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Get the free California State Plan Amendment (SPA) #: 15-020

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Table of Contents State/Territory Name: CA State Plan Amendment (SPA) #: 210045. This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with
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How to fill out california state plan amendment

01
Access the California Department of Health Care Services website to download the State Plan Amendment (SPA) template.
02
Fill out the necessary sections of the SPA template with the required information and details.
03
Ensure all supporting documentation and justification is included with the completed SPA.
04
Submit the filled out SPA and supporting documentation to the appropriate department or agency for review and approval.

Who needs california state plan amendment?

01
Healthcare providers in California who wish to make changes or modifications to their Medicaid services.
02
Organizations or agencies seeking to expand or update their Medicaid programs in California.
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A California State Plan Amendment is a formal request to modify an existing state plan, typically related to federal programs or regulations, to ensure compliance with new policies or to adjust the implementation of state programs.
Entities such as state agencies, local governments, or organizations receiving federal funds that seek to modify their existing state plans are required to file a California State Plan Amendment.
To fill out a California State Plan Amendment, you typically need to complete the required forms provided by the state agency, provide detailed descriptions of the proposed changes, include supporting data and documents, and submit the completed application by the deadline specified.
The purpose of a California State Plan Amendment is to formally update and revise state plans to reflect changes in policy, address new regulations or funding requirements, and improve the effectiveness of programs.
Information that must be reported includes details about the proposed changes, justification for these changes, fiscal implications, targeted populations, relevant data, and any other documentation required by the state agency.
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