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State Plans and Amendments
State plans are formal, written agreements between a state and the federal government regarding the administration of a federally funded program. A state plan describes the nature and scope of the program and is the state’s agreement that it will conform to the requirements of the fund. State plans are required in order for the state to qualify for and receive the identified federal funding.
Additionally, State Plans can:
- Provide assurances that a state will abide by federal rules in order to claim federal funding;
- Indicate which groups, services, or programs the state has chosen to cover or implement within the funding; and
- Describe the state-specific standards to determine eligibility, methodologies, and processes to administer the program.
Plan changes are submitted by the state to the applicable U.S. federal departments as amendments. These amendments are then reviewed in order to determine whether the changes meet federal requirements and policies.
Medicaid Program
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2022
Clinical Trials Update (SPA 22-0001) – Submission
Clinical Trials Update (SPA 22-0001) – Approved
Medicaid Disaster Relief SPA Waive Pharmacy Signature Requirements (SPA 22-0002) – Submission
Medicaid Disaster Relief SPA Waive Pharmacy Signature Requirements (SPA 22-0002) – Approved
Disproportionate Share Hospital (DSH) Process Consolidation (SPA 22-0003) – Submission
Disproportionate Share Hospital (DSH) Process Consolidation (SPA 22-0003) – Approved
Organ Transplant Update (SPA 22-0004) – Submission
Organ Transplant Update (SPA 22-0004) – Approved
Doula Services (SPA 22-0005) - Submission
Doula Services (SPA 22-0005) - Approved
Medicaid ARP COVID-19 Testing and Treatment (SPA 22-0006) – Submission
Behavioral Health 1915(i) Update (SPA 22-0007) – Submission
NEMT Provider Qualifications (SPA 22-0008) – Submission
Medicaid Disaster Relief SPA 22-0009 EUA Infusions (SPA 22-0009) – Submission
Postpartum Extension to 12 months (SPA 22-0100) – Submission
Postpartum Extension to 12 months (SPA 22-0100) – Approved
Clinical Trials Update (ABP SPA 22-1001) – Submission
Clinical Trials Update (ABP SPA 22-1001) – Approved
Doula Services (ABP SPA 22-1002) - Submission
Doula Services (ABP SPA 22-1002) - Approved
Behavioral Health 1915(i) Update (ABP SPA 22-1003) – Submission
Behavioral Health Homes Geographic Update (SPA 22-1500) – Submission
Behavioral Health Homes Geographic Update (SPA 22-1500) – Approved
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2021
Medicaid Disaster Relief (SPA 21-0002) - Hospital Payment for Remdesivir - Submission
Medicaid Disaster Relief (SPA 21-0002) - Hospital Payment for Remdesivir - Approved
Genetic Counselors (ABP SPA 21-1002) - Submission
Genetic Counselors (ABP SPA 21-1002) - Approved
Recovery Audit Contractor Exemption Update (SPA 21-0003) Approved
Pediatric Psychiatric Services Reimbursement (SPA 21-0004) Approved
Medication-Assisted Treatment (MAT) Update (SPA 21-0005) Approved
Medicaid Disaster Relief (SPA 21-0006) - In-Person Premium Payment and Cost Report - Approved
Medicaid Disaster Relief (SPA 21-0007) - Monoclonal Antibody Infusions - Approved
COVID-19 Vaccine Administration Payments (SPA 21-0008) Approved
Tribal AIR Pharmacy (SPA 21-0009) Approved
Hospital rWGS Testing Reimbursement (SPA 21-0010) Submission
Hospital rWGS Testing Reimbursement (SPA 21-0010) Approved
Medicaid Disaster Relief (SPA 21-0011) - FQHC/RHC/Tribal Vaccine Administration - Submission
Medicaid Disaster Relief (SPA 21-0011) - FQHC/RHC/Tribal Vaccine Administration - Approved
Genetic Counselors (SPA 21-0012) Submission
