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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 SPA transmitted an amendment to your approved Title XIX State plan to assure comparability amount, scope and duration of services made available to categorically and medically needy populations in the State plan. This amendment clarifies that all services provided for medically needy groups are identical in amount, duration, and scope as those for categorically needy groups.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Lo add authorization requirements to certain highcost, high-utilization procedures.
Summary: This amendment implements the changes in the treatment of transfers of assets for less than fair market value required by the Deficit Reduction Act of 2005.
Summary: This proposed plan submitted transmitted an amendment to the approved Title XIX State plan proposing to amend Attachment 4.19-B of your State Plan to implement a more cost-effective fee for ceiling lifts in keeping with community pricing, without a negative impact on consumer access.
Summary: This amedment changes the resource limit for Qualified Medicare Beneficiaries (QMB), Specified LowIncome Medicare Beneficiaries (SLMB) and Qualifying Individuals (QI) to conform to the resource limit for individuals who qualify for the full subsidy Medicare Part D LIS as required by section 112 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).
Summary: This amendment represents a complete rewrite of Attachment 4.19-D for ICF/MRs. and freezes ICF/MR per diem rates for SFY 2010 to the rates in place on June 30, 2009.
Summary: This SPA proposes to place reasonable limits on the amounts of incurred necessary medical and remedial care expenses recognized under State law, but not covered under the State Plan.
Summary: This SPA makes technical corrections to identify how incontinence supplies are reimbursed which reflects current practice and aligns with the current Medicare Advantage contracts.
