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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 proposed plan transmitted an amendment to the approved Title XIX State plan proposing to amend Title XIX of Connecticut's State Plan to implement the new Asset Verification System (AVS) requirement under 5 1940(a)(3)(A) of the Social Security Act.
Summary: This amendment revises the methodology used to calculate payment rates for nursing facilities and privately operated intermediate care facilities for the mentally retarded (ICF/MR).
Summary: This amendment modifies section 15 of the State plan that provides for additional disproportionate share hospital (DSH) payments to hospitals serving low-income persons.
Summary: This amendment modifies section 15 of the State plan that provides for additional disproportionate share hospital (DSH) payments to hospitals serving low-income persons.
Summary: This SPA modifies the methods and standards for setting payment rates for inpatient hospital services furnished by hospitals in the District of Columbia. It also modifies the rate setting assumptions for childrens residential treatment centers. Specifically, this SPA provides that effective October 1, 2009 the disproportionate share factor used in setting rates for inpatient hospital services in the District of Columbia will be reduced by two percent and creates a separate method for making payments to childrens residential treatment centers beginning December 1, 2009.
Summary: This SPA modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases the net reduction factor in Maryland's rates for certain cost centers (Administrative/Routine, Other Patient Care, and Capital) from the current 4.816% to the proposed 8.681% effective August 1, 2009.
Summary: This SPA This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA provides that payment rates for NF services furnished during State fiscal year 2009 shall be maintained at the same level that was in effect during the prior period of November 1, 2008 to June 30, 2009.
Summary: This proposed SPA submitted transmitted an amendment to the approved Title XIX State plan requesting authority to add an income disregard by the authority of Section 1902 (r)(2)of the Social Security Act (the Act) for eligible Medicare Savings Program participants.
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan proposing to amend Title XIX of Connecticut's State Plan by using fj 1902 (r)(2) and 9 193 1 of the Social Security Act (the Act) to disregard, for certain mandatory and optional categorically needy and medically needy Medicaid eligibility groups, all wages paid by the U.S. Census Bureau related to temporary employment related to the decennial census activities.
