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Get the free Arkansas State Plan Amendment (SPA) 20-0019 - Medicaid - humanservices arkansas

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Table of ContentsState/Territory Name: Arkansas State Plan Amendment (SPA) #: 200019 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form 3) Approved
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How to fill out arkansas state plan amendment

01
Review the Arkansas state plan amendment instructions provided by the state Medicaid agency.
02
Fill out the required sections of the amendment form accurately and completely.
03
Include any necessary supporting documentation such as budget projections or justification for the proposed changes.
04
Obtain any required signatures from authorized parties within your organization.
05
Submit the completed amendment form and supporting documentation to the state Medicaid agency for review and approval.

Who needs arkansas state plan amendment?

01
Providers or organizations participating in the Arkansas Medicaid program who wish to propose changes to the state plan or seek reimbursement for new services.
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Arkansas State Plan Amendment is a formal document submitted to the federal government by the state of Arkansas to request changes or updates to its Medicaid program.
The state Medicaid agency in Arkansas is required to file the Arkansas State Plan Amendment.
To fill out the Arkansas State Plan Amendment, the state Medicaid agency needs to provide detailed information about the proposed changes to the Medicaid program.
The purpose of the Arkansas State Plan Amendment is to notify the federal government of any changes or updates to the state's Medicaid program.
The Arkansas State Plan Amendment must include details about the proposed changes, the impact on beneficiaries, and any necessary legal or regulatory citations.
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