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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: Removes certain anesthesia reimbursement codes from the State plan and reduces payment rates. Reduces dollar conversion factor for certain anesthesia services from 37.02 per billable unit to 21.12 per billable unit.
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan proposing to increase the amount of resources that the spouse of an institutionalized individual can retain, otherwise known as the Community Spouse Protected Amount (CSPA).
Summary: This SPA was submitted to my office on March 3 1,201 0 and proposed an amendment to the State's approved Title XIX State Plan to implement required provisions of the Medicare Improvements for Patients and Providers Act of 2008, P.L. 1 10-275, commonly referred to as MIPPA.
Summary: This proposed plan submitted transmitted an amendment to the approved Title XIX State plan proposing to amend Attachment 4.19-B of your State Plan to implement a more cost-effective fee for ceiling lifts in keeping with community pricing, without a negative impact on consumer access.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to expand the State's Medicaid Program under the Affordable Care Act, §1902(a)(10)(A)(i)(VIII) of the Social Security Act.
Summary: Adds a supplement to the State plan to definie the requirements of the Asset Verfication System as required under Sectio 1940 of the Social Security Act.
Summary: Institutes lock-in for NVs Medicaid Managed Care program. Also, adds age-out foster care recipients to the list of mandatory managed care populations and adds an annual redetermination of SED/SMI status required to maintain voluntary disenrollment.
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan proposing to amend Title XIX of Connecticut's State Plan to implement the new Asset Verification System (AVS) requirement under 5 1940(a)(3)(A) of the Social Security Act.
Summary: This amendment revises the methodology used to calculate payment rates for nursing facilities and privately operated intermediate care facilities for the mentally retarded (ICF/MR).
