Get the free Arizona State Plan Amendment (SPA) #: 22-0006
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Table of ContentsState/Territory Name:ArizonaState Plan Amendment (SPA) #: 220006 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form 3)
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How to fill out arizona state plan amendment
How to fill out arizona state plan amendment
01
Obtain a copy of the Arizona state plan amendment form from the appropriate regulatory agency
02
Fill out all required information on the form, including the name and address of the facility, the proposed changes to the state plan, and any supporting documentation
03
Ensure that the information provided is accurate and complete
04
Submit the completed form to the regulatory agency for review and approval
Who needs arizona state plan amendment?
01
Facilities or organizations in Arizona that want to make changes to the state plan that governs their operations
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What is arizona state plan amendment?
Arizona State Plan Amendment is a document filed by the state to request changes in its Medicaid program.
Who is required to file arizona state plan amendment?
The state Medicaid agency is required to file the Arizona State Plan Amendment.
How to fill out arizona state plan amendment?
The Arizona State Plan Amendment can be filled out by the state Medicaid agency following the instructions provided by the Centers for Medicare and Medicaid Services (CMS).
What is the purpose of arizona state plan amendment?
The purpose of Arizona State Plan Amendment is to make changes to the state's Medicaid program in compliance with federal regulations.
What information must be reported on arizona state plan amendment?
The Arizona State Plan Amendment must include details about the proposed changes to the Medicaid program, including any new services or policies.
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