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The 1115 Waiver and State Plan are key policy documents guiding Arizona's Medicaid services. The State Plan, an agreement between Arizona and the federal government, outlines the operational framework of Medicaid, including eligibility criteria, benefits, services offered, and provider payment methods. Arizona's Medicaid program can be amended through State Plan Amendments (SPAs), which must comply with federal requirements and receive approval from the Centers for Medicare and Medicaid Services (CMS). SPAs are negotiated with CMS and, once approved, are permanently integrated into the Medicaid program, becoming effective on specified start dates. Medicaid was established by the US government in 1965.
