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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 41 to 50 of 487 results
Transmittal Number: CT-23-0016
State: Connecticut
Summary: Rebase private CF/IID rates with FY2022 CR data plus 2.55% COLA. Minimum per diem, per bed rate for each private ICF/IID remains at $501.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: CT-23-0011
State: Connecticut
Summary: This plan implements numerous updates to rates and methodology under clinic services.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CT-23-0013
State: Connecticut
Summary: One time supplemental payment for private providers of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CT-23-0007
State: Connecticut
Summary: This amendment increases the per diem rate for private Psychiatric Residential Treatment Facilities (PRTFs) to $792.46 for additional costs of adding director of nursing staffing to improve the quality and oversight of services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: VI-23-0002
State: U.S. Virgin Islands
Summary: Establishes compliance with the mandatory coverage and reimbursement of routine patient costs furnished concerning participation in qualifying clinical trials under Section 1905(gg) of the Social Security Act.
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Effective Date:
Topics:
  • Coverage
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Transmittal Number: CT-23-0010
State: Connecticut
Summary: This plan adds a new reimbursement methodology for continuous glucose monitors (CGMs) when provided by a pharmacy.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CT-23-0008
State: Connecticut
Summary: This plan increases the rate for self-directed Personal Care Attendant (PCA) services within the Community First Choice benefit.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CT-23-0009
State: Connecticut
Summary: This SPA is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that

Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Coverage
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Transmittal Number: CT-23-0003
State: Connecticut
Summary: This plan updates the reimbursement methodology for clinic services and provides a rate increase for Children’s Behavioral Health Home-Based Rehabilitation Services.
Approval Date:
Effective Date:
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Transmittal Number: CT-23-0002
State: Connecticut
Summary: This plan updates the reimbursement methodology for Physician Services, Laboratory Services, Medical Equipment, Devices and Supplies (MEDS), Dental, and Independent Radiology Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT