Get the free State Plan Amendment 25-0014

This document outlines the proposal by the Department of Health Care Services (DHCS) to add Certified Wellness Coach (CWC) services as a new benefit under Medi-Cal, aimed at supporting behavioral

How to fill out state plan amendment 25-0014

How to fill out state plan amendment 25-0014

1. Obtain a copy of state plan amendment 25-0014 from the appropriate state agency website.
2. Review the instructions and requirements outlined in the document carefully.
3. Fill out the application form with accurate information regarding the proposed amendments.
4. Include relevant data and documentation to support your amendment request as specified.
5. Ensure that all signatures and authorizations are included as required.
6. Submit the completed amendment form and supporting documents to the designated state office.
7. Keep a copy of the submitted form for your records and follow up for confirmation of receipt.

Who needs state plan amendment 25-0014?

1. State agencies responsible for managing healthcare programs.
2. Organizations seeking changes to their operational plan within state-managed programs.
3. Healthcare providers affected by state policies and regulations.

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What is state plan amendment 25-0014?

State plan amendment 25-0014 is an official modification to a state Medicaid plan that outlines changes in policies or procedures regarding Medicaid services.

Who is required to file state plan amendment 25-0014?

Typically, the state Medicaid agency is required to file state plan amendment 25-0014, but it may also involve input from healthcare providers or stakeholders.

How to fill out state plan amendment 25-0014?

State plan amendment 25-0014 should be filled out according to the specific guidelines provided by the Centers for Medicare & Medicaid Services (CMS), including detailed descriptions of changes and necessary supporting documentation.

What is the purpose of state plan amendment 25-0014?

The purpose of state plan amendment 25-0014 is to seek approval for changes to the Medicaid state plan that improve service delivery or compliance with federal directives.

What information must be reported on state plan amendment 25-0014?

The information reported on state plan amendment 25-0014 typically includes details about proposed changes, fiscal impact, affected populations, and any necessary documentation to support the amendments.