Genetic Counselors (SPA 21-0012) - Approved
Nursing Facility Current Asset Value Determination Update (SPA 21-0013) Submission
Nursing Facility Current Asset Value Determination Update (SPA 21-0013) - Approved
Dental Provider Type (SPA 21-0014) Submission
Dental Provider Type (SPA 21-0014) - Approved
Medicaid Disaster Relief (SPA 21-0015) - Nursing Facility Rate Setting Methodology - Submission
Medicaid Disaster Relief (SPA 21-0015) - Nursing Facility Rate Setting Methodology – Approved
Medicaid Disaster Relief (SPA 21-0016) - In-Person Premium Payment - Submission
Medicaid Disaster Relief (SPA 21-0016) - In-Person Premium Payment – Approved
Third Party Liability Update (SPA 21-0017) - Submission
Third Party Liability Update (SPA 21-0017) – Approved
Anti-Obesity Drug Coverage (SPA 21-0018) - Submission
Anti-Obesity Drug Coverage (SPA 21-0018) – Approved
Medication-Assisted Treatment (MAT) Update (ABP SPA 21-1001) Approved
Opioid Health Home Geographic Update (MI SPA 21-1500) Submission
Opioid Health Home Geographic Update (MI SPA 21-1500) - Approved
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2020
Critical Access Hospital Reimbursement (SPA 20-0001) Submission
Critical Access Hospital Reimbursement (SPA 20-0001) Approved
Tribal Health Center to Tribal FQHC (SPA 20-0002) Submission
Tribal Health Center to Tribal FQHC (SPA 20-0002) Approved
Neonatal Services Rate Update (SPA 20-0003) Submission
Neonatal Services Rate Update (SPA 20-0003) Approved
Pediatric Psychiatric Diagnostic Services (SPA 20-0004) Submission
Pediatric Psychiatric Diagnostic Services (SPA 20-0004) Approved
Medicaid Disaster Relief (SPA 20-0005) Approved
Single Pharmacy PDL (SPA 20-0006) Submission
Single Pharmacy PDL (SPA 20-0006) Approved
Pharmacy Outcome-Based Supplemental Rebate Agreement Template Update (SPA 20-0007) Submission
Pharmacy Outcomes-Based Supplemental Rebate Agreement Template Update (SPA 20-0007) Approved
Home Health and DME Update (SPA 20-0008) Submission
Home Health and DME Update (SPA 20-0008) Approved
Medicaid Disaster Relief (SPA 20-0009) Submission
Medicaid Disaster Relief (SPA 20-0009) Approved
Medicaid Disaster Relief (SPA 20-0010) Approved
Graduate Medical Education (GME) Pool Update (20-0011) Submission
Graduate Medical Education (GME) Pool Update (20-0011) Approved
Medicaid Disaster Relief (SPA 20-0012) Submission
Medicaid Disaster Relief (SPA 20-0012) - Glove Rate - Approved
Medicaid Disaster Relief (SPA 20-0013) - EUA Coverage and Vaccine Administration Payments - Approved
Copay Limit Clarification (SPA 20-0500) Submission
Copay Limit Clarification (SPA 20-0500) Approved
Copay Limit Clarification SUD (SPA 20-0501) Approved
Home Health and DME Update (ABP SPA 20-1001) Submission
Home Health and DME Update (ABP SPA 20-1001) Approved
Behavioral Health Home (SPA 20-1500) Submission
Behavioral Health Home (SPA 20-1500) Approved
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2019
Nurse Midwives Covered Services Update (SPA 19-0001) Approved
MIDocs GME Innovations (SPA 19-0002) Submission
MIDocs GME Innovations (SPA 19-0002) Approved
Recovery Audit Contractor (RAC) Exception Extension (SPA 19-0003) Approved
Behavioral Health Peer-Delivered or Peer-Operated Support Services (SPA 19-0004) Submission
Behavioral Health Peer-Delivered or Peer-Operated Support Services (SPA 19-0004) Approved
Veteran Home Update (SPA 19-0005) Submission
Veteran Home Update (SPA 19-0005) Approved
Behavioral Health 1915(i) (SPA 19-0006) Submission
Behavioral Health 1915(i) (SPA 19-0006) Approved
Behavioral Health Targeted Case Management Update (SPA 19-0007) Submission
Behavioral Health Targeted Case Management Update (SPA 19-0007) Approved
