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The following are links to State Plan Amendments (SPA) that were submitted to the Centers for Medicare and Medicaid Services (CMS) for review and are currently pending approval. These SPAs have been submitted, but not yet approved. The final versions may be subject to significant change.

California Title XXI SPA – #20- Transition of HFP to Medi-Cal through the Medicaid Expansion, Create AIM-Linked Infant and Children’s Program, Describe Modified Enrollment Process for AIM & C-CHIP through California’s Healthcare Eligibility, Enrollment and Retention System.