Medicaid State Plan Amendments

This SPA updates the payment methodology for the Outpatient Differential Adjusted Payment (DAP) program.

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.

This SPA is to update 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 is to update 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 is to update state plan assurances in accordance with the federally mandated requirements for the Child Core Set and the behavioral health quality measure on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

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.