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Iowa Wellness Plan (11-W-00289/5)

State: Iowa
Waiver Authority:
1115
Status: Approved

Waiver Dates

Approval: 07/27/2017
Effective: 01/01/2017
Expiration: 12/31/2024

Supporting Documents

Approved Application(s) and Related Documents

Date Title
Date 11/15/2019 Title Demonstration Approval (PDF, 2.17 MB)
Date 12/22/2016 Title Fact Sheet (PDF, 53.2 KB)

Administrative Record

Date Title
Date 05/13/2020 Title Iowa Wellness Plan Summative Evaluation Report (PDF, 1.97 MB)
Date 05/13/2020 Title Quarterly Report January- March 2020 (PDF, 656.18 KB)
Date 03/30/2020 Title Iowa Wellness Plan Annual Report (PDF, 1.04 MB)
Date 12/11/2019 Title Iowa STC Acceptance Letter (PDF, 2.81 MB)
Date 11/19/2019 Title Quarterly Report July- September 2019 (PDF, 975.67 KB)
Date 10/30/2019 Title Iowa Extension Request (PDF, 1.34 MB)
Date 10/15/2019 Title Iowa Extension Request (PDF, 2.71 MB)
Date 09/16/2019 Title Proposed Special Terms and Conditions Changes Letter (PDF, 164.81 KB)
Date 09/09/2019 Title Quarterly Report April-June 2019 (PDF, 875.86 KB)
Date 08/19/2019 Title Quarterly Report July-September 2018 (PDF, 463.09 KB)
Date 08/02/2019 Title Letter of Intent to Review Special Terms and Conditions (PDF, 140.61 KB)
Date 07/17/2019 Title Quarterly Report January-March 2019 (PDF, 716.69 KB)
Date 07/03/2019 Title CMS Completeness Letter (PDF, 170.76 KB)
Date 06/20/2019 Title Iowa Extension Application (PDF, 3.92 MB) View Comments
Date 05/23/2019 Title Iowa Wellness Plan Annual Report 2018 (PDF, 457.61 KB)
Date 05/17/2019 Title Quarterly Report January-March 2018 (PDF, 582.07 KB)
Date 05/02/2019 Title Quarterly Report April-June 2018 (PDF, 622.63 KB)
Date 09/25/2018 Title Iowa Wellness Plan Retroactive Eligibility Exemption CMS Response Letter (PDF, 171.91 KB)
Date 09/04/2018 Title Iowa Wellness Plan Retroactive Eligibility Exemption Letter (PDF, 384 KB)
Date 04/11/2018 Title IA Wellness Plan Annual Report 2017 (PDF, 249.47 KB)
Date 12/04/2017 Title Quarterly Report July - September 2017 (12/4/2017) (PDF, 389.11 KB)
Date 11/08/2017 Title State Acceptance Letter (11/08/2017) (PDF, 1.71 MB)
Date 10/27/2017 Title CMS Amendment Approval (PDF, 352.51 KB)
Date 09/01/2017 Title Quarterly Report April – June 2017 (9/1/2017) (PDF, 815.15 KB)
Date 08/23/2017 Title State Acceptance Letter (8/23/17) (PDF, 323.14 KB)
Date 08/07/2017 Title CMS Completeness Letter (08/07/2017) (PDF, 100.65 KB)
Date 08/02/2017 Title Iowa Wellness Plan Amendment Request (8/2/17) (PDF, 2.43 MB) View Comments
Date 07/27/2017 Title Iowa Wellness Plan Amendment Approval (7/27/17) (PDF, 350.34 KB)
Date 06/01/2017 Title Quarterly Report January – March 2017 (6/1/2017) (PDF, 411.79 KB)
Date 05/10/2017 Title CMS Completeness Letter (05/10/2017) (PDF, 99.23 KB)
Date 05/05/2017 Title Iowa Wellness Plan Fourth Quarter and Annual Report 2016 (5/5/2017) (PDF, 468.77 KB)
Date 05/01/2017 Title Iowa Wellness Plan Amendment Request (5/1/2017) (PDF, 427.09 KB) View Comments
Date 12/13/2016 Title Quarterly Report July - September 2016 (12/13/2016) (PDF, 326.42 KB)
Date 11/23/2016 Title Iowa Wellness Plan Extension Approval (11/23/2016) (PDF, 653.3 KB)
Date 09/30/2016 Title Quarterly Report April - June 2016 (09/30/2016) (PDF, 323.64 KB)
Date 07/12/2016 Title Quarterly Report January - March 2016 (07/12/2016) (PDF, 304.17 KB)
Date 06/20/2016 Title Iowa Wellness Plan Demonstration Extension Request (PDF, 654.6 KB) View Comments
Date 06/14/2016 Title CMS Completeness Letter (06/14/2016) (PDF, 91.62 KB)
Date 05/31/2016 Title CMS Approval - NEMT Waiver Extension (05/31/2016) (PDF, 621.64 KB)
Date 03/01/2016 Title Iowa Dental Wellness Plan Interim Report March 2016 (PDF, 1.66 MB)
Date 03/01/2016 Title Iowa Healthy Behaviors Interim Report March 2016 (PDF, 600.82 KB)
Date 03/01/2016 Title Iowa IWP NEMT Report March 2016 (PDF, 590.09 KB)
Date 02/23/2016 Title CMS Technical Corrections - Feb 2016 (PDF, 1.25 MB)
Date 02/04/2016 Title Non-emergency Medical Transportation Waiver Temporary Extension (02/04/2016) (PDF, 91.75 KB)
Date 02/01/2016 Title Iowa IWP Q4 2015 Quarterly Report (02/01/2016) (PDF, 3.41 MB)
Date 01/01/2016 Title Special Terms and Conditions (01/01/2016) (PDF, 527.08 KB)
Date 12/31/2015 Title Iowa Health and Wellness Plan Evaluation Interim Report (PDF, 3.43 MB)
Date 12/24/2015 Title CMS Amendment Approval (12/24/2015) (PDF, 593.4 KB)
Date 10/30/2015 Title Iowa IWP Q3 2015 Quarterly Report (10/30/2015) (PDF, 2.91 MB)
Date 09/17/2015 Title CMS Completeness Letter (09/17/2015) (PDF, 99.07 KB)
Date 09/03/2015 Title State Amendment Application (09/03/2015) (PDF, 237.8 KB) View Comments
Date 07/31/2015 Title CMS Amendment Approval (07/31/2015) (PDF, 631.65 KB)
Date 07/30/2015 Title IWP Quarterly Report Apr-June 2015 (07/30/2015) (PDF, 2.91 MB)
Date 06/09/2015 Title CMS Completeness Letter (06/09/2015) (PDF, 91.55 KB)
Date 05/29/2015 Title State Amendment Application - Non-Emergency Medical Transportation (NEMT) (05/29/2015) (PDF, 968.24 KB) View Comments
Date 05/04/2015 Title IWP Quarterly Report Jan-Mar 2015 (05/04/2015) (PDF, 2.77 MB)
Date 02/02/2015 Title Current Approval (02/02/2015) (PDF, 577.65 KB)
Date 01/20/2015 Title Amendment Approval Letter (01/20/2015) (PDF, 55.14 KB)
Date 01/01/2015 Title Quarterly Report October - December 2014 (1/1/2015) (PDF, 2.89 MB)
Date 10/30/2014 Title Quarterly Report July - September 2014 (10/30/2014) (PDF, 3.76 MB)
Date 09/29/2014 Title Dental Wellness Plan Approval (09/29/2014) (PDF, 3.59 MB)
Date 09/23/2014 Title Pending Application (09/23/2014) (PDF, 201.74 KB) View Comments
Date 09/19/2014 Title Complete Letter (09/19/2014) (PDF, 64.73 KB)
Date 07/30/2014 Title Quarterly Report April - June 2014 (07/30/2014) (PDF, 7.09 MB)
Date 06/04/2014 Title Approval Letter (06/04/2014) (PDF, 71.49 KB)
Date 05/01/2014 Title Amendment Request Letter (05/01/2014) (PDF, 222.13 KB)
Date 04/30/2014 Title Iowa IWP Q1 2014 Quarterly Report (04/30/2014) (PDF, 28.88 MB)
Date 02/26/2014 Title Letter Issuing Technical Corrections (02/26/14) (PDF, 73.25 KB)
Date 01/01/2014 Title Special Terms and Conditions (01/01/14-12/31/16 Amended 12/30/13) (PDF, 98.44 KB)
Date 01/01/2014 Title Special Terms and Conditions (01/01/14-12/31/16 Amended 12/30/13) (PDF, 99.5 KB)
Date 01/01/2014 Title Special Terms and Conditions (01/01/14-12/31/16) (PDF, 77.56 KB)
Date 12/30/2013 Title Letter of Approval to Amend Demo (12/30/13) (PDF, 40.45 KB)
Date 12/30/2013 Title Waiver List 12/30/13 (PDF, 32.45 KB)
Date 12/30/2013 Title Waiver List 12/30/13 (01/01/14-12/31/16 Amended 12/30/13) (PDF, 33.34 KB)
Date 12/10/2013 Title Demo Approval Letter (12/10/13) (PDF, 307.95 KB)
Date 12/10/2013 Title Waiver List 12/10/13 (PDF, 29.42 KB)
Date 08/31/2013 Title 1115 Waiver App (August 2013) (PDF, 753.35 KB)
Date Title Public Comments (PDF, 162.77 KB)
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