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Medicaid State Plan Amendments

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.

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Showing 251 to 260 of 511 results
Transmittal Number: CT-18-0001
State: Connecticut
Summary: This amendment revises reimbursement for inpatient hospital services to implement: (l) a rate increase to the diagnosis related group (DRG) base rate for privately operated acute care general hospitals and (2) supplemental payments to specifed mid-sized acute care hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-18-0013
State: Connecticut
Summary: This is submitted to add clarifying updates to the Person-Center Medical Homes (PCMH+) program and update dental coverage limits.
Approval Date:
Effective Date:
Topics:
  • Dental
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Transmittal Number: CT-18-0004
State: Connecticut
Summary: This SPA reflects changes in the model of providing Non-Emergency Medical Transportation (NEMT) to Medicaid beneficiaries.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: CT-17-0015
State: Connecticut
Summary: Changes to the reimbursement methodology for covered outpatient drugs from an estimated acquisition cost (EAC) basis to an actual acquisition cost basis (AAC).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-18-0003
State: Connecticut
Summary: This eligibility SPA reduces the income limit for the Parents and Caretaker Relatives eligibility group from 150% FPL to 133% FPL.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-18-0011
State: Connecticut
Summary: Amends the Medicaid State Plan in order to continue the implementation of and make updates to the Person-Centered Medical Home Plus (PCMH+) program.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CT-18-0009
State: Connecticut
Summary: Implements an annual financial coverage limit for dental services provided to adults.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-15-036
State: Connecticut
Summary: Implement changes to coverage of over-the-counter medications and products covered by the State Plan.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-15-041
State: Connecticut
Summary: The state proposes to amend Attachments 3.1-A and 3.1-B of the Connecticut Medicaid State Plan to pay for an original prescription and as many refills as ordered by a licensed authorized practitioner covering a maximum period of twelve months (extended from six months).
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: CT-18-0006
State: Connecticut
Summary: Incorporates the 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Therapy fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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