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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: Effective January 1, 2014, the state affirms citizenship regulations, specified reasonable opportunity options, and, specified policy options related to immigrant eligibility in accordance to the Affordable Care Act.
Summary: his SPA transmitted a proposed amendment to Connecticut's approvd Title XIX State Plan Amendments 3.1A, 3.1B and 4.19B in order to revised the reimbursement methodology for other practitioner services.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Attachments 2.2A, 2.6A, 3.1A, and 4.19B in order to establish a Family Planning Services coverage group purseant to Section 2303 of the Patient Protection and Affordable Care Act., P.L. 111-148.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Attachments 3.1A, 3.1B and 4.19B to establish methods and standards for setting payment rates for birth center services and other ambulatory services offered by a birth center and otherwise included in the Medicaid State Plan.
Summary: This proposed SPA transmitted an amendment to Connecticut's approved Title XIX State plan to disregard the cash surrender value of life insurance policies when the death benefits are assigned to funeral homes to fund funeral home contracts.
Summary: This SPA amends Idaho's current 1915(i) State plan benefit by adding clarifying language to the services available to eligible participants. In addition, this SPA adds language to indicate that on June 30, 2013, Intensive Behavioral Intervention (IBI), IBI consultation, Developmental Therapy (DT), and Children's Service Coordination (CSC) will sunset in Idaho's Basic and Enhanced Benchmark Benefit plans.
