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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: Rate increases for nursing facility services. Specifically, it implements a 10 percent increase to base rates, and effective July 1, 2022 a benefit and pension per diem rate increase with a pool amount of $30.8 million.
Summary: This plan incorporates the 2021 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the medical surgical supply fee schedule.
Summary: Incorporates the January 2022 federal Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the dental fee schedules for adults and children.
Summary: Allows reimbursement changes for private intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs). Specifically, this SPA provides specified fair rent increases and implements a rate increase of 4.3% to pay for costs of wage and benefit enhancements.
Summary: Implements 4% rate increase for autism spectrum disorder, behavioral health (BH) clinician, psychologist, 8H clinic fee schedules & private PRTFs and chemical maintenance clinics. Includes practitioners in Independent practice: licensed clinical social workers, licensed marital and family therapists, licensed professional counselors, and licensed alcohol & drug counselors.
Summary: Incorporates CMS 2021 4th Quarter HCPCS updates and 2. removes end-date that is currently in place on the temporarily increased fee of $8.00 per box of non-sterile gloves (100 per box) in order to help ensure continued access to non-sterile gloves.
Summary: This plan implements a supplemental payment for the difference between payment at Medicare and Medicaid rates for physician services provided by the physician group affiliated with Connecticut Children’s Medical Center (CCMC).
