronic version, how will the transition be adjudicated? If there needs to be significant revision due only to the format change (e.g., narrative to template), will CMS treat this as a “new submission”? d. How will the State’s extant paper state plan pages be mapped to the electronic pages in the new system, which are by their very nature not limited to the size of a piece of paper? How will the State be able to establish a paper trail between fields in the new electronic system and the old paper pages? 2. The system does not include a numbering scheme on the state plan pages. Because the state plan is vast, this could make it difficult for staff to ask and respond to specific questions. Will MACPro have some type of page numbering system? 3. What key fields will be shown on the finder screen? The existing CMS waiver application has a detailed finder screen with effective dates added. Will this detailed finder screen be implemented in MACPro? If so, what fields of data will be available? Will state plan finder screens be sortable? (comments continued in attached pdf document)