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Medicaid State Plan Amendments

Archive 2021

SPA 21-B: Physician Services – Updates for HIPAA Billing Code Compliance, Physician-Administered Drugs, and Person-Centered Medical Home Program (PCMH) Billing Codes for Fee-for-Service Add-On and Quality Measures for Performance Payments - posted on December 29, 2020.

SPA 21-C: Independent Radiology and Independent Laboratory – HIPAA Compliance Billing Code Update - posted on December 29, 2020.

SPA 21-D: Clinics – HIPAA Compliance Billing Code and Reimbursement Updates - posted on December 29, 2020. 

SPA 21-E: Audiology and Speech & Language Pathology – HIPAA Compliance Billing Code and Reimbursement Update - posted on December 29, 2020.

SPA 21-F: Inpatient Hospital Reimbursement Clarification - posted on November 24, 2020.

SPA 21-G: Dental Services – HIPAA Compliance Billing Code Update - posted on December 29, 2020. 

SPA 21-H: MEDS - HIPAA Compliance Fee Schedule Update for DME and Reduced Rates for Orthotic Braces - posted on December 29, 2020.

SPA 21-I: Person-Centered Medical Home Plus (PCMH+) Program Updates - posted on December 29, 2020.

SPA 21-K: Private Psychiatric Hospital Reimbursement for Inpatient Services - posted on February 2, 2021

SPA 21-L: Physician Fee Schedule Update – Rate Increases for Specified Long-Acting Reversible Contraceptive (LARC) Devices - posted February 16, 2021.

SPA 21-M: Medication-Administered Treatment (MAT) Benefit Category - posted February 23, 2021.

SPA 21-N: Update to Alternative Benefit Plan (ABP) for the MAT Benefit Category - posted February 23, 2021. 

SPA 21-O: Medical Equipment Devices and Supplies (MEDS) Reduced Rates for Diabetic Test Strips and Lancets and Quantity Limit Changes for Specified MEDS Items - posted May 18, 2021.

Clarification to Previously Published Notice for SPA 21-O: Medical Equipment Devices and Supplies (MEDS) Reduced Rates for Diabetic Test Strips and Lancets and Quantity Limit Changes for Specified MEDS Items - posted May 27, 2021

SPA 21-P: Medical Equipment Devices and Supplies (MEDS) - HIPAA Compliance Fee Schedule Update for Durable Medical Equipment (DME) - posted March 29, 2021

SPA 21-Q: HIPAA Compliance Billing Code Quarterly Update - Physician Services - posted March 29, 2021.

SPA 21-T: Rescission of COVID-19 Medicaid Disaster Relief Flexibilities Regarding Bed Leave Reserve Days for ICF/IIDs and Semi-Annual Time Studies for PNMIs for Adults - posted April 27, 2021.

SPA 21-V: Nurse Midwife and Podiatrist Rate Increase, Physician Update, and Vaccine Billing Codes - posted June 28, 2021.

SPA 21-W: Independent Radiology Services - Adding Select Electroencephalogram Procedure Codes - posted June 25, 2021.

SPA 21-X: Ambulance Rate Increase - posted June 25, 2021.

SPA 21-Y: Chronic Disease Hospitals and Natchaug Hospital - Rate Increases - posted June 25, 2021.

SPA 21-Z: Home Health - R- ate Increase for Select Services - posted June 25, 2021.

SPA 21-AA: Nursing Facility Reimbursement - posted June 25, 2021.

SPA 21-AB: Private ICF/IID Reimbursement - posted June 25, 2021.

SPA 21-AC: Physician Supplemental Payments for CCMC Affiliate - posted June 25, 2021.

SPA 21-AD: Supplemental Payment for Obstetrical Services Program - Modification to Specified Quality Performance Measures - posted June 25, 2021.

SPA 21-AF: Home Health Services Rate Increases - posted July 23, 2021

SPA 21-AG Reinstating Coverage of Chiropractic Services, Adding Coverage of Acupuncture Services, October HCPCS Update and Other Updates to the Physician Office & Outpatient and Family Planning Clinic Fee Schedule - posted September 27, 2021.

SPA 21-AJ: Updates to Alternative Benefit Plan (ABP) for the Medicaid Coverage Group for Low-Income Adults Regarding Removal of Requirement for Providers to Obtain Registration Before Performing Routine Outpatient Behavioral Health Services” posted August 16, 2021.

SPA 21-AM: Medical Equipment Devices and Supplies (MEDS) - HIPAA Compliance Fee Schedule Update for Durable Medical Equipment (DME) and Reimbursement for Non-Sterile Gloves - posted October 26, 2021

SPA 21-AO - Behavioral Health Provider Rate Increase - posted November 16, 2021

SPA 21-AP: Pediatric Inpatient Psychiatric Services - posted November 26, 2021

SPA 21-AQ: Updates to Alternative Benefit Plan (ABP) for the Medicaid Coverage Group for Low-Income Adults to Add Coverage for Acupuncture Services and Chiropractic Services - posted November 23, 2021

SPA 21-0032: COVID-19 Disaster Relief SPA 7 - Rate Increases and Coverage Additions for State Plan Home and Community-Based Services (HCBS) Option Portion of the Connecticut Home Care Program for Elders (CHCPE) Under Section 1915(i) of the Social Security Act and Rate Increase for Support and Planning Coach for Community First Choice (CFC) Under Section 1915(k) of the Social Security Act - posted on November 26, 2021