Get the free Delaware State Plan Amendment (SPA) #: 23-0001

Table of ContentsState/Territory Name:0DUODQGState Plan Amendment (SPA) #:This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with 179like

How to fill out delaware state plan amendment

How to fill out delaware state plan amendment

1. Obtain a copy of the Delaware State Plan Amendment form
2. Fill in the required information including the Medicaid agency name, contact information, and the purpose of the amendment
3. Provide a detailed explanation of the changes being proposed in the amendment
4. Include any supporting documentation or data to justify the need for the amendment
5. Review the completed form for accuracy and completeness before submitting it to the appropriate state agency

Who needs delaware state plan amendment?

1. Providers who wish to make changes to their Medicaid services in Delaware
2. Organizations seeking to update or modify their existing Medicaid programs in the state

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What is delaware state plan amendment?

A delaware state plan amendment is a formal document that outlines changes or updates to the state's Medicaid program.

Who is required to file delaware state plan amendment?

State officials or agencies responsible for administering the Medicaid program in Delaware are required to file state plan amendments.

How to fill out delaware state plan amendment?

Delaware state plan amendments can be filled out electronically or on paper forms provided by the state Medicaid agency. The necessary information must be accurately and completely reported.

What is the purpose of delaware state plan amendment?

The purpose of a delaware state plan amendment is to ensure that the state's Medicaid program is in compliance with federal regulations and to reflect any changes or updates to program policies.

What information must be reported on delaware state plan amendment?

Delaware state plan amendments must include details of any changes to Medicaid eligibility criteria, benefits, provider payment rates, or program administration.