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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: Requesting to amend Attachment 4.19-B, Page 9 to change the definition of practitioner for the purpose of determining eligibility for enhanced rates for practitioner services delivered by the University of Nevada School of Medicine.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Attachments 3.1A, 3.1B and 4.19B to establish methods and standards for setting payment rates for birth center services and other ambulatory services offered by a birth center and otherwise included in the Medicaid State Plan.
Summary: This proposed SPA transmitted an amendment to Connecticut's approved Title XIX State plan to disregard the cash surrender value of life insurance policies when the death benefits are assigned to funeral homes to fund funeral home contracts.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan in order to increase reimbursement for air ambulance services.
Summary: This SPA proposed to amend the maximum allowable cost for selected multi-source brand and generic drugs to range from average wholesale price (A WP) minus 72 percent to step down tiers through A WP minus 20 percent based on meeting specific invoice pricing criteria.
Summary: This SPA proposes to modify the Connecticut State Plan in order to comply with the Patient Protection and Affordable Care Act (Pub. I. 111-148. enacted on March 23. 2010).
Summary: Proposed to reduce the State's estimated acquisition cost (EAC) from average wholesale price (A WP) minus 14 percent to A WP minus 16 percent and the professional dispensing fee from $2. 90 to $2.00.
