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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: Corrects state plan language by reflecting a $3,500,000 payment as approved with SPA 13-04. In 2014, two SPAs were approved about the same time that modified the same page. The final version should have reflected the $3.5 million, but instead reflected an earlier allocation. The issue was identified recently and CMS indicated this technical SPA should be submitted to correct language to reflect that previously approved.
Summary: This SPA updates the policies regarding coverage of organ and tissue transplant services. In addition, this SPA also removes outdated references to the “Iowa Foundation for Medical Care” and replaces those terms with the “IME Medical Services Unit”.
Summary: To remove references to PCCM, the authority under which the current MediPASS program operates, as this program is being replaced by IA's Medicaid Modernization Initiative.
Summary: Modifies language for managed care transition that occurred 4/1/16. GME payment language is also being amended. Changes are budget-neutral as there is no change in funding amounts.
