Approved State Directed Payment Preprints

Uniform percentage increase for physician and professional services provided at qualifying Iowa state-owned or operated professional services practices as defined in the Medicaid State Plan for rating periods covering July 1, 2026 through June 30, 2027, incorporated in the capitation rates through a separate payment term amount of up to$137,560,533.

Uniform percentage increase for inpatient and outpatient hospital services provided at qualifying Iowa state-owned or operated teaching hospitals as defined in the Medicaid State Plan for the rating period covering July 1, 2025 through June 30, 2026,incorporated in the capitation rates through a separate payment term amount of up to$704,664,323.

Uniform percentage increase for physician and professional services provided at qualifying Iowa state-owned or operated professional services practices as defined in the Medicaid State Plan for rating periods covering July 1, 2025 through June 30, 2026,incorporated in the capitation rates through a separate payment term amount of up to$136,779,796.

Uniform percentage increase for inpatient and outpatient hospital services provided at qualifying non-state owned or operated hospitals as defined in the Medicaid State Plan for rating periods covering July 1, 2025 through June 30, 2026, incorporated in the capitation rates through a separate payment term amount of up to $1,478,197,798.

Uniform increase for physician and professional services provided at qualifying Iowa state-owned or operated professional services practices for the rating period covering July 1, 2022 through June 30, 2023, incorporated into the capitation rates through a separate payment term up to $113,808,126.

Uniform increase for inpatient and outpatient hospital services at qualifying Iowa state owned or operated teaching hospitals for the rating period covering July 1, 2022 through June 30, 2023, incorporated into the capitation rates through a separate payment term up to $481,979,441.

Uniform increase established by the state for eligible home and community based and behavioral health outpatient providers for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a separate payment term up to $27,000,000.

Uniform increase established by the state for eligible ground emergency medical, transportation providers for the rating period covering July 1, 2024 through June 30, 2025, incorporated in the capitation rates through a risk-based rate adjustment.

A uniform increase for physician and professional services at qualifying Iowa state-owned or operated professional services practices as defined in the Medicaid State Plan for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $121,094,222.

Uniform increase for inpatient and outpatient hospital services at qualifying Iowa state-owned or operated teaching hospitals as defined in the Medicaid State Plan for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $534,243,548.