42 CFR 430.12 - Submittal of State plans and plan amendments.
(a) Format. A State plan for Medicaid consists of preprinted material that covers the basic requirements, and individualized content that reflects the characteristics of the particular State's program.
(b) Governor's review -
(1) Basic rules. Except as provided in paragraph (b)(2) of this section -
(ii) The plan must provide that the Governor will be given a specific period of time to review State plan amendments, long-range program planning projections, and other periodic reports on the Medicaid program, excluding periodic statistical, budget and fiscal reports.
(i) Submission is not required if the Governor's designee is the head of the Medicaid agency.
(c) Plan amendments.
(1) The plan must provide that it will be amended whenever necessary to reflect -
(i) Changes in Federal law, regulations, policy interpretations, or court decisions; or
(ii) Material changes in State law, organization, or policy, or in the State's operation of the Medicaid program. For changes related to advance directive requirements, amendments must be submitted as soon as possible, but no later than 60 days from the effective date of the change to State law concerning advance directives.
(2) Prompt submittal of amendments is necessary -
(ii) To ensure the availability of FFP in accordance with § 430.20.