Get the free WI State Plan Amendment (SPA) #: 24-0008

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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F01246 (01/2024)STATE OF WISCONSIN Statutes 48.685 and 50.065 Administrative Rule DHS 12.05(4)BACKGROUND INFORMATION DISCLOSURE ADDENDUM

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What is wi state plan amendment?

A WI state plan amendment is a formal request to modify or update the existing state plan regarding specific programs or policies under state jurisdiction, typically relating to healthcare or social services.

Who is required to file wi state plan amendment?

Entities that administer state programs affected by changes in policy, regulations, or funding, such as state agencies or organizations operating under state mandates, are required to file a WI state plan amendment.

How to fill out wi state plan amendment?

To fill out a WI state plan amendment, you must complete the designated application forms, provide supporting documentation, and ensure all required information is accurately detailed before submission.

What is the purpose of wi state plan amendment?

The purpose of a WI state plan amendment is to ensure that the state plan remains compliant with federal guidelines, reflects current policies, and addresses changes in funding or program operations.

What information must be reported on wi state plan amendment?

Information that must be reported includes details about program changes, funding adjustments, compliance with federal regulations, and any new policies being implemented.

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