Code of Federal Regulations Title 45. Public Welfare § 45.1233.10 How does the Director make efforts to accommodate intergovernmental concerns?

(1) Accepts the recommendation;

(2) Reaches a mutually agreeable solution with the state process;  or

(3) Provides the single point of contact with a written explanation of the Agency's decision, in such form as the Director in his or her discretion deems appropriate. The Director may also supplement the written explanation by providing the explanation to the single point of contact by telephone, other telecommunication, or other means.

(1) The Agency will not implement its decision for at least ten days after the single point of contact receives the explanation;  or

(2) The Director has reviewed the decision and determined that, because of unusual circumstances, the waiting period of at least ten days is not feasible.