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Table of ContentsState/Territory Name:ColoradoState Plan Amendment (SPA) #: 220001 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form 3)
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Access the Medicaid NCDHHS website (medicaid.ncdhhs.gov) and locate the SPA-22-0001 proposed form.
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Individuals who are seeking to apply for Medicaid benefits in North Carolina may need to fill out the SPA-22-0001 proposed form.
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The medicaidncdhhsgov spa-22-0001-proposedspa 22-0001 proposed is a proposed form for Medicaid services.
Healthcare providers participating in Medicaid programs are required to file the medicaidncdhhsgov spa-22-0001-proposedspa 22-0001 proposed.
The medicaidncdhhsgov spa-22-0001-proposedspa 22-0001 proposed form can be filled out online on the official Medicaid website or submitted through mail.
The purpose of medicaidncdhhsgov spa-22-0001-proposedspa 22-0001 proposed is to collect and report information related to Medicaid services provided.
The medicaidncdhhsgov spa-22-0001-proposedspa 22-0001 proposed form requires reporting of services rendered, patient demographics, and billing details.
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