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Table of Contents State/Territory Name: Washington State Plan Amendment (SPA) #: 160025 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form 3) Approved

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Step 1: Gather all necessary information and documents needed for filling out the State Plan Amendment (SPA). This may include previous versions of the SPA, relevant state regulations, and any supporting documentation.

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