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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 amendment, the state updated the Conflict of Interest (COI) standards section of the SPA to comport with regulatory requirements and expanded the target group criteria to include individuals with any behavioral health condition, substance abuse disorder or brain injury.
Summary: With this amendment the state is making the following updates: remove annual service limits and revise provider qualifications for care coordination, benefits planning, housing supports, revocational training, supported employment, and supported education.
Summary: State is increasing the rates for the following 1915(i) services: peer support, family peer support, and training and supports for unpaid caregivers. Other revisions to the state plan include modifications to the requirements of care coordinators, individual provider qualifications for the housing support service, and the quality remediation process for quality measures in the state plan.
Summary: State is implementing provisions approved in the 9817 ARPA Spending Plan, including reimbursement increases (rate increases, performance based supplemental payments, infrastructure payments); as well as expanding coverage provisions to continue services previously approved under disaster relief SPAs.
Summary: Updated the State Plan language regarding the Community First Choice program to implement the provisions of the recently updated collective bargaining agreement between the state and the union representing personal care attendants (PCAs).
Summary: With this amendment, the state will 1.) update conflict of interest (COI) standards to define provider shortage areas; 2.) clarify COI safeguards; 3.) update provider qualifications for Care Coordinators by clarifying providers must be at least 18 years old; 4.) update the quality improvement strategy; and 5.) update the non-medical transportation unit of service.
Summary: This time limited disaster relief SPA seeks to update the effective dates, scope, and details consistent with the state's ARPA sec. 9817 HCBS spending plan, by implementing coverage and payment changes to section 1915. Connecticut Home Care Program for Elders (CHCPE) services.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement coverage and payment changes to section 1915 Connecticut Home Care Program for Elders (CHCPE) Services and section 1915(k) community first choice services consistent with the state’s ARPA section 9817 HCGS spending plan.
Summary: This SPA offers Medicaid eligibility pathway to certain individuals who meet the coverage requirements for the Connecticut Housing Engagement and Support Services (CHESS) Initiative State Plan Home and Community Based Services Benefit Pursuant to Section 1915(i) of the Social Security Act.
