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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 661 to 670 of 761 results
Transmittal Number: CT-12-014
State: Connecticut
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).
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: CT-12-017
State: Connecticut
Summary: Updates the income disregards in the Medicare Savings Programs (MSP).
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Transmittal Number: CT-12-016
State: Connecticut
Summary: Updates the income eligibility standards for the Low Income Adults eligibility group.
Approval Date:
Effective Date:
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Transmittal Number: CT-11-021
State: Connecticut
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.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: CT-11-020
State: Connecticut
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.
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Topics:
  • Dental
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Transmittal Number: CT-11-018
State: Connecticut
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.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: KS-11-10
State: Kansas
Summary: Methods and Standards for establishing Nursing Facility Payment Rates.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-11-012
State: Connecticut
Summary: This amendment ends the current Uncompensated Care and Urban DSH programs.
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Effective Date:
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Transmittal Number: CT-11-011
State: Connecticut
Summary: This amendment proposes to amend the reimbursement methodologies for nursing facility and private intermediate care facilities for the mentally retarded (ICF/MR) services. mentally retarded (ICF/MR.) services.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: CT-11-023
State: Connecticut
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to revise its rate setting methodologies for emergency ambulance services. This change was mandated by the State legislation, Public Act 11-61, Section 125.
Approval Date:
Effective Date:
Topics:
Links:
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