Reliance Upon States to Initiate Budget - Coordinated Activity

4005 - Reliance Upon States to Initiate Budget - Coordinated Activity Plans for Carrying Out Program Action (Rev. 1, 05-21-04) States are encouraged to conduct their administrative affairs to harmonize, within broad Federal guidelines, with their own programmatic resources, recognized needs, and accustomed methods of operation. State-initiated proposals are considered within certain limits for adoption or approval by the CMS. They are evaluated for efficiency in attaining program objectives, and for general administrative prudence and accountability.