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Table of ContentsState/Territory Name: 0LQQHVRWD State Plan Amendment (SPA) #: 2 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS Form 179 3) Approved SPA

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How to fill out michigan state plan amendment

01

Obtain a copy of the Michigan state plan amendment form from the relevant state agency.

02

Fill out the section requesting information about the purpose of the amendment and the specific changes being proposed.

03

Provide any necessary supporting documentation or data to justify the proposed changes.

04

Review the completed form for accuracy and completeness before submitting.

05

Submit the filled-out Michigan state plan amendment form to the appropriate state agency for review and approval.

Who needs michigan state plan amendment?

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Any organization or entity in Michigan that receives funding or services through a state plan that requires amendments to be made in order to maintain compliance with state regulations.

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What is michigan state plan amendment?

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

Who is required to file michigan state plan amendment?

The Michigan Department of Health and Human Services (MDHHS) is responsible for filing the state plan amendment.

How to fill out michigan state plan amendment?

The michigan state plan amendment can be filled out online through the MDHHS website or by contacting the department directly for assistance.

What is the purpose of michigan state plan amendment?

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

What information must be reported on michigan state plan amendment?

The michigan state plan amendment must include details on any changes made to the state's Medicaid program, such as eligibility requirements, covered services, and reimbursement rates.

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