To indicate that Iowa has implemented a system that provides for data matching through the Public Assistance Reporting Information system (PARIS), including matching with medical assistance programs of other states.

Implements the nursing facility preadmission screening and resident review (PASRR) specialized services and categorical determinations definitions.

The State is attesting compliance with Section 1902(a) (80) of the Social Security Act, P.L. 111-148 (Section 6505). This amendment prohibits payments for items or services provided under the State plan or State waiver to any financial institution or entity located outside of the United States.

Proposes to transition remedial services to managed care (MC) and reimburse non-MC providers on a fee schedule. The program name is also changing to Behavioral Health Intervention Services.

Required due to a premium scale adjustment per 441 IAC 75.1(39). The maximum preium amount is based on avg. state employee health insurance premium, & that amount increased. Therefore, premiums for MEPD have increased.

Clarify when a Medicaid payment is made for medical care or expenses on behalf of a member because of medical malpractice, the department shall have a lien, to the extent of those payments, to all monetary claims which the member may have against third parties. This amendment applies to injuries sustained on or after July 1, 2011.

Modify nursing facility rate setting to allow for rebasing and inflation.

To add drug and alcohol counselors certified by the Iowa Board of Substance Abuse as a rehabilitation provider for both children and adults.

This change implements a change to the pharmacy dispensing fee from $4.34 to $6.20 for date.

Modify inpatient hospital reimbursement base rates to pay remaining upper payment limit amount authorized through the hospital provider tax (Hospital Healthcare Access Assessment Program).