
Get the free California State Plan Amendment (SPA) 20-0006-A - DHCS
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September 30, 2022James G. Scott, Director Division of Program Operations Centers for Medicare & Medicaid Services 601 E. 12th St., Room 355 Kansas City, Missouri 64106 RE: SPA #220012 Constitutional
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How to fill out california state plan amendment

How to fill out california state plan amendment
01
Obtain the necessary forms for the California State Plan Amendment from the appropriate state agency.
02
Fill out the forms completely, making sure to provide accurate and detailed information.
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Include any supporting documentation that may be required, such as financial statements or proof of eligibility.
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Double-check all information for accuracy and completeness before submitting the amendment.
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Submit the completed forms and any supporting documentation to the appropriate state agency for review.
Who needs california state plan amendment?
01
Any organization or individual seeking to make changes to the California State Plan, such as adding new services or expanding coverage, would need to fill out a state plan amendment.
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What is california state plan amendment?
A California State Plan Amendment is a proposed change to the state's Medicaid program that must be approved by the Centers for Medicare and Medicaid Services.
Who is required to file california state plan amendment?
The California Department of Health Care Services is required to file the state plan amendment.
How to fill out california state plan amendment?
California state plan amendments must be filled out according to guidelines provided by the Centers for Medicare and Medicaid Services.
What is the purpose of california state plan amendment?
The purpose of a California State Plan Amendment is to request changes to the Medicaid program in the state.
What information must be reported on california state plan amendment?
California state plan amendments must include information about the proposed changes to the Medicaid program, as well as any impact on beneficiaries.
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