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Table of ContentsState/Territory Name: Florida State Plan Amendment (SPA) #: 170008 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form 3) Approved SPA
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How to fill out florida state plan amendment
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Step 1: Obtain a copy of the Florida State Plan Amendment form from the designated authority.
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Step 8: Keep a copy of the completed form and any supporting documents for your records.
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It is advisable to consult the designated authority or seek legal advice to determine if a Florida State Plan Amendment is necessary for your specific situation.
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