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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 proposes temporary rate adjustment for specified private nursing facilities with aggregate payment amount of $5,389,378 for the period October 1, 2021 through March 31, 2022.
Summary: This SPA will amend the State Plan pursuant to North Carolina Disaster State Plan Amendment (SPA) 20-0016 and will revise the methodology to include (a) an update to 2018 as the cost report base year for determining provider specific Prospective Payment System (PPS) rates and (b) adding an Alternative Payment Methodology (APM) in compliance with CMS Companion Letter to North Carolina Disaster Relief State Plan Amendment (SPA) 20-0016.
Summary: This plan amendment allows Connecticut to increase emergency and non-emergency ambulance rates by 10% (excluding the mileage rate) and increase the ambulance mileage rates for all emergency and non-emergency transports by $3.00.
Summary: This plan implements a supplemental payment for the difference between payment at Medicare and Medicaid rates for physician services provided by the physician group affiliated with Connecticut Children’s Medical Center (CCMC).
Summary: This SPA amends the Medicaid State Plan to implement specified home health rate increases. Specifically First, this SPA increases rates by 6% for codes Tl004 and Tl021 for home health aide or certified nursing assistant services provided by licensed home health agencies.
Summary: This plan amendment increases the Targeted Case Management (TCM) State Plan Services rate and conversion factor to reflect the 2021 legislative appropriation of a 1% increase.
Summary: This plan makes changes to the reimbursement methodology for case management services for adults with chronic illnesses and disabilities from a daily rate to a monthly rate.
