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Medicaid State Plan Amendments

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.

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Showing 611 to 620 of 744 results
Transmittal Number: CT-12-005
State: Connecticut
Summary: Changes Outpatient hospital reimbursement methodology. Also establishes rates for a Person-Centered Medical Home program outpatient hospital clinics (for calendar yest 2012 only, also FQHC's) that demonstrate a higher standard of person-centered primary care service delivery that qualifies for a higher reimbursement rate for specific primary care services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-12-008
State: Connecticut
Summary: Revises the reimbursement methodology for physicians. Also adds physician assistants as an "other practitioner" service.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-12-027
State: Connecticut
Summary: Modifies the amendment to revise reimbursement for posterior composite rein restoration and complete denture prosthesis. This SPA amends dental services.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CT-12-028
State: Connecticut
Summary: Decreases reimbursement for air ambulance services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: CT-11-011B
State: Connecticut
Summary: Revises the reimbursement methodology for public intermediate care facilities for individuals with intellectual disabilities services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-13-015
State: Connecticut
Summary: To reduce the pass through payment for hospital services for the nursing facility per diem to 95% of the nursing facility's per diem rate.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-13-019
State: Connecticut
Summary: Updates the income eligibility standards for the Low Income Adults eligibility group described under Section 1902(a)(10)(A)(i)(VIII) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CT-13-018
State: Connecticut
Summary: Changes the income disregards for the Medicare Savings Program (MSP).
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: CT-13-017
State: Connecticut
Summary: Increases the standards for the optional State supplementary payment program by an amount.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-13-002
State: Connecticut
Summary: Revises the reimbursement methodologies for nursing facility services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT