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Get the free California State Plan Amendment (SPA) #: 14-002

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Table of Contents State/Territory Name: CA State Plan Amendment (SPA) #: CA240014 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with
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Obtain the necessary forms for the California State Plan Amendment.
02
Fill out the forms with accurate and detailed information.
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Be sure to include any required supporting documentation.
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Review the completed forms for any errors or omissions.
05
Submit the forms and supporting documentation to the appropriate agency for review and approval.

Who needs california state plan amendment?

01
Healthcare providers who participate in the California Medicaid program.
02
Organizations seeking to make changes to the California State Medicaid Plan.
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Entities looking to implement new programs or services that require approval from the state.
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A California state plan amendment refers to a formal change or update to the state's established plan or program which is usually submitted to a federal agency for approval.
Entities such as state agencies, organizations, or individuals that oversee or manage programs requiring federal approval or funding are generally required to file a California state plan amendment.
To fill out a California state plan amendment, you will typically need to complete the official form provided by the state agency, ensuring that all required information is included and accurate, and follow specified guidelines for submission.
The purpose of a California state plan amendment is to update or modify existing state plans to reflect changes in policy, procedure, or funding needs, ensuring compliance with federal and state regulations.
The information that must be reported includes details of the amendment, rationale for changes, program objectives, funding allocation, and any relevant statistical data supporting the amendment.
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