The purpose of this transmittal is to give notice of the intent to submit an amendment to the District of Columbia State Plan for Medical Assistance (State Plan) to the Centers for Medicare and Medicaid Services (CMS) for review and approval. To assure that the Alternative Benefit Plan (ABP) is aligned with the State Plan as required under section 1937 of the Social Security Act, DHCF is submitting an ABP State Plan Amendment (SPA) to reflect recent changes made to the State Plan.