Nursing Facility Cost Reporting Audit & Reimbursement Process Updates (SPA 19-0008) Submission
Nursing Facility Cost Reporting Audit & Reimbursement Process Updates (SPA 19-0008) Approved
Disproportionate Share Hospital (DSH) Pool Update (SPA 19-0009) Submission
Disproportionate Share Hospital (DSH) Pool Update (SPA 19-0009) Approved
Non-Emergency Medical Transportation (NEMT) Update (SPA 19-0010) Submission
Non-Emergency Medical Transportation (NEMT) Update (SPA 19-0010) Approved
Maternal and Infant Health Program Rate Update (SPA 19-0011) Submission
Maternal and Infant Health Program Rate Update (SPA 19-0011) Approved
Drug Utilization Review Program Clarification (SPA 19-0012) Approved
Drug Utilization Review Program Clarification (SPA 19-0012) Submission
Active Pharmaceutical Ingredients and Excipients (SPA 19-0013) Approved
Active Pharmaceutical Ingredients and Excipients (SPA 19-0013) Submission
Hearing Aid Device Rate Update (SPA 19-0014) Approved
Hearing Aid Device Rate Update (SPA 19-0014) Submission
Hearing Aid Services Rate Update (SPA 19-0015) Approved
Hearing Aid Services Rate Update (SPA 19-0015) Submission
Behavioral Health and Substance Use Disorder (ABP SPA 19-1002) Submission
Behavioral Health and Substance Use Disorder (ABP SPA 19-1002) Approved
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2018
Flint Eligibility Process and New Applications (SPA 16-0110) Approved
Short Hospital Stay Rate (SPA 18-0001) Approved
Home Health Rule (SPA 18-0003) Approved
Miller Trusts (SPA 18-0004) Approved
LARC Reimbursement Policy (SPA 18-0005) Approved
Graduate Medical Education (GME) Innovations (SPA 18-0006) Approved
Neonatal Rate (SPA 18-0007) Submission
Neonatal Rate (SPA 18-0007) Approved
Nursing Facility Transitions (1915i SPA 18-0008) Approved
Outcomes-Based Contract Arrangements with Drug Manufacturers (SPA 18-0009) Submission
Outcomes-Based Contract Arrangements with Drug Manufacturers (SPA 18-0009) Approved
Outpatient Uncompensated Care DSH Pool (SPA 18-0010) Submission
Outpatient Uncompensated Care DSH Pool (SPA 18-0010) Approved
Clinical Nurse Specialist Updates (SPA 18-0011) Approved
Guardianship Fee Update (SPA 18-0012) Approved
School Based Health Services (SPA 18-0013) Submission
School Based Health Services (SPA 18-0013) Approved
Former Foster Care Youth (SPA 18-0100) Approved
Copayment Updates (SPA 18-0500) Approved
Intensive Pediatric Feeding Services (ABP SPA 18-1000) Approved
Opioid Health Home and Home Health Rule (ABP SPA 18-1002) Submission
Opioid Health Home and Home Health Rule (ABP SPA 18-1002) Approved
Clinical Nurse Specialist Updates and Nursing Facility Transitions (ABP SPA 18-1003) Approved
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2017
Provider Enrollment (SPA 17-0001) Submission
Provider Enrollment (SPA 17-0001) Approved
GME Innovations - Pine Rest (SPA 17-0002) Approved
Hospital Cost Report Submission Process (SPA 17-0003) Approved
GME Innovations - Authority Health (SPA 17-0004) Approved
Pharmacy Claims Reimbursement and Medication Therapy Management (SPA 17-0005) Approved
Pediatric Intensive Feeding Services (SPA 17-0006) Submission
Pediatric Intensive Feeding Services (SPA 17-0006) Approved
Rural Health Center Update (SPA 17-0007) Submission
Rural Health Center Update (SPA 17-0007) Approved
Nursing Facility Quality Assurance Supplement (SPA 17-0008) Submission
Nursing Facility Quality Assurance Supplement (SPA 17-0008) Approved
Nursing Facility Quality Incentive Initiative (SPA 17-0009) Submission
Nursing Facility Quality Incentive Initiative (SPA 17-0009) Approved
Guardianship Fee Update (SPA 17-0010) Approved
Neonatal and Obstetrical Services (SPA 17-0011) Submission
Neonatal and Obstetrical Services (SPA 17-0011) Approved
