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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 modifies section 15 of the State plan that provides for additional disproportionate share hospital (DSH) payments to hospitals serving low-income persons.
Summary: This amendment modifies section 15 of the State plan that provides for additional disproportionate share hospital (DSH) payments to hospitals serving low-income persons.
Summary: This proposed SPA submitted transmitted an amendment to the approved Title XIX State plan requesting authority to add an income disregard by the authority of Section 1902 (r)(2)of the Social Security Act (the Act) for eligible Medicare Savings Program participants.
Summary: This amendment makes revisions to inpatient hospital rates and methodologies. Specifically, this amendment revises the diagnosis related grouping (DRG)b a-sed methodology used to calculate reimbursement to hospitals for inpatient services; eliminates a payment methodology for disproportionate share hospital (DSH) payments to hospitals with an indigent care agreement (ICA) with a general assistance medical care program in the area; and provides for a payment amount per inpatient discharge add-on to the DRG payment for acute care, children's,an d rehabilitation hospitals.
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan proposing to amend Title XIX of Connecticut's State Plan by using fj 1902 (r)(2) and 9 193 1 of the Social Security Act (the Act) to disregard, for certain mandatory and optional categorically needy and medically needy Medicaid eligibility groups, all wages paid by the U.S. Census Bureau related to temporary employment related to the decennial census activities.