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Table of ContentsState/Territory Name: Kansas State Plan Amendment (SPA) #: 210004 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form 3) Approved SPA
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Step 1: Access the Maryland State Plan Amendment form online or request a copy from the appropriate agency.
02
Step 2: Fill out the introductory information, such as name, address, and contact details.
03
Step 3: Provide details about the proposed changes or amendments to the state plan.
04
Step 4: Include any supporting documentation or additional information required for the amendment.
05
Step 5: Review the completed form for accuracy and make any necessary corrections.
06
Step 6: Submit the completed Maryland State Plan Amendment form to the appropriate agency for review and approval.

Who needs maryland state plan amendment?

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Healthcare providers
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Organizations seeking changes to healthcare programs in Maryland
03
State agencies overseeing healthcare services
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Maryland State Plan Amendment (SPA) is a formal document that outlines changes to the state's Medicaid program which must be approved by the Centers for Medicare and Medicaid Services (CMS).
The Maryland Department of Health or any other state agency responsible for administering the Medicaid program in Maryland is required to file the state plan amendment.
To fill out the Maryland State Plan Amendment, the state agency responsible for Medicaid program must document all proposed changes and submit them to CMS for approval.
The purpose of Maryland State Plan Amendment is to update and modify the state's Medicaid program to reflect changes in federal regulations or state policies.
The Maryland State Plan Amendment must include detailed information about the proposed changes to the Medicaid program, the impact on beneficiaries, and the expected outcomes.
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