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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: Increases the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.
Summary: Proposes a new target amount per discharge and child psychiatric per diems for the new entity created by the merger of two hospitals within the State.
Summary: Revise the reimbursement methodology for obstetrical services. To improve access to obstetrical services. To Increase reimbursement rates for vaginal deliveries and related care.
Summary: This SPA Exempt the State from requiringthat the State's Medicaid Recovery Audit Contractor, hire a minimum of 1.0 full-time equivalent Medicaid Director who is licensed to practice in the state.
Summary: Implements Section 2702 of the Affordable Care Act. Adjustments for identified hospital Acquired Conditions and Other Provider Preventable Conditions in hospitals and other health care settings.
Summary: This amendment revises the reimbursement methodologies for various inpatient settings to support the transition from a 191S(b) managed care waiver delivery method to an Administrative Service Only (ASO) fee-for-service delivery model.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan in order to increase reimbursement for air ambulance services.