The purpose of the Clinical Advisory Committee (CAC) is to increase the efficiency, quality and effectiveness of the Medicaid healthcare system. CAC provides a process for physician/provider intervention to promote quality care, member safety, cost effectiveness and positive physician/provider relations through discussion about Medicaid benefits and healthcare services.
Upcoming CAC Meetings
After registering, you will receive a confirmation email containing information about joining the meeting.
CAC Disclosure Form (74.04 KB) .pdf
- Anyone that would like to speak during the public comment period please complete the above CAC Disclosure Form and email it to CAC@hhs.iowa.gov
- Disclosure form submissions must be received no later than one week prior to the meeting date.
Contact: CAC@hhs.iowa.gov
Previous CAC Meeting Agendas and Minutes
January 2026 - Agenda (280.82 KB) .pdf - Minutes (350.19 KB) .pdf
January 2025 - Agenda (174.96 KB) .pdf - Minutes (320.08 KB) .pdf
April 2025 - Agenda (173.71 KB) .pdf - Minutes (249.22 KB) .pdf
July 2025 - Agenda (160.92 KB) .pdf - Minutes (207.42 KB) .pdf
October 2025 - Agenda (243.31 KB) .pdf - Minutes (167.32 KB) .pdf
CAC State Annual Reports
CAC Members
Committee Chair:
- Bill Jagiello, DO
Committee Members:
- Chitra Reddy, MD
- Dana Danley, MD
- Dawn Schwartz, ARNP
- Diana Smith, ARNP
- Geetanjali Sahu, MD
- Kelli Roenfanz, DO
- Wendy Sanders, ARNP
- Kaaren Olesen, DO
Interested in serving as a CAC member? Click here for a Member Interest Form.
CAC Criteria Material Library
List items for Clinical Advisory Committee (CAC) Criteria Material Library
The purpose of the CAC Criteria Material Library is to provide documentation for physician and provider interventions regarding specific subject matters. Documents are reviewed at the CAC meeting or by specialists annually to ensure they continue to increase the efficiency, quality and effectiveness of the Medicaid healthcare system.
Augmentative Communication Systems (143.61 KB) .pdf
Back-up Ventilator (136.87 KB) .pdf
Ceiling Track Lifts and/or Electric Patient Lifts (155.22 KB) .pdf
Continuous Glucose Monitoring (184.31 KB) .pdf
Cranial Orthotics (139.15 KB) .pdf
Custom Knee Orthotics (116.36 KB) .pdf
Enteral Products and Supplies (178.96 KB) .pdf
Gait Trainer-Stander (138.19 KB) .pdf
High Frequency Chest Wall Oscillation (155.49 KB) .pdf
Insulin Pumps (110.55 KB) .pdf
Medical Foods (148.77 KB) .pdf
Mobility Related Device Purchase (101.83 KB) .pdf
Negative Pressure Wound Therapy (196.09 KB) .pdf
Power Seat Elevation for Power Wheelchairs (137.71 KB) .pdf
Power Wheelchair Attendant Controls (90.09 KB) .pdf
Shower-Commode Chair (136.68 KB) .pdf
Children's Mental Health Waiver Level of Care (190.65 KB) .pdf
Habilitation Eligibility (non-financial) (177.68 KB) .pdf
Intermediate Care Facility for Intellectual Disability Level of Care (134.88 KB) .pdf
Nursing Facility Level of Care (135.72 KB) .pdf
Pediatric Skilled Nursing Facility Level of Care (189.17 KB) .pdf
Psychiatric Medical Institution for Children Level of Care (128.57 KB) .pdf
Adstiladrin (nadofaragene firadenovec-vncg) (227.05 KB) .pdf
Abecma (idecabtagene vicleucel) (467.48 KB) .pdf
Adakveo (crizanