Forty-two states reportedly have applied and been approved for extensions to submit to CMS their initial spending plans and narratives required to access the increased federal Medicaid matching funds for home- and community-based services from the American Rescue Plan, a trend one stakeholder says was expected and isn’t likely to hurt states’ abilities to use the funds. Only nine states have submitted plans so, according to an advocacy group that heard the information from CMS. CMS did not respond to...