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Table of Contents State/Territory Name: Arkansas State Plan Amendment (SPA) AR: 220002 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form

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How to fill out or state plan amendment

01

Familiarize yourself with the requirements for submitting a state plan amendment.

02

Obtain the necessary forms and documentation needed for the amendment.

03

Clearly state the purpose of the amendment and provide detailed information on the changes being proposed.

04

Review and double-check the amendment for accuracy and completeness before submission.

05

Submit the amendment according to the designated process and timeline.

Who needs or state plan amendment?

01

State agencies responsible for administering federal programs may need to fill out or submit state plan amendments.

02

Nonprofit organizations or entities that receive funding from federal programs may also need to submit state plan amendments.

03

Individuals or groups advocating for changes to existing state plans may need to draft and submit state plan amendments.

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What is or state plan amendment?

An state plan amendment is a formal request to change or modify a state's Medicaid program.

Who is required to file an state plan amendment?

States that participate in Medicaid are required to file state plan amendments.

How to fill out an state plan amendment?

State agencies must work with CMS to complete and submit the necessary paperwork for the state plan amendment.

What is the purpose of an state plan amendment?

The purpose of a state plan amendment is to update or adjust a state's Medicaid program to comply with federal regulations or to make program improvements.

What information must be reported on an state plan amendment?

State plan amendments must include detailed information on the proposed changes, the impact on beneficiaries, and the financial implications.

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