20 Visit Behavioral Health Limit Removal (SPA 17-0012) Approved
Recovery Audit Contractor Exemption (SPA 17-0013) Submission
Recovery Audit Contractor Exemption (SPA 17-0013) Approved
State Veteran Homes (SPA 17-0014) Submission
State Veteran Homes (SPA 17-0014) Approved
Primary Care Services Rates (SPA 17-0015) Approved
MAGI-Based Income Methodologies (SPA 17-0100) Submission
MAGI-Based Income Methodologies (SPA 17-0100) Approved
Provider Enrollment (ABP SPA 17-1000) Approved
20 Visit Behavioral Health Limit Removal (SPA 17-1001) Approved
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2016
Emergency Room Case Rate (SPA 16-0001) Approved
Maternal Infant Health Program (SPA 16-0002) Approved
Marriage and Family Therapists (SPA 16-0003) Approved
Target Case Management for Flint Beneficiaries (SPA 16-0004) Approved
Liens and Adjustments or Recoveries (SPA 16-0005) Approved
Flint TCM Group Payment (SPA 16-0008) Approved
Diabetes Self-Management Education (SPA 16-0010) Approved
Third Party Liability (SPA 16-0013) Approved
Update Case Management Services Payment Page (SPA 16-0014) Approved
Guardianship Fee Increase (SPA 16-0015) Approved
Behavioral Health Treatment Rate Change (SPA 16-0016) Approved
Preventive Services (SPA 16-0017) Approved
Medicaid Eligibility Flint(SPA 16-0100) Approved
Marriage and Family Therapists and TCM Flint (ABP SPA 16-1000) Approved
Diabetes Self-Management Education (SPA 16-0010) Submitted
Private Duty Nursing EPSDT (SPA 16-0011) Submitted
Update Practitioner Services Payment Pages (SPA 16-0012) Submitted
Third Party Liability Payment of Claims Clarification (SPA 16-0013) Submitted
Third Party Liability Payment of Claims Clarification (SPA 16-0013) Approved
Update Case Management Language (SPA 16-0014) Submitted
Update TCM Payment Page (SPA 16-0014) Deemed Approved
Guardianship Fee Increase (SPA 16-0015) Submitted
Behavioral Health Treatment Rate Change (SPA 16-0016) Submitted
Preventive Services (SPA 16-0017) Submitted
Flint Eligibility Process (SPA 16-0110) Submitted
Cost Sharing - HMP Copay Increases (SPA 16-0500) Submitted
Cost Sharing (SPA 13-0016) Approved
Outpatient Hospital MACI Allocation Update (SPA 15-0016) Approved
Hospice (SPA 16-0007) Approved
DSH Payment Pool - Technical Correction (SPA 16-0009) Approved
Single State Agency (SPA 16-0120) Approved
OPPS Updates (SPA 16-0006) Approved
Private Duty Nursing EPSDT (SPA 16-0011) Approved
Update Practitioner Services Payment Pages (SPA 16-0012) Approved
Costing Sharing - HMP Copay Increases (SPA 16-0500) Approved
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2015
Inpatient Hospital Capital Reimbursement Methodology (SPA _15_001) Approved
Inpatient Rate Update - (SPA _15_0002)Approved
Inpatient Rate Update - Grouper 32.(SPA _15_0002)Submitted
Ambulatory Surgical Center.(SPA _15_0003)Approved
Indian Health Centers Services.(SPA _15_0004)Approved
Pharmacy Administration of Vaccines (SPA 15-0005) Approved
Outpatient Disproportionate Share Hospital (DSH) Pool Increase (SPA 15-0006) Approved
Outpatient Disproportionate Share Hospital (DSH) Increase - Value Based Pool (SPA 15-0007) Approved
Short Stay Rate (SPA 15-0009) Approved
Behavioral Health Treatment (SPA 15-0010) Approval
Pharmacy Injectables (SPA 15-0011) Approved
ICA DSH Pool Distribution Update.(SPA 15-0012) Approved
CMS 179 SPA 15-0012 ICA DSH Pool Distribution Update.(SPA _15_0012)Submitted
DSH Allotment (SPA 15-0013) Approved
Inpatient Hospital Reimbursement Grouper System (SPA 15-0014) Approved
MIChild to Medicaid Expansion Transition-Premium (SPA 15-0015) Approved
MIChild to Medicaid Expansion Transition-Premium (SPA 15-0015) Submitted
