Dhia mus rau cov ntsiab lus​​ 
Tsev Cov Ntawv, Cov Cai, thiab Cov Ntawv Tshaj Tawm  Cov Cai thiab Cov Kev Cai Cov Kev Hloov Kho Txoj Kev Npaj Hauv Xeev (SPAs) uas Tau Npaj Tseg​​ 

Kev Hloov Kho Lub Xeev Txoj Kev Npaj (SPAs)​​ 

Back to California’s Medicaid State Plan Main Page​​ 

Certain SPAs propose to change statewide methods and standards for Medicaid payment rates, and these SPAs require a Public Notice prior to submission to CMS. This page provides a link to all SPA Public Notices within the past three years. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages. For some SPAs, the state must also submit its most recent access monitoring review plan.​​