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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 expands the coverage and payment for the use of Silver Diamine Fluoride (SDF) to all HUSKY Health (Medicaid) children and adults who receive dental services.
Summary: This amendment is to update the Alternative Benefit Plan to implement coverage for substance use disorder services under the rehabilitative services benefit category for services provided in outpatient and residential settings, as required by sections 1905(a)(13)(c) of the Social Security Act.
Summary: Effective January 1, 2022, SPA CT-22-0011 amends the Alternative Benefit Plan to implement mandatory coverage of routine patient costs furnished in qualifying clinical trials, as required by sections 1905(a)(30) and 1905(gg) of the Social Security Act.
Summary: Incorporates the January 2022 federal Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the dental fee schedules for adults and children.
Summary: This amendment to the Medicaid State Plan updates the Alternative Benefit Plan (ABP) State Plan to reflect the restoration of coverage for chiropractic services and addition of coverage for acupuncture services.
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: Effective January 1, 2021, this plan amendment updated the dental fee schedules for adults and children. These updates incorporate various 2021 Healthcare Common Procedural Coding System (HCPCS) changes (additions, deletions and description changes) to remain compliant with the Health Insurance Portability and Accountability Act (HIPAA).
Summary: Revises the Ambulatory Surgical Center fee schedule. Adds HCPCS code 41899 (Unlisted procedure, dentoalveolar) to the Ambulatory Surgical Center fee schedule, to expand access to dental care.
