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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 proposes to include an attestation that the state provides non-emergency medical transportation (NEMT) services consistent with the provisions outlined in the Consolidated Appropriations Act, 2021.
Summary: This amendment updates CT Alternative Benefit Plan (ABP) to reflect several updates to behavioral health services, including removing the requirements for registration for all routine outpatient behavioral health. This SP A also updates the ABP to reflect the resumption of authorization for intensive outpatient
services and removal of authorization for electroconvulsive therapy.
Summary: this amendment proposes temporary rate adjustments to State University of New York (SUNY) Upstate Medical University for inpatient psychiatric services through March 31, 2025.
Summary: CT-21-0033 which proposed to amend Connecticut's Medically Needy Income Levels and the income standards for Connecticut's optional state supplement program.
Summary: This amendment continues authorization for $24,000,000 in Graduate Medical Education Supplemental (GME-S) Subsidy payments made on behalf of individuals enrolled in the New Jersey CW Demonstration.
Summary: This plan amendment allows Connecticut to increase emergency and non-emergency ambulance rates by 10% (excluding the mileage rate) and increase the ambulance mileage rates for all emergency and non-emergency transports by $3.00.
Summary: This plan implements a supplemental payment for the difference between payment at Medicare and Medicaid rates for physician services provided by the physician group affiliated with Connecticut Children’s Medical Center (CCMC).
Summary: This SPA amends the Medicaid State Plan to implement specified home health rate increases. Specifically First, this SPA increases rates by 6% for codes Tl004 and Tl021 for home health aide or certified nursing assistant services provided by licensed home health agencies.
Summary: This plan amendment makes the following changes: increases the rate for pediatric complex care skilled nursing services provided by home health agencies by l. 7%, reduces the rates for diabetic test strips and lancets on the medical/surgical supplies fee schedule to l00% of the current Medicare rates, and reduces specified soft quantity limits for certain procedure codes within the medical/surgical supplies, durable medical equipment (DME), and prosthetic/orthotic fee schedules.
