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Revised Pages for: CALIFORNIA MEDICAID STATE PLAN Under Transmittal of STATE PLAN AMENDMENT (SPA) 10-018* All new pages will have this SPA* number identified as the new TN No., so it will not be repeated for each new insert pages. Instruction: 1) Remove Section 1.4, page 9 2) Insert Section 1.4, pages 9-12

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Page 1: Revised Pages for: CALIFORNIA MEDICAID STATE … · Revised Pages for: CALIFORNIA MEDICAID STATE PLAN Under Transmittal of STATE PLAN AMENDMENT (SPA) 10-018* All new pages will have

Revised Pages for:

CALIFORNIA MEDICAID STATE PLAN

Under Transmittal of

STATE PLAN AMENDMENT (SPA)

10-018*

All new pages will have this SPA* number identified as the new TN No., so it will not be repeated for each new insert pages.

Instruction:

1) Remove Section 1.4, page 9

2) Insert Section 1.4, pages 9-12

Page 2: Revised Pages for: CALIFORNIA MEDICAID STATE … · Revised Pages for: CALIFORNIA MEDICAID STATE PLAN Under Transmittal of STATE PLAN AMENDMENT (SPA) 10-018* All new pages will have

Page 3: Revised Pages for: CALIFORNIA MEDICAID STATE … · Revised Pages for: CALIFORNIA MEDICAID STATE PLAN Under Transmittal of STATE PLAN AMENDMENT (SPA) 10-018* All new pages will have

Page 4: Revised Pages for: CALIFORNIA MEDICAID STATE … · Revised Pages for: CALIFORNIA MEDICAID STATE PLAN Under Transmittal of STATE PLAN AMENDMENT (SPA) 10-018* All new pages will have

Page 5: Revised Pages for: CALIFORNIA MEDICAID STATE … · Revised Pages for: CALIFORNIA MEDICAID STATE PLAN Under Transmittal of STATE PLAN AMENDMENT (SPA) 10-018* All new pages will have

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