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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: One or more qualified hospitals will determine presumptive eligibility under 42 CFR 435.1110, and Iowa is providing Medicaid coverage for individuals determined presumptively eligible under this provision.
Summary: This SPA amends the areas of the state that targeted case management (TCM) is provided effective January 1, 2104, to all counties except Polk, Warren, Dubuque, Linn, and Woodbury. Effective October 1, 2014.
Summary: FMAP This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable to the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.
Summary: This SPA is the Phase II expansion of the Iowa serious and persistent mental illness health home program for Medicaid eligible individuals into an additional twentyeight counties as authorized under Section 2703 of the Patient Protection and Affordable Care ACT.
Summary: This amendment modifies the maximum amount of disproportionate share hospital payments that could be paid to Broadlawns Medical Center for the first half of State fiscal year 2014.
