Medicaid State Plan Amendments

Overview

Current State Plan Amendments submitted to the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS).

SPA 18-O: Clarification of Description of Payment Methodology for Disproportionate Share Hospital (DSH) Payments (posted December 22, 2017)

SPA 18-B: Physician Reimbursement – HIPAA Update, PCMH Program Updates, and Physician Radiology Update (posted December 21, 2017)

SPA 18-C: Audiology and Speech & Language Pathology, Physical and Occupational Therapies – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-D: Independent Radiology and Independent Laboratory – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-E: Dialysis, Family Planning, Medical, and Rehabilitation Clinics – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-F: Changes to Physician Office & Outpatient and Independent Radiology Fee Schedules (posted January 26, 2018)

SPA 18-H: Dental Services for Adults – Annual Financial Coverage Limit (posted December 21, 2017)

SPA 18-I: HIPAA Billing Code and Reimbursement Update – Dental Services (posted December 21, 2017)

SPA 18-L: Reductions and Adjustments to Payment for Durable Medical Equipment (DME) to Remain Compliant with Federal Law (posted December 21, 2017)

Revised SPA 18-L: Reductions and Adjustments to Payment for Durable Medical Equipment (DME) to Remain Compliant with Federal Law and Additional Reimbursement Changes to Medical Equipment Devices and Supplies (MEDS) (posted February 28, 2018)

SPA 18-M: MEDS fee schedule update  (posted February 20, 2018)

SPA 18-R: Updates to Reimbursement Methodology for Physician Administered Drugs (posted February 20, 2018)

SPA 18-S: One Time Supplemental Payment for Natchaug Hospital (posted February 20, 2018)

SPA 18-U: Community First Choice Pursuant to Section 1915(k) of the Social Security Act – Update to Reimbursement Methodology for Attendant Care Services and Worker’s Compensation Coverage to Incorporate Applicable Provisions of Collective Bargaining Agreement (posted March 27, 2018)

SPA 18-P: Ambulatory Surgical Center Services – HIPAA Billing Code and Reimbursement Update (posted December 21, 2017)

SPA 18-J: Person-Centered Medical Home Plus (PCMH+) Program Wave 2 (posted December 22, 2017)

SPA 18-K: Chemical Maintenance Clinics (posted January 26, 2018)

SPA 18-N: Private Psychiatric Hospital Pay-for-Performance Program for Services Provided to Children (posted December 22, 2017)

SPA 18-Q: ABP Update (posted December 22, 2017)