Prior to the implementation of any MCP authorized under 42 C.F.R. Part 438, OHCA will receive the following authorizations:
(1) Federal authority through a State Plan Amendment or waiver of the Act;
(2) CMS approval of each contract in relation to the MCP;
(3) CMS approval of all contract rates authorized under the MCP; and
(4) CMS approval of direct payment arrangements authorized under the MCP.