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Table of Contents State/Territory Name: CA State Plan Amendment (SPA) #: 210006 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with
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Obtain the necessary forms for the CA State Plan Amendment.
02
Fill out all required information accurately and completely.
03
Review the completed amendment form for any errors or missing information.
04
Submit the filled out CA State Plan Amendment to the appropriate state agency or department for review.

Who needs ca state plan amendment?

01
Healthcare providers
02
Managed care organizations
03
Healthcare facilities
04
Any entity seeking to make changes or updates to the CA State Plan
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A CA state plan amendment is a proposal to change or add to the existing state plan that outlines how a state will implement and administer Medicaid programs.
State Medicaid agencies are required to file CA state plan amendments.
CA state plan amendments can be filled out online through the Medicaid Management Information System (MMIS) or through a paper form provided by the state Medicaid agency.
The purpose of a CA state plan amendment is to update or modify the state's Medicaid plan to reflect changes in federal laws or regulations, or to enhance the administration of the state's Medicaid programs.
CA state plan amendments must include details on the proposed changes, the rationale for the changes, and any impact the changes will have on beneficiaries or providers.
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