Outpatient Hospital MACI Allocation Update (SPA 15-0016) Submitted
MIChild to Medicaid Expansion Transition (SPA 15-0100) Approved
Psychologists, Social Workers, and Professional Counselors (ABP SPA 15-1000)
Primary Care Health Homes (ABP SPA 15-1001)
MI Care Team Primary Care Health Home State Plan Amendment.(SPA _15_2000)Submitted
Michigan Title XIX FMAP State Plan Amendment.(SPA _14_010)Approved
Michigan Primary Care Transformation (MiPCT) Project.(SPA _14_0017)Approved
Michigan Primary Care Transformation (MiPCT) Project.(SPA _14_0017)Submitted
Primary Care Provider Reimbursement Rate Increase.(SPA _14_0018)Submitted
Title IV-E Foster Care Programs
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Overview
The Federal Foster Care Program helps to provide safe and stable out-of-home care for children until the children are safely returned home, placed permanently with adoptive families or placed in other planned arrangements for permanency. The program is authorized by title IV-E of the Social Security Act, as amended, and implemented under the Code of Federal Regulations (CFR) at 45 CFR parts 1355, 1356, and 1357. It is an annually appropriated program with specific eligibility requirements and fixed allowable uses of funds. Funding is awarded by formula as an open-ended entitlement grant and is contingent upon an approved title IV-E plan to administer or supervise the administration of the program.
Title IV-E Foster Care Eligibility Reviews
The regulatory reviews of the foster care program focus on whether a child meets title IV-E eligibility requirements for foster care maintenance payments. Just as in the child and family services reviews, the review team comprises Federal and State representatives who examine cases for Federal eligibility requirements, such as the following:
- A court order confirming the need to remove the child from the home
- A court order confirming the State's reasonable efforts to preserve the family, when it is safe to do so, and to finalize a permanency plan
- A valid agreement for the child voluntarily placed in foster care and a court order authorizing continued placement
- Completed criminal background checks on prospective foster and adoptive parents
- Compliance with safety requirements for child-care institutions
- Licensed foster care providers
- Needs-based test to confirm the child's eligibility
- State responsibility for placement and care of the child
A payment disallowance is taken for all cases that fail to meet Federal eligibility requirements. If a State fails in more than a specific percentage of cases, it is considered not in substantial compliance with the Federal foster care program requirements. States that do not achieve substantial compliance will develop Program Improvement Plans; then a secondary review is conducted. After the secondary review, if the State is not in substantial compliance then, a larger disallowance is assessed on the basis of the State's total foster care population during the period under review.
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State Plans (All Years)
Family First Prevention Services - Title IV-E Prevention Services
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Overview
Family First Prevention Services Act (FFPSA) is a Federal Legislation which was enacted in February 2018. This Legislation allows states to use Federal Title IV-E funding in new ways. The goal is to provide services, to keep children safely in their homes, and to prevent the need for removal. FFPSA creates a spotlight on maintaining children in the home with their family, emphasizes the use of evidence based programs, and limits the use of Federal funding when placing children out of the home.
