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Table of Contents State/Territory Name: Indiana State Plan Amendment (SPA) #: 180004 NEXT Broker This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary

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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 make a change to their Medicaid state plan.

Who is required to file state plan amendment spa?

State Medicaid agencies are required to file State Plan Amendment (SPA) with the Centers for Medicare & Medicaid Services (CMS).

How to fill out state plan amendment spa?

State Medicaid agencies can fill out State Plan Amendment (SPA) by following the guidelines provided by the Centers for Medicare & Medicaid Services (CMS) and submitting the required information.

What is the purpose of state plan amendment spa?

The purpose of State Plan Amendment (SPA) is to request changes or additions to the Medicaid state plan in order to comply with federal regulations or address programmatic needs.

What information must be reported on state plan amendment spa?

State Plan Amendment (SPA) must include specific details about the proposed changes to the Medicaid state plan, rationale for the changes, and potential impact on beneficiaries.

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