Implements an Asset Verification System as part of the Medicaid eligibility determination and recipients. Defines the requirements of the Asset Verification System.

This amendment provides that, effective from October 1, 2012 to September 30, 2013, inpatient hospital services will continue to be paid at the rate in effect as of September 30, 2011 reduced by five percent. This amendment also removes the annual application of inflation factor.

This amendment provides that, effective fromOctober 1, 2012 to September 30, 2013, nursing facility services will continue to be paid at the rate ineffect as of September 30,2011 reduced by five percent.

This amendment provides that, effective from October 1, 2012, inpatient hospital outlier qualification and payment Will continue to be determined using90.25% of the current Medicare cost-to-charge ratio; for any hospital that reports an increase in its charge master, that cost-to-charge ratio will be correspondingly reduced; and the outlier cost threshold will continue to be set at the cost threshold as of September 30,2011 increased by five percent.

This amendment provides for nursing facilitysupplemental payments funded by a provider tax.

This amendment provides a technical correction to page 8 of Attachment 4.19-A to re-insert state plan language that was inadvertently deleted in aprevious amendment.

Modifies the IowaCare Prospective Interim Payment provisions.

SPA Amends lowaCare PIP payments to comply with the terms and conditions of the 1115 MedicaidDemonstration project.

Updates the description of the Iowa Medical Managed Health Care program to reflect that the managed care organization no longer participates in the program.

Modifies the reimbursement methodology necessary to comply with CMS regulations specific for provider preventable conditions.