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Attachment 4.22A
Page 2
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
STATE: ArizonaFrequency of the diagnosis and trauma code edits 800999 (excluding 994.6) per 42 CFR
433.138(e).
Diagnosis
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How to fill out arizona state plan amendment
How to fill out arizona state plan amendment
01
Review the Arizona state plan amendment instructions provided by the state's Medicaid agency.
02
Obtain necessary documentation and information required for the amendment.
03
Complete the required forms accurately and completely.
04
Submit the amendment to the state's Medicaid agency according to the specified deadline.
05
Monitor the status of the amendment and follow up as needed.
Who needs arizona state plan amendment?
01
Healthcare providers seeking to make changes to their Medicaid services in Arizona.
02
Organizations or entities looking to expand or modify their Medicaid program offerings in the state.
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What is arizona state plan amendment?
Arizona state plan amendment is a proposal to modify or improve the existing state plan to better meet the needs of the residents of Arizona.
Who is required to file arizona state plan amendment?
Any individual or organization that has the authority to make changes to the state plan is required to file the Arizona state plan amendment.
How to fill out arizona state plan amendment?
To fill out the Arizona state plan amendment, one must carefully review the current state plan, identify areas that need to be modified, and submit a formal proposal for the changes.
What is the purpose of arizona state plan amendment?
The purpose of Arizona state plan amendment is to ensure that the state's plan aligns with current needs, regulations, and best practices.
What information must be reported on arizona state plan amendment?
The Arizona state plan amendment must include a clear explanation of the proposed changes, the rationale behind the changes, and any anticipated impacts on residents.
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