Proposes to implement a five percent increase in fee schedule rates for family planning services as mandated by the Iowa Legislation.

The SSDC Iowa Medicaid Supplemental Drug Rebate Agreement utilized by the State to enter into a rebate agreement with a drug manufacturer has been revised to correct a formatting error on page 14 and must be authorized by CMS.

This request continues the reduction in the dispensing fee.

Remove IACare expansion language and establish disproportionate share hospital (DSH) payments. The non-federal share of the $7,500,000 increase in DSH payment to the UI is provided by the UI through an IGT, therefore we have shown $0 as the state dollar impact. DSH to Broadlawns has been moved from an IACare expenditure to a regular Medicaid expenditure freeing up budget neutrality space for IowaCare.

Effective January 1, 2010 states are required to exempt Medicare cost sharing benefits paid.

This SPA is being submitted because of changes to the LTC Partnership Program as directed by the DRA of 2005 and clarification from CMS. Determined that the placement for the asset exemption from estate recovery is on page 53b and removed from Sup. 8b to Attachment 2.6-A.

This implements a change in the reimbursement methodology to provide an additional $9,900,000 in medical assistance payment to the UIHC for inpatient/outpatient hospital services. No impact to the state.

This implements a change in the reimbursement methodology to provide an additional $9,900,000 in medical assistance payment to the UlHC for inpatient/outpatient hospital services. No impact to the State.

Which amends the state plan to include reimbursement of an administrative fee for pharmacies administering the influenza vaccine available through the Vaccines for Children (VFC) program.

Removes the annual limit on the number of persons served and removing all references to payment slots and waiting lists for the 1915(i) State Plan HCBS program, on or after October 1, 2010 as required by the Affordable Care Act.