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It specifies statutory timing and compliance conditions, explains how states must assess plan operations and progress in reducing the number of uncovered, low-income children, and outlines the CARTS structure. It also defines roles, submission guidance, and required content sections, including program snapshots, performance measurement, state plan assessment, financing, and program challenges and accomplishments.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/framework-for-the-annual-report-of-the-childrens-health-insurance-plans-under-title-xxi-of-the-social-security-act-annual-report-template-framework/489009/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/framework-for-the-annual-report-of-the-childrens-health-insurance-plans-under-title-xxi-of-the-social-security-act-annual-report-template-framework/489009.png","ImageObject",300,407,{"name":92,"@type":93},"BigDaveOnline","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-10-01",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the compliance and submission conditions for the CHIP annual report?","Question",{"text":112,"@type":113},"States must submit the report by January 1 following the end of the federal fiscal year. A state is also out of compliance if any section relevant to its program is incomplete.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the CARTS structure for the CHIP annual report?",{"text":117,"@type":113},"CARTS is organized into five sections: (I) Snapshot of CHIP Programs and Changes, (II) Program’s Performance Measurement and Progress, (III) Assessment of State Plan and Program Operation, (IV) Program Financing for State Plan, and (V) Program Challenges and Accomplishments.",{"name":119,"@type":110,"acceptedAnswer":120},"What additional disclosures and burden information are included?",{"text":121,"@type":113},"The framework includes Paperwork Reduction Act disclosure stating no response is required without a valid OMB control number, provides the valid OMB control number (0938-1148), and estimates an average 40 hours per response.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},489009,1790819446,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":129,"read_time":144,"preview_page_count":4},962090896214,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","FRAMEWORK FOR THE ANNUAL REPORT OF THE CHILDREN’S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT  \nPreamble  \nSection 2108(a) and Section 2108(e) of the Social Security Act (the Act) provide that each state and territory􀀍 must assess the operation of its state child health plan in each federal fiscal year and report to the Secretary, by January 1 following the end of the federal fiscal year, on the results of the assessment. In addition, this section of the Act provides that the state must assess the progress made in reducing the number of uncovered, low-income children. The state is out of compliance with CHIP statute and regulations if the report is not submitted by January 1. The state is also out of compliance if any section of this report relevant to the state’s program is incomplete.  \nThe framework is designed to:  \n• Recognize the diversity of state approaches to CHIP and allow states flexibility to highlight key accomplishments and progress of their CHIP programs, AND  \n• Provide consistency across states in the structure, content, and format of thereport, AND  \n• Build on data already collected by CMS quarterly enrollment and expenditure reports, AND  \n• Enhance accessibility of information to stakeholders on the achievements under Title XXI  \nThe CHIP Annual Report Template System (CARTS) is organized as follows:  \n• Section I: Snapshot of CHIP Programs and Changes  \n• Section II: Program’s Performance Measurement and Progress  \n• Section III: Assessment of State Plan and Program Operation  \n• Section IV: Program Financing for State Plan  \n• Section V: Program Challenges and Accomplishments  \n* -When “state” is referenced throughout this template it is defined as either a state or a territory.  \n*Disclosure. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1148. The time required to complete this information collection is estimated to average 40 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, write to: CMS, 7500 Security Blvd., Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.  \nFRAMEWORK FOR THE ANNUAL REPORT OF THE CHILDREN’S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT  \nDO NOT CERTIFY YOUR REPORT UNTIL ALL SECTIONS ARE COMPLETE.  \nState/Territory:  Ohio   \n(Name of State/Territory)  \nThe following Annual Report is submitted in compliance with Title XXI of the Social Security Act (Section 2108(a) and Section 2108(e)) .  \n Signature:   \nBarbara Sears, State Medicaid Director  \nCHIP Program  \nName(s):  All, Ohio   \nCHIP Program Type:  \nCHIP Medicaid Expansion Only  \nSeparate Child Health Program Only  \nCombination of the above  \nReporting Note: Federal Fiscal Year 2017 starts  \nPeriod:  2017 10/1/2016 and ends 9/30/2017 .   \nContact  \nPerson/Title:  Jang Won Seo, MHS Administrator 1   \nAddress:  50 West Town Street, Suite 400   \nCity:  Columbus  State:  Ohio  Zip:  43215   \nPhone:  614 – 752 – 2371  Fax:  ( )  Email:  [JangWon.Seo@medicaid.ohio.gov](JangWon.Seo@medicaid.ohio.gov)   \n[Submission Date:](Submission Date:)  (Due to your CMS Regional Contact and Central Office Project Officer by January 1st of each year)  \nSection I: Snapshot of CHIP Program and Changes  \n1) To provide a summary at-a-glance of your CHIP program, please provide the following information. If you would like to make any comments on your responses, please explain in narrative below this table.  \n[Check box] Provide an assurance that your state’s CHIP program eligibility criteria as set forth in the CHIP state plan in section 4, inclusive of PDF pages re","cbCaigLYjyVfus46","https://ap.wps.com/l/cbCaigLYjyVfus46","pdf",1339160,77,"English","# Preamble\n## Statutory assessment and reporting deadlines\n## Purpose and design goals of the framework\n# CHIP Annual Report Template System (CARTS) Overview\n## Section I: Snapshot of CHIP Programs and Changes\n## Section II: Program’s Performance Measurement and Progress\n## Section III: Assessment of State Plan and Program Operation\n## Section IV: Program Financing for State Plan\n## Section V: Program Challenges and Accomplishments\n# Submission Guidance and Disclosure\n## OMB Paperwork Reduction Act disclosure and burden estimate\n## Certification instruction before submission\n# Reporting Header Information\n## State/Territory identification and submission period\n## Signature, contact person, and communication details\n# Section I: Snapshot of CHIP Program and Changes\n## At-a-glance information requests and assurance checkbox\n## Premiums and enrollment fee questions (CHIP Medicaid Expansion vs. Separate Child Health Program)","[{\"question\":\"What are the compliance and submission conditions for the CHIP annual report?\",\"answer\":\"States must submit the report by January 1 following the end of the federal fiscal year. A state is also out of compliance if any section relevant to its program is incomplete.\"},{\"question\":\"What is the CARTS structure for the CHIP annual report?\",\"answer\":\"CARTS is organized into five sections: (I) Snapshot of CHIP Programs and Changes, (II) Program’s Performance Measurement and Progress, (III) Assessment of State Plan and Program Operation, (IV) Program Financing for State Plan, and (V) Program Challenges and Accomplishments.\"},{\"question\":\"What additional disclosures and burden information are included?\",\"answer\":\"The framework includes Paperwork Reduction Act disclosure stating no response is required without a valid OMB control number, provides the valid OMB control number (0938-1148), and estimates an average 40 hours per response.\"}]","FRAMEWORK FOR THE ANNUAL REPORT OF THE CHILDREN’S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT - Annual report template framework | PDF",194]