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Table of Contents State/Territory Name: North Dakota State Plan Amendment (SPA) #: 210005 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary

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How to fill out nd state plan amendment

01

Review the current North Dakota State Plan Amendment guidelines and requirements.

02

Complete all necessary forms and documentation as outlined in the guidelines.

03

Submit the completed State Plan Amendment to the appropriate state agency for review and approval.

04

Follow up with the state agency as needed to address any questions or concerns they may have.

Who needs nd state plan amendment?

01

Providers or organizations in North Dakota that participate in state-funded programs and services may need to fill out a State Plan Amendment.

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What is nd state plan amendment?

ND state plan amendment refers to changes made to the state's Medicaid program to comply with federal requirements.

Who is required to file nd state plan amendment?

The state Medicaid agency is required to file nd state plan amendment.

How to fill out nd state plan amendment?

ND state plan amendment can be filled out following the instructions provided by the Centers for Medicare & Medicaid Services (CMS).

What is the purpose of nd state plan amendment?

The purpose of nd state plan amendment is to ensure that the state's Medicaid program is in compliance with federal regulations and requirements.

What information must be reported on nd state plan amendment?

ND state plan amendment must include information on any proposed changes to the Medicaid program, including details on coverage, eligibility, and services.

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