Michigan's utilization of FFPSA and the Title IV-E Prevention funding is a collaboration of work between several departments to initiate the expansion of services throughout the state. These services are referenced as FFPSA Title IV-E Prevention Services in policy and protocol.
To be eligible for FFPSA Title IV-E Prevention Services a child of a family must meet at least one candidacy definition. A Private Agency Partner or MDHHS caseworker must document the candidacy information in the electronic case record.
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State Plans
Child & Family Services
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Annual Progress & Service ReportsChild & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2023
Child & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2022
Child & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2021
Child & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2019
Child & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2018
Child & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2017
Child & Family Services State Plan (CFSP) - Annual Progress and Services Report - 2016 -
State Plans
Title XX Social Services Block Grant
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State Plans (All Years)Title XX Social Services Block Grant (SSBG) FY 2023 State Plan
Title XX Social Services Block Grant (SSBG) FY 2022 State Plan
Title XX Social Services Block Grant (SSBG) FY 2021 State Plan
Title XX Social Services Block Grant (SSBG) FY 2020 State Plan
Title XX Social Services Block Grant (SSBG) FY 2019 State Plan
Title XX Social Services Block Grant (SSBG) FY 2018 State Plan
Title XX Social Services Block Grant (SSBG) FY 2017 State Plan
Children's Trust Fund
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2011 - Present
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2001 - 2010
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1991 - 2000
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1986 - 1990
Temporary Assistance for Needy Families (TANF)
Low Income Home Energy Assistance Program (LiHEAP)
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Overview
The Low Income Home Energy Assistance Act of 1981 (title XXVI of the Omnibus Budget Reconciliation Act of 1981), as amended, authorizes grants to states to assist low-income households, particularly those with the lowest incomes, that pay a high proportion of household income for home energy, primarily in meeting their immediate home energy needs. This document is based on anticipated federal funding for Michigan. However, all State Plan components, funding percentages, and benefit levels indicated within this document are subject to change.
The Michigan Department of Health and Human Services (MDHHS), as the designated lead agency responsible for the administration of these funds, has, in cooperation with other agencies, prepared this State Plan. The plan calls for the utilization of services from the Department of Human Services and the Department of Treasury. The components of Michigan's energy assistance effort and the responsible agency for each are as follows:
- Home Heating Credit: Department of Treasury
- Crisis Intervention: MDHHS
- Weatherization: MDHHS
The above multi-component structure is similar to previous Michigan energy program designs which have worked well in this state. Basic maintenance benefits are issued through the Home Heating Credit. Crisis intervention is provided through State Emergency Relief (SER) energy services. Weatherization services round out Michigan's strategy to meet the energy assistance needs of the state's low income population.
Through this comprehensive program design, Michigan will serve the varied needs of the state's low income population in an equitable manner. This structure allows households to receive the types of energy assistance which best meet their needs, while utilizing delivery mechanisms that have proven effective in past energy programs.
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State Plans (All Years)
Proposed LIHEAP State Plan for FY 2023
Proposed LIHEAP State Plan for FY 2022
Proposed LIHEAP State Plan for FY 2021
Proposed LIHEAP State Plan for FY 2020
Proposed LIHEAP State Plan for FY 2019
Proposed LIHEAP State Plan for FY 2018
Revised LIHEAP State Plan for FY 2017
Proposed LIHEAP State Plan for FY 2017
Proposed LIHEAP State Plan for FY 2016
Proposed LIHEAP State Plan for FY 2015
Proposed LIHEAP State Plan for FY 2014
LIHEAP State Plan Supplement for FY 2013
LIHEAP State Plan Supplement for FY 2012
LIHEAP State Plan for FY 2010 Amendment
LIHEAP State Plan for FY 2009 Amendment
Low Income Household Water Assistance Program (LiHWAP)
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State Plans