Is there a state plan amendment (SPA) pre-print the states can use to comply with section 4106 of the Affordable Care Act or is CMS planning to issue one?

For states seeking the one percentage point federal medical assistance percentage (FMAP) increase, the SPA requirements are indicated on pages 3 and 4 of the State Medicaid Director (SMD) letter #13-002. CMS will not provide a state plan template on section 4106 of the Affordable Care Act. However, staff are available to provide technical assistance prior to your SPA submission.

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