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Table of ContentsState/Territory Name: North Carolina State Plan Amendment (SPA) #: 12011 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form 3) Approved

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How to fill out state plan amendment spa

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Step 1: Obtain a copy of the State Plan Amendment (SPA) form.

02

Step 2: Review the instructions and guidelines provided with the SPA form.

03

Step 3: Gather all the necessary information and documents required to complete the SPA.

04

Step 4: Fill out the SPA form accurately and completely, following the provided instructions.

05

Step 5: Double-check all the information entered on the form for accuracy.

06

Step 6: Attach any supporting documents or additional information as required.

07

Step 7: Review the completed SPA form once again to ensure it is error-free.

08

Step 8: Submit the filled-out SPA form along with any required supporting documents to the designated authority.

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Step 9: Wait for a response from the authority regarding the acceptance or any additional steps needed.

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Step 10: Follow any further instructions provided by the authority for finalizing the State Plan Amendment.

Who needs state plan amendment spa?

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Healthcare providers who participate in Medicaid programs and wish to modify or update their existing state plan.

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State agencies responsible for administering Medicaid programs and overseeing policy changes.

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Government officials and policymakers involved in the development and implementation of Medicaid policies.

04

Advocacy groups and organizations working in the healthcare field that want to propose changes to existing state plans.

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What is state plan amendment spa?

State Plan Amendment (SPA) is a formal request by a state Medicaid agency to the Centers for Medicare & Medicaid Services (CMS) to amend its Medicaid state plan.

Who is required to file state plan amendment spa?

State Medicaid agencies are required to file state plan amendment SPA.

How to fill out state plan amendment spa?

State plan amendment SPA can be filled out by providing all the required information requested by CMS in the amendment form.

What is the purpose of state plan amendment spa?

The purpose of state plan amendment SPA is to make changes or updates to the state Medicaid program as required by CMS.

What information must be reported on state plan amendment spa?

State plan amendment SPA must include detailed information about the proposed changes to the state Medicaid program.

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