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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services MICHELLE BASS DIRECTORGAVIN NEWSOM GOVERNOR September 28, 2022, THIS LETTER SENT VIA EMAIL Mr. James G. Scott,
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SPA 22-0050 is a pending State Plan Amendment related to specific healthcare regulatory changes or updates.
States that provide Medicaid services and intend to change their state plan must file SPA 22-0050.
To fill out SPA 22-0050, states should follow the CMS guidelines and instructions provided for each section of the amendment.
The purpose of SPA 22-0050 is to align state Medicaid plans with federal guidelines and to incorporate necessary changes in services or reimbursement.
States must report details such as the specific changes being made, fiscal impacts, and justification for the changes in SPA 22-0050.
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