The following attachments are amendments to the California State Plan that were recently approved by the Centers for Medicare and Medicaid Services (CMS).  Stakeholders can update their copies by following the links and instructions attached to the documents. 

• 05-009     Cost-Based Reimbursement (PDF, Approved on 9/12/2008)
• 05-010     Speech-Language Pathologist under the Local Education Agency (PDF, Approved 12/16/2011)