This SPA revises the State's Standard Alternative Benefit Plan (ABP) to add home health aide and home health part-time nursing prior authorization requirements.

Reflects language to further define the reimbursement methodology for evaluation and management services provided by attending physicians in the emergency department of a hospital.

Reflects the inclusion of hospice categories of care within the State Plan per Centers for Medicare & Medicaid Services (CMS) request.

This amendment modifies the State's Disproportionate Share Hospital payment methodology. The annual DSH survey process is updated, a provision is added for extraordinary circumstances and the interim payment process is adjusted. Final DSH payments due to providers are not affected by this SPA.

Single State Agency: §1634 revisions.

This SPA was submitted on May 24, 2016 to remove Attachment 3.1-F from the Iowa State Plan. This attachment had previously provided federal authority for the state to operate their MediPass and managed care programs through the Medicaid state plan.

This amendment was submitted to implement a three percent reduction for Home Health Providers.

This amendment was submitted to implement a three percent reduction for Freestanding Ambulatory Surgery Centers and Clinics.

This amendment was submitted to implement a three percent reduction for Dental Providers.

This amendment was submitted to implement a three percent reduction for Emergency Transportation rates.