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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: Implements the Asset Verification System for the purpose of determining Medicaid eligibility for aged, blind, and disabled Medicaid applicants and recipients.
Summary: Provides a Process Under Which the State Seeks Advice from Designees of Indian Health Programs and Urban Indian Organizations on State Plan Amendments, Waivers, and Proposal for Demonstration Projects that may Affect Indian Health, Indians, or Urban Indian Organizations.
Summary: Prior authorization requirements for hospital dental clinics and freestanding dental clinics for identified dental services and requirements for documentation of medical necessity for high cost procedures by dental clinics.
Summary: This SPA transmitted a proposed revision to Connecticut's approved Title XIX State Plan in order to describe its process for consultation with Connecticut's federally-recognized Indian Tribes.
Summary: This SPA transmitted a proposed revision to Connecticut's approved Title XIX State Plan in order to establish a program to contract with a Recovery Audit Contractor as required by Section 6411 of the Patient Protection and Affordable Care Act (Pub. L. 111-148, enacted on March 23, 2010).
Summary: Modify the Medicaid School-based Child Health Services reimbursement from state aggregated cost-based rates for evaluation and monthly services to a local educational agency service-specific methodology.
