Get the free California State Plan Amendment (SPA) #: 20-0024
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State/Territory Name: CA
State Plan Amendment (SPA) #: CA220025
This file contains the following documents in the order listed:
1) Approval Letter
2) CMS 179 Form/Summary Form (with
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How to fill out california state plan amendment
How to fill out california state plan amendment
01
Review the requirements for California state plan amendment
02
Obtain the necessary forms and documents for the submission
03
Fill out the forms with accurate information and supporting documentation
04
Submit the completed amendment to the appropriate state agency for review
05
Follow up with the agency for any additional information or revisions needed
Who needs california state plan amendment?
01
Healthcare providers
02
Organizations providing healthcare services
03
Agencies responsible for Medicaid administration in California
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What is california state plan amendment?
California State Plan Amendment is a proposed change to the state's Medicaid program that must be submitted to the Centers for Medicare and Medicaid Services (CMS) for approval.
Who is required to file california state plan amendment?
California State Plan Amendment must be filed by the state's Medicaid agency or other designated state entity.
How to fill out california state plan amendment?
California State Plan Amendment can be filled out online through the CMS website or by submitting a paper application to the appropriate CMS regional office.
What is the purpose of california state plan amendment?
The purpose of California State Plan Amendment is to request changes to the state's Medicaid program in order to improve services, increase eligibility, or implement new regulations.
What information must be reported on california state plan amendment?
California State Plan Amendment must include details on the proposed changes, justification for the changes, and any potential impact on beneficiaries.
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