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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 was submitted on March 30, 2016 to revise the delivery system through which the Iowa Wellness Plan, Alternative Benefit Plan (ABP), is delivered to reflect the move to Statewide managed care.
Summary: Implements the provision of Section 1905(a)(28) of the Social Security Act regarding coverage and payment related to freestanding birth centers by indicating that there are no licensed or state approved freestanding birth centers in the state.
Summary: This change will bring the state plan into conformity with the State's approved 1915(b) waiver, which outlines disenrollment rights. Enrollees can disenroll within the first 90 days of enrollment with an MCO, after the first 90 days.
Summary: This SPA extends Medicaid coverage for an initial period of 12 months for low-income families who no longer qualify for Medicaid due to increased earned income or working hours from the caretaker relative's employment, or due to the loss of a time-limited earned income disregard.
Summary: This amendment proposes to allow for the inclusion of Medicaid managed care utilization for the accrual of supplemental rebates through the SSDC IOWA Medicaid Supplemental Drug Rebate Agreement.
