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ATTACHMENT 4.19D Page 1 Revised 10/01/19 PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT STATE OF SOUTH CAROLINA The Medicaid Agency Rate Setting Policies, Procedures and Methods for Nursing Facilities,
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To fill out state plan attachment 419, follow these steps:
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Gather all the necessary information and documents required to complete the attachment.
03
Begin by providing the name and contact information of the person or organization submitting the state plan.
04
Next, indicate the specific section or sections of the state plan that the attachment corresponds to.
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Provide a detailed explanation or description of the attachment, ensuring that it aligns with the relevant section of the state plan.
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Finally, submit the filled-out state plan attachment 419 along with the rest of the state plan as instructed by the relevant authority.

Who needs state plan attachment 419?

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State plan attachment 419 is typically needed by organizations or individuals who are required to submit a state plan.
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This may include government agencies, non-profit organizations, educational institutions, or any other entity that is mandated to develop and submit a state plan.
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The attachment is used to provide additional details, explanations, or supporting documentation related to specific sections of the state plan.
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State Plan Attachment 419 is a specific document required by some state agencies that outlines the plans for state-level services, including details on program administration and budgeting.
Organizations, agencies, or entities that receive federal funding for state services may be required to file State Plan Attachment 419.
To fill out State Plan Attachment 419, you need to follow the provided guidelines, which typically include entering relevant data about programs, budgets, and projected outcomes according to the prescribed format.
The purpose of State Plan Attachment 419 is to provide a framework that ensures consistency, accountability, and proper allocation of resources for state services.
Information that must be reported generally includes program details, budget estimates, service delivery plans, and performance measures.
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