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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: Adding estate recovery exemption under section 115 of the Medicare Improvements for Patients and Providers Act of 2008; revising QMB, SLMB, QI resource limit with 1902(r)(2) method; technical revisions to 1902(r)(2) resource method.
Summary: Modify the Medicaid School-based Child Health Services reimbursement from state aggregated cost-based rates for evaluation and monthly services to a local educational agency service-specific methodology.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to change the payment methodology pertaining to physician's radiology by eliminating payment of the technical and professional components at 50% of the global component.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to allow the State to negotiate supplemental rebates for covered outpatient drugs to Connecticut's Medicaid beneficiaries using The Optimal PDL $olution (TOP$) multi-State supplemental rebate agreement (SRA).
Summary: Eliminates certain rate add-ons, reduces final payment rates, adds two new DSH payment methods, makes changes to base year updates, extends deadline for making medical education payments.
