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Table of Contents State/Territory Name: Washington State Plan Amendment (SPA) #: 200014 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 state plan amendment spa

How to fill out state plan amendment spa
01
To fill out a State Plan Amendment (SPA), follow these steps:
02
Read the instructions: Familiarize yourself with the requirements and guidelines for completing the SPA. Make sure you understand what information needs to be provided.
03
Gather necessary documents: Collect all the relevant documents and information that are required to support your SPA. This may include financial statements, program descriptions, and other supporting documentation.
04
Complete the required forms: Fill out the provided forms accurately and completely. Ensure that all essential fields are filled in with the correct information.
05
Attach supporting documentation: Assemble all the supporting documents that are necessary to support your SPA. Make sure they are properly labeled and organized.
06
Review and proofread: Double-check all the filled forms and attached documents for any errors or omissions. Ensure that the information is consistent and accurate.
07
Submit the SPA: Once you have completed all the necessary steps, submit your SPA to the appropriate authority or agency as per the instructions provided.
08
Follow up: Keep track of the progress of your SPA and be prepared to provide any additional information or resolve any queries that may arise during the review process.
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Remember to consult the specific guidelines and requirements provided by your state or jurisdiction for filling out the SPA, as they may vary.
Who needs state plan amendment spa?
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State Plan Amendment (SPA) is required by organizations or entities that are seeking changes or modifications to their existing state plans.
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This may include state or local government agencies, healthcare providers, or other service providers who participate in state-funded programs.
03
The need for a SPA arises when an organization wishes to make changes to its program or service offerings, adjust funding allocations, or address other programmatic or administrative changes.
04
It is important for these entities to carefully review the requirements and guidelines set forth by their respective state or jurisdiction to determine if a SPA is necessary for their proposed modifications.
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What is state plan amendment spa?
A State Plan Amendment (SPA) is a formal request submitted by a state to the Centers for Medicare & Medicaid Services (CMS) to change its Medicaid state plan.
Who is required to file state plan amendment spa?
State governors or their designated officials are responsible for filing SPAs on behalf of their state Medicaid programs.
How to fill out state plan amendment spa?
Filling out a SPA involves completing a designated form provided by CMS, including specific details about the proposed changes, and ensuring all required documentation is attached.
What is the purpose of state plan amendment spa?
The purpose of a SPA is to update and modify a state's Medicaid plan to reflect changes in policies, services, funding, or federal rules.
What information must be reported on state plan amendment spa?
SPAs must report detailed information about the proposed changes, including the specific provisions being amended, the rationale for changes, and their impact on Medicaid services.
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