Establishes Mandatory Coverage Adult Group up to 133% FPL.

Implements Eligibility of Mandatory Coverage Groups.

Describes Modified Adjusted Gross Income MAGI Based Eligibility Groups.

Affirms State Plan Administration Designation and Authority.

Implements Presumptive Eligibility (PE) for Parents/ Caretaker Relatives, and the Adult Group.

Offers Medicaid Coverage to Individuals Determined Presumptively Eligible by a Qualified Hospital.

Phase III expansion of Iowa's serious and persistent mental illness (SPMI) health home program for Medicaid eligible individuals as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

Addresses Single State Agencies Delegation of Appeals and Determinations.

Incorporates MAGI-Based Mandatory and Optional Eligibility Groups Requirements.

Hospital rate modification and repeal of Excellence in Academic Medicine.