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Table of Contents State/Territory Name: Arizona State Plan Amendment (SPA) #: AZ230020 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form

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First, obtain a copy of the Arizona State Plan Amendment form.

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Fill out the form with accurate and detailed information regarding the changes you wish to make.

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Submit the completed form to the appropriate department or agency for review and approval.

Who needs arizona state plan amendment?

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Any individual, organization, or entity in Arizona that wishes to propose changes or updates to the state plan may need an Arizona State Plan Amendment.

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What is arizona state plan amendment?

The Arizona State Plan Amendment refers to modifications made to the state's Medicaid plan that are submitted to the Centers for Medicare & Medicaid Services (CMS) for approval. This can involve changes in policies, services, or funding related to state healthcare programs.

Who is required to file arizona state plan amendment?

State agencies responsible for the administration of Medicaid programs in Arizona are required to file amendments to the state plan, particularly when there are changes in healthcare policies or funding that need federal approval.

How to fill out arizona state plan amendment?

To fill out an Arizona State Plan Amendment, agencies must complete the appropriate CMS templates, provide detailed descriptions of changes, and submit supporting documentation that outlines the modifications being proposed.

What is the purpose of arizona state plan amendment?

The purpose of the Arizona State Plan Amendment is to ensure that the state’s Medicaid program complies with federal regulations, allows for adjustments in policy, and addresses changes in the delivery of healthcare services.

What information must be reported on arizona state plan amendment?

The information that must be reported includes changes in service delivery, funding levels, administrative procedures, and any impacts these changes may have on beneficiaries and the overall program.

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