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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 131 to 140 of 485 results
Transmittal Number: CT-20-0025
State: Connecticut
Summary: This amendment increases the rate for Healthcare Common Procedure Coding System code J7307- Etonogestrel implant system on the physician office and outpatient fee schedule. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-20-0023
State: Connecticut
Summary: This amendment incorporates updates to the Healthcare Common Procedure Coding System physician office and outpatient fee schedule. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-20-0022
State: Connecticut
Summary: Effective 10/01/2020 this amendment updates the Person-Centered Medical Home program with the physicians' services benefit category..
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: CT-20-0021
State: Connecticut
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a temporary rate increases of 2.3% for home health aide services provided by home health agencies, specifically HCPCS T1004, T1021 effective Sept 1 through October 31, 2020.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-20-0009
State: Connecticut
Summary: Implements various program changes in Wave 3 of the PCMH+ program. This SPA also sets forth the total amount available for care coordination add-on payments to Federally Qualified Health Centers (FQHCs) participants for 2020 and 2021.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-20-0020
State: Connecticut
Summary: Increased the rate per box of 100 non-sterile gloves to $8.00 per box and reduced the quantities to 3 boxes per month, which may be exceeded with prior authorization based on medical necessity. 
Approval Date:
Effective Date:
Topics:
  • Prior Authorization
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Transmittal Number: CT-20-0019
State: Connecticut
Summary: Adds multiple procedure codes to the outpatient physician fee schedule
Approval Date:
Effective Date:
Topics:
  • Adjustment Codes
  • Program Administration
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-20-0018
State: Connecticut
Summary: amends reimbursement for inpatient hospital services for State Fiscal Year (SFY) 2021.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-20-0015
State: Connecticut
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to cover the new optional group for COVID testing, expand coverage to certain 1915, 1915(k), home health, laboratory and telehealth services, adjust prior authorizations for medications, and increase certain payment rates.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Prescription Drugs
  • Reimbursement
Links:
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Transmittal Number: CT-20-0017
State: Connecticut
Summary: updates Attachment 3.1A/B of the Medicaid State Plan to increase the allowable units to eight hours per day with additional hours available with prior authorization for individual day program services provided to individuals residing in Medicaid-certified nursing facilities who are 21 years of age or older and have been found through the Preadmission Screening and Resident Review (PASSR) process to need such services
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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