The SPA allows Medicaid members 12 sessions of speech therapy before prior authorization is required.

This Plan revises the new name of the single state agency to reflect Iowa Department of Health and Human Services.

This amendment is an exception to the Recovery Audit Contractor (RAC) program.

Amendment to increase acute rates for freestanding psychiatric hospitals paid on a per diem and to restore the 15% rate reduction for Acute II facilities while also increasing the restored rate by 5%.

This amendment aligns the Alternative Benefit Plan (ABP) with the Medicaid state plan by adding specified pharmacist services as a Medi-Cal benefit.

With this Plan the state add to its state plan additional income and resource disregards under section 1902(r)(2) of the Social Security Act.

The purpose of this SPA is to amend the standards for payment and reimbursement for nursing facilities in order to implement the patient driven payment model for case-mix classification and mandate use of the optional state assessment item set.

The Supplemental Payment to Further Support Acute Hospital Financial Stability and Prevent Possible Impacts to Acute Hospital Service Provision and Access will provide further support to hospitals that are at risk of closure or reduction of services due to financial needs.

One-time supplemental payment in the amount of $1.2M to privately-owned CDR hospitals with Medicaid inpatient utilization exceeding 50%. Only one hospital qualifies for this payment.

The State provides for coverage of a maximum of twelve reserve bed days for the first six calendar months and 12 days for the second six calendar months of the year for recipient residents of Title XIX nursing facilities for the purpose of therapeutic home visits. The absence must be specifically provided for in the patient's plan of care and physician prescribed.