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WORKTOP FORTUITY.ANDREW M. CUOMO GovernorDepartment of Health HOWARD A. TUCKER, M.D., J.D. CommissionerSALLY DRESSING, M.S., R.N. Executive Deputy Commissioner September 30, 2019, Ms. Nicole McKnight
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Fill in the details of the applied behavior, including the specific behaviors being assessed and observed.
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SPA 19-46 refers to a specific State Plan Amendment related to applied behavior analysis services for individuals with autism or other behavioral health needs.
States that wish to amend their Medicaid State Plan to include coverage for applied behavior analysis services are required to file SPA 19-46.
To fill out SPA 19-46, states must provide documentation of the proposed amendments, including policies, procedures, fee schedules, and any supporting data to demonstrate compliance with federal regulations.
The purpose of SPA 19-46 is to establish coverage and reimbursement for medically necessary applied behavior analysis services for eligible individuals under Medicaid.
Information that must be reported includes service definitions, provider qualifications, coverage limitations, reimbursement rates, and compliance with federal Medicaid requirements.
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