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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 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.
Summary: This SPA transmitted a proposed revision to Connecticut's approved Title XIX State Plan in order to limit the frequency of certain dental services for adults.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan in order to amend its physician, nurse practitioner and nurse-midwife fee schedules. The Department proposed to amend the State Plan as follows: 1) Add an obstetrical fee for delivery after previous cesarean delivery services for specified procedure codes and 2) align the obstetrical reimbursement for all vaginal and cesarean deliveries to 1505 of Medicare.
Summary: This amendment proposes to implement Section 2702 of the Affordable Care.Act of 2010 and the implementing final rule at 42 CFR 447, Subpart A.
Summary: This amendment updates the methodology used to calculate payment rates for nursing facility services. Specifically it applies a total increase of $23.3 million to the current nursing facility user fee adjustment for fiscal year 2012 only; applies a total increaseof $3.7 million for an additional one-time add on payment based on each facility's user fee class; revises the determination of the Pediatric nursing facility rate based on 2006 cost reports instead of the most recently filed cost report; clarifies the criteria and documentation requirements for eligibility to receive P4P payments; and clarifies the provision for leave of absence days.
