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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 clarifies the service descriptions and provider qualifications for behavioral health services provided under the rehabilitation services component of the State Plan.
Summary: This proposed SPA transmitted an amendment to Connecticut's approved Title XIX State plan to increase the standards for the optional State supplementary payment program by an amount equal to the SSI cost ofliving increase proposed by the Social Security Administration.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to address Section 6411 of the Affordable Care Act regarding the Medicaid Recovery Audit Contractors (RAC) program.
Summary: Adds home and community-based services (HCBS) to the Medicaid State plan for individuals with chronic mental illness, under the authority of Section 1915(i) of the Social Security Act (the Act).
Summary: This amendment inserts language into the State plan concerning a nursing ho,e patient paid amount deduction for non-covered, necessary remedial care expenses in the three months prior to eligibility.
Summary: This SPA transmitted a proposed revision to Connecticuts approved Title XIX State Plan in order to restore coverage of services provided by independent podiatrists for clients 21 years of age or older.
Summary: This change per the request of CMS in the letter dated November 21, 2011, to Jennifer Vermeer as attached) removes from coverage in the Non-prescription Drugs portion of the Pharmacy Program area, four categories of products that do not meet the definition of a covered outpatient drug as defined by section 1927 (k) (2) of the Social Security Act (SSA). These products will be covered under medical supplies.