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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Lo add authorization requirements to certain highcost, high-utilization procedures.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to expand the State's Medicaid Program to add hospice as a new benefit.
Summary: This SPA updates a Memorandum of Agreement involving the Department of Health and Mental Hygiene; the Family Health Administration; the Title V Maternal and Child Health Agency; Title X Family Planning Program; and Special Supplemental Nutrition Program for Women, Infants and Children.
Summary: This SPA implements Express Lane Eligibility for children, in which the Maryland Comptroller will identify through annual State income tax returns those families who are below 300 percent of the Federal Poverty Level and who indicate that their children do not have health insurance coverage.
Summary: This SPA proposed an amendment to the State's approved Title XIX State Plan to limit reimbursement for eyeglasses to one pair per year for adults aged 21 or over.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to expand the State's Medicaid Program to include tuberculosis-related services described under § 1902(z)(2) of the Social Security Act.
Summary: This SPA proposed an amendment to the State's approved Title XIX State Plan to increase the number of allowed individuals in a group therapy visit from eight (8) to twelve (12).
Summary: This SPA extends Medicaid to independent foster care adolescents, in accordance with State legislation, to provide for individuals who were in foster care under the responsibility of the State on their 18th birthday and have not reached the age of 21.
Summary: This amendment revises the methodology used to calculate payment rates for inpatient hospital services. Specifically, it maintains the reimbursement rates in effect for fiscal year 2009 through fiscal years 2010 and 201 l with no inflation adjustment.
