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For 2019 and 2020, State was required to submit a SPA for 80% cap implementation – this, despite CCLA efforts, was approved for 2019. For 2020, Dept of Health will be submitting a new SPA to CMS for implementing 80% cap that would start at 1/1/2020. CCLA has written a letter to CMS asking to deny this new SPA. ................
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