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Table of Contents State/Territory Name:Missouri State Plan Amendment (SPA) MO: 220003 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form

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How to fill out missouri state plan amendment

01

Obtain a copy of the Missouri state plan amendment form.

02

Fill out the basic information section including name, address, and contact information.

03

Provide details on the proposed changes that need to be made to the state plan.

04

Include any supporting documentation or rationale for the proposed changes.

05

Review the completed form for accuracy and completeness before submitting.

Who needs missouri state plan amendment?

01

Providers or organizations in Missouri that are seeking changes or updates to the state plan for Medicaid services.

02

Government agencies or officials responsible for overseeing Medicaid services in the state of Missouri.

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What is missouri state plan amendment?

Missouri state plan amendment is a proposal to modify the state's Medicaid program.

Who is required to file missouri state plan amendment?

Healthcare providers and organizations participating in Missouri's Medicaid program are required to file a state plan amendment.

How to fill out missouri state plan amendment?

Missouri state plan amendment can be filled out online through the state's Medicaid portal or submitted in paper form to the Medicaid office.

What is the purpose of missouri state plan amendment?

The purpose of Missouri state plan amendment is to request changes to the state's Medicaid program in order to better serve beneficiaries.

What information must be reported on missouri state plan amendment?

Missouri state plan amendment must include details on proposed changes, impact on beneficiaries, and financial considerations.

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