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 Approved State Plan Amendments (SPA)

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The following attachments are amendments to the California State Plan that were recently approved by the Centers for Medicare and Medicaid Services (CMS) have been organized by year. Stakeholders can update their copies by following the links and instructions attached to the documents.   


​Year ​Year
2019 2012

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You may email your questions and concerns regrading State Plan Amendments (SPAs) to  In your email, please include the SPA number in question. 


NOTE: Links on this page are documents in Adobe Acrobat Document Format (PDF); unless indicated are smaller than 2MB. PDF documents require Adobe Reader. If you need to install or upgrade to the latest version select the Download Free Readers link at the bottom of the page.

Last modified on: 4/19/2019 10:04 AM