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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: Amends Attachment 4.19-B of the Connecticut State Plan in order to begin allowing reimbursement of supplies used with Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) respiratory assist devices during the rental period of CPAP and BiPAP devices.
Summary: Amends Attachment 4.19-B of the Medicaid State Plan to make supplemental payments to the University of Connecticut (UConn) Health Center's physician group.
Summary: Revises the fee schedule to change the quantities that are allowed per month without prior authorization for several medical surgical supply procedure codes.
Summary: This SPA increases the rate on the home health fee schedule for skilled nursing services billed with Healthcare Common Procedure Coding System (HCPCS) Modifier TG-Complex High Level of Care.
Summary: This SPA revises the DSS fee schedule for Ambulatory Surgical Centers, which is within the clinic benefit category section of the Medicaid State Plan.