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Table of Contents State/Territory Name: MARYLAND State Plan Amendment (SPA) #: MD230013 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form 3)
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How to fill out maryland state plan amendment

01
Obtain the Maryland State Plan Amendment form from the appropriate state agency.
02
Fill out the form with accurate and detailed information regarding the requested changes to the state plan.
03
Attach any required supporting documentation to the amendment form.
04
Review the completed form for accuracy and completeness before submission.
05
Submit the filled out Maryland State Plan Amendment form to the designated state agency for review and approval.

Who needs maryland state plan amendment?

01
Entities or organizations operating within the state of Maryland that are seeking changes or updates to the state plan.
02
Government agencies, healthcare providers, or other stakeholders who are required to comply with state plan regulations and guidelines.
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The Maryland State Plan Amendment refers to changes or modifications made to the state's Medicaid plan, which outlines how the program operates, its eligibility criteria, and the services covered.
State authorities or agencies responsible for administering the Medicaid program are required to file Maryland State Plan Amendments.
To fill out a Maryland State Plan Amendment, one must complete the required forms provided by the state health department, ensuring that all requested information is accurately reported and submitted in accordance with state guidelines.
The purpose of the Maryland State Plan Amendment is to update the state's Medicaid program policies, improve services, and ensure compliance with federal regulations.
Information that must be reported includes changes to eligibility criteria, amendments to service coverage, and updates to provider reimbursement policies.
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