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Table of Contents State/Territory Name: Arizona State Plan Amendment (SPA) #: 19006 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form
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How to fill out arizona state plan amendment

01
To fill out the Arizona State Plan Amendment, follow these steps:
02
Begin by downloading the latest version of the Arizona State Plan Amendment form from the official website of the Arizona state government.
03
Carefully read the instructions and requirements stated in the form.
04
Gather all necessary information and supporting documents that are required for the amendment.
05
Fill out each section of the form accurately and completely. Provide all relevant details and make sure to use clear and concise language.
06
Review the completed form to ensure there are no errors or omissions. Double-check all the information entered.
07
Sign and date the form as the authorized representative.
08
Attach any required supporting documents to the form.
09
Make a copy of the completed form and supporting documents for your records.
10
Submit the filled-out form and supporting documents to the designated office or department responsible for processing state plan amendments.
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Keep a record of the submission for future reference and follow up if necessary.
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Note: It is recommended to consult with legal or regulatory experts familiar with Arizona state laws and regulations before submitting the amendment to ensure compliance.

Who needs arizona state plan amendment?

01
Arizona State Plan Amendment is required by individuals or organizations who are seeking to modify or update the existing state plan for a specific purpose.
02
These may include:
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- State agencies or departments responsible for social services, healthcare, education, or other sectors covered by the state plan.
04
- Non-profit organizations or community groups working with the state government on specific programs or initiatives.
05
- Private companies or consultants involved in contracted services with the state government.
06
- Individuals or entities looking to propose changes or improvements to the state plan that may benefit the public or a specific target group.
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It is advised to review the specific guidelines and requirements provided by the Arizona state government to determine who exactly needs to file an amendment and for what purposes.
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The Arizona State Plan Amendment refers to changes or modifications made to the Arizona state plan, which outlines how the state intends to implement certain federal programs and policies, often related to health care, social services, or public assistance.
Entities such as state agencies, departments, or authorized representatives who manage programs that necessitate updates to the state plan, especially those receiving federal funding, are required to file amendments.
To fill out the Arizona State Plan Amendment, one should follow the guidelines provided by the Arizona state agencies, which typically include completing specific forms, providing necessary data, and ensuring compliance with federal and state regulations.
The purpose of the Arizona State Plan Amendment is to ensure that the state plan remains current, effectively implements federal regulations, and addresses changes in policies, funding, or service delivery in Arizona.
Information that must be reported includes program descriptions, funding levels, the impact of changes, compliance with federal statutes, and other relevant data that reflect the state’s programs and beneficiaries.
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