Form preview

Get the free State Plan Amendment (SPA) #:13-001 - medicaid

Get Form
Table of Contents State/Territory Name:MississippiState Plan Amendment (SPA) #:13001 This file contains the following documents in the order listed: 1) Approval Letter 2) Summary Form 179 3) Approved
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign state plan amendment spa

Edit
Edit your state plan amendment spa form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your state plan amendment spa form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit state plan amendment spa online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to benefit from the PDF editor's expertise:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit state plan amendment spa. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, it's always easy to deal with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
35 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

When you're ready to share your state plan amendment spa, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.
Create, edit, and share state plan amendment spa from your iOS smartphone with the pdfFiller mobile app. Installing it from the Apple Store takes only a few seconds. You may take advantage of a free trial and select a subscription that meets your needs.
On an Android device, use the pdfFiller mobile app to finish your state plan amendment spa. The program allows you to execute all necessary document management operations, such as adding, editing, and removing text, signing, annotating, and more. You only need a smartphone and an internet connection.
State Plan Amendment (SPA) is a formal request by a state Medicaid agency to the Centers for Medicare and Medicaid Services (CMS) to change its Medicaid State Plan.
State Medicaid agencies are required to file State Plan Amendments (SPAs) in order to make changes to their Medicaid State Plans.
State Plan Amendments (SPAs) can be filled out electronically through the Medicaid Online System or by submitting a paper copy to the appropriate CMS Regional Office.
The purpose of a State Plan Amendment (SPA) is to request changes to the Medicaid State Plan in order to implement new policies, procedures, or program modifications.
State Plan Amendments (SPAs) must include a description of the proposed changes, the reason for the change, the impact on beneficiaries, and an analysis of the fiscal impact.
Fill out your state plan amendment spa online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.