Medicaid State Plan Amendments

This amendment proposes to allow the Division of Medicaid to add coverage for up to twelve ( 12) tobacco cessation counseling sessions per year.

This amendment proposes coverage for all approved vaccines recommended by the Advisory Committee on Immunization Practices and vaccine administration when furnished by a qualified provider.

This amendment proposes to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid.

This amendment was submitted on December 19, 2023, in order to update the fee schedules for Family Planning Services.

This SPA, eliminates the $750-per-year adult dental benefit limit, to allow public health licensed dental hygienists to provide certain dental services, and to better align language in the State Plan with state regulations in 471 NAC 6.

1) to supply assurances that it is complying with new third party liability requirements authorized under the Consolidated Appropriations Act, 2022 and 2) to provide clarity on the state’s option to adopt a new flexibility on creating liens for injury settlement proceeds attributable to future medical expenses.

This amendment gives a 2-year exception to the recovery audit contractor (RAC) until April 1, 2026.

This amendment eliminates the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Iowa Dental Wellness Plan.

This SPA implements coverage of the Advisory Committee on Immunization Practices' recommended vaccines for adult Medicaid beneficiaries without cost sharing, in compliance with Section 11405 of the Inflation Reduction Act of 2022.

This plan updates the rates for Freestanding Birthing Centers.