Arkansas and Kentucky join Tennessee in receiving final approval of their Statewide Transition plans. The Arkansas final approval letter may be found here. Kentucky, which was one of the first states to receive initial approval, also received its final approval letter in June and can be found here. Both letters note that final approval is not intended to “convey approval of any settings submitted to CMS for heightened scrutiny review, but does convey approval of the state’s process for addressing that issue. CMS will opine on any requests for heightened scrutiny at the time they are submitted.” ACCSES will continue monitoring the state transition planning process and will provide input to CMS as appropriate.