Medicaid State Plan Amendments

The purpose of this SPA is to adjust inpatient psychiatric fee-for-service per diem rates of reimbursement for distinct exempt units specializing in inpatient psychiatric services in Article 28 hospitals by increasing the case mix neutral psychiatric statewide per diem base price from $742.86 to $950.43.

Through this SPA, the state modifies its income levels in both its separate CHIP and title XXI funded Medicaid expansion program for children from ages 0 to 1.

This SPA authorizes an Alternative Payment Methodology (APM) for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) and a supplemental payment for Tribal health providers for the provision of eligible dyadic services.

The amendment updates the Nonemergency Medical Transportation Demand Response fee schedule.

The proposed amendment updates the ambulatory surgical center fee schedule, effective December 1, 2024.

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

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule, effective October 1, 2024.

This plan amendment updates the payment methodology for certain occupational therapy services.

This plan amendment authorizes the Department to make an additional payment to nonpublic and county nursing facilities that qualified for supplemental ventilator care and tracheostomy care payments.

This plan amendment authorizes the Department to make an supplemental payment to certain nonpublic nursing facilities in a county of the eighth class.