42 CFR § 408.205
Application procedures
June 11, 2020
(a) A State or local government agency must contact its CMS regional office (RO) to request application materials.
(b) If interested in entering into an agreement, the State or local government agency must return to the RO two copies of the completed application materials.
(c) CMS reviews the application materials, and, when they are approved, notifies the State or local government agency, and the RO.