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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 update the coverage description for Early Intervention Services (EIS) pursuant to Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services.
Summary: This SPA increases the rate on the home health fee schedule for skilled nursing services billed with Healthcare Common Procedure Coding System (HCPCS) Modifier TG-Complex High Level of Care.
Summary: The Department intends to modify Attachments 3. lA\/3. IB and 4.19-B of the Connecticut Medicaid State Plan in order to add detail regarding coverage and reimbursement for behavioral health rehabilitation services pursuant to EPSDT, as detailed in the State Plan pages.
Summary: This SPA revises the DSS fee schedule for Ambulatory Surgical Centers, which is within the clinic benefit category section of the Medicaid State Plan.
Summary: This SPA incorporate the 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Radiology and Independent Laboratory fee schedules to remain compliant with the Health Insurance Portability and Accountability Act (HIPPA).
Summary: This SPA incorporates various 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the physician anesthesia, office and outpatient, physician radiology and surgical fee schedules. Codes that are being added are being priced using a comparable methodology to other codes in the same or similar category.
