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Table of ContentsState Plan Amendment: SPA 170017 EPS DT Fees (Oct. 1) This file contains the following documents in order listed: 1. 2. 3. 4.CMS Approval Letter CMS Form 179 Superseding Page Listing
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Follow the instructions step by step and fill out each section of the SPA form accurately and thoroughly.
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Provide all the required details, such as the purpose of the amendment, the affected services or programs, and any proposed changes.
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State Plan Amendment (SPA) is a formal request by a state to the Centers for Medicare & Medicaid Services (CMS) to make changes to its Medicaid State Plan.
State Medicaid agencies are required to file State Plan Amendments (SPAs) to request changes to their Medicaid State Plans.
State plan amendment SPAs can be filled out electronically through the Medicaid State Plan portal or submitted in hard copy to the CMS regional office.
The purpose of a state plan amendment SPA is to request changes to a state's Medicaid State Plan in order to implement new programs, policies, or changes required by federal law.
State plan amendment SPAs must include a description of the proposed change, the legal authority for the change, and any impact on beneficiaries or providers.
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