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Table of Contents State/Territory Name: CA State Plan Amendment (SPA) #: CA210059 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with
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An state plan amendment is a change to a state's Medicaid plan that requires federal approval.
State Medicaid agencies are typically responsible for filing state plan amendments.
State plan amendments can be filled out electronically through the Medicaid Management Information System.
The purpose of a state plan amendment is to make changes to a state's Medicaid program in accordance with federal regulations.
The information reported on a state plan amendment may include changes to covered services, provider reimbursement rates, or eligibility criteria.
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