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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: This amendment is to eliminate the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Alternative Benefit Plan (ABP).
Summary: This amendment complies with the federal requirement that the state implement a tracking system that ensures that cost sharing and premiums of a Medicaid beneficiary will not exceed five percent of the family income.
Summary: This amendment eliminates the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Iowa Dental Wellness Plan.
Summary: This plan amendment is an enhanced fee schedule (dental) provided in Iowa non-state-own dentistry clinics located in county with a population over 350,000.
Summary: This Amendment Migrated_HH.IA-16-012 - Chronic Conditions Health Home - Managed Care Implementation to end the Health Home Program as part of their transition plan
Summary: 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.
Summary: This plan proposes providing outpatient supplemental payments to non-governmental independent licensed short-term general hospitals that are financially distressed.
