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Table of Contents State/Territory Name: Ohio State Plan Amendment (SPA) #: 220032 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Summary Page 3) Approved

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How to fill out ohio state plan amendment

01

Obtain a copy of the Ohio State Plan Amendment form.

02

Fill out the required information such as name, address, contact details, etc.

03

Provide detailed information about the proposed changes or amendments to the state plan.

04

Attach any supporting documents or evidence required for the amendment.

05

Review the completed form for accuracy and completeness before submitting it.

Who needs ohio state plan amendment?

01

Anyone who wants to propose changes or amendments to the Ohio State Plan would need to fill out the Ohio State Plan Amendment.

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What is ohio state plan amendment?

Ohio state plan amendment is a written document submitted to the state that describes changes to the Medicaid program.

Who is required to file ohio state plan amendment?

Ohio state plan amendment must be filed by the state Medicaid agency.

How to fill out ohio state plan amendment?

Ohio state plan amendment can be filled out by completing the necessary forms and providing all required information as per state guidelines.

What is the purpose of ohio state plan amendment?

The purpose of ohio state plan amendment is to notify the federal government of changes to the state's Medicaid program.

What information must be reported on ohio state plan amendment?

Ohio state plan amendment must include details of the proposed changes to the Medicaid program and the impact of those changes.

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