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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 181 to 190 of 522 results
Transmittal Number: CT-19-0022
State: Connecticut
Summary: This amendment provides a 2% rate increase for fiscal year 2020 and 1% effective July 1, 2021 and thereafter to nursing facilities to be applied to wages or salaries, health/dental benefits and retirement plans and/or a combination. 
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CT-19-0023
State: Connecticut
Summary: SPA modifies Attachment 4.19-D of the Medicaid State Plan to freeze the rates for private intermediate care facilities for individuals with intellectual disabilities (lCF/llDs) for the state fiscal years.
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Topics:
  • Program Administration
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Transmittal Number: CT-19-0024
State: Connecticut
Summary: Changes the reimbursement methodology for chemical maintenance clinics by establishing a minimum weekly rate of $88.55 for seven daily doses.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-19-0025
State: Connecticut
Summary: Updates the effective date of the fee schedule for Community First Choice Services (under 1915k) to implement a 10% rate increase for home-delivered meals.
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Topics:
  • Benefits
  • Cost Sharing
  • Program Administration
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Transmittal Number: CT-19-0026
State: Connecticut
Summary: Provide supplemental payments for obstetrical providers based on quality performance measures.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-19-0021
State: Connecticut
Summary: Allows for correct coding of services already covered and reimbursed.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-19-0015
State: Connecticut
Summary: Implements a rate increase for privately operated PRTFs.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: CT-19-0014
State: Connecticut
Summary: Adds clarifying language that licensed chemical maintenance providers in an area bordering Connecticut that meet all applicable requirements are eligible for payment.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: CT-19-0016
State: Connecticut
Summary: Revise the fee schedules for home health services and special services based on the 2019 HCPCS changes.
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Topics:
  • Program Administration
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Transmittal Number: CT-19-0012
State: Connecticut
Summary: This amendment provides for a one-time hospital inpatient supplemental payment to offset the aggregate reduction in payments.
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Effective Date:
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