Form preview

Get the free State Plan Amendment (SPA) #: AZ-24-0016

Get Form
Table of Contents State/Territory Name: Arizona State Plan Amendment (SPA) #: AZ240016 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with 179like data) 3) Approved SPA PagesDEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S31428 Baltimore, Maryland 212441850 Financial Management Group December 13, 2024 Carmen Heredia, Director Arizona Health Care Cost Containment...
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign state plan amendment spa

Edit
Edit your state plan amendment spa form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your state plan amendment spa form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing state plan amendment spa online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit state plan amendment spa. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Create an account to find out for yourself how it works!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out state plan amendment spa

Illustration

How to fill out state plan amendment spa

01
Begin by gathering all necessary documentation related to the current state plan.
02
Identify the specific amendments needed and categorize them.
03
Complete the required forms with accurate information for each amendment.
04
Ensure all data aligns with federal and state regulations.
05
Review the draft amendment for clarity and completeness.
06
Obtain required approvals from relevant authorities within the state.
07
Submit the completed amendment to the appropriate federal agency.
08
Monitor the status of your submission and respond to any requests for additional information.

Who needs state plan amendment spa?

01
State governments seeking to modify their Medicaid plans.
02
Healthcare agencies aiming to implement new services or change existing ones.
03
Organizations seeking to comply with updated federal requirements.
04
Stakeholders involved in the administration of state-funded health programs.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
35 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Using pdfFiller with Google Docs allows you to create, amend, and sign documents straight from your Google Drive. The add-on turns your state plan amendment spa into a dynamic fillable form that you can manage and eSign from anywhere.
pdfFiller has made it simple to fill out and eSign state plan amendment spa. The application has capabilities that allow you to modify and rearrange PDF content, add fillable fields, and eSign the document. Begin a free trial to discover all of the features of pdfFiller, the best document editing solution.
Use the pdfFiller mobile app to complete your state plan amendment spa on an Android device. The application makes it possible to perform all needed document management manipulations, like adding, editing, and removing text, signing, annotating, and more. All you need is your smartphone and an internet connection.
A State Plan Amendment (SPA) is a formal request submitted by a state to the Centers for Medicare & Medicaid Services (CMS) to change its Medicaid state plan, which outlines the state's approach to providing Medicaid services.
States are required to file a State Plan Amendment when they want to make changes to their Medicaid program or when such changes are required by federal law.
To fill out a State Plan Amendment, states must complete specific forms provided by CMS, including detailed descriptions of the proposed changes and supporting documentation, and must also provide an opportunity for public comment.
The purpose of a State Plan Amendment is to update or modify the state's Medicaid plan to reflect changes in policy, legislation, or program operations that require approval from CMS.
The information that must be reported on a State Plan Amendment includes the nature of the amendment, affected populations, any proposed changes to reimbursement methodology, implementation dates, and fiscal impact analysis.
Fill out your state plan amendment spa online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.