Medicaid State Plan Amendments

This Amendment updates state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

This Amendment adds an attestation that Iowa will comply with mandatory annual reporting of the Health Home Core Set measures.

This Amendment increases the income standard for the optional eligibility group serving Individuals whose incomes are above 133 percent of the federal poverty level and are under age 65.

This Amendment updates state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

This SPA will update the PACE Rate methodology to amend the Amount Would Otherwise Have Been Paid (AWOP) methodology.

This amendment amends the provisions governing opioid treatment programs in order to expand the types of eligible practitioners who can treat individuals and prescribe medications in medication-assisted treatment (MAT).

This amendment makes changes to provider qualifications for Child and Family Psychoeducation, Early Intensive Developmental and Behavioral Intervention (EIDBI), Mental Health Services, and Adult Rehabilitative Mental Health Services (ARMHS).

This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

This plan amendment creates a reimbursement methodology for supplemental payment for ground emergency medical transportation services.

This amendment will add back into the plan the language for Community Health Workers (CHWs) erroneously left off the NV-23-0016 SPA approval, which adds CHWs as providers under the preventive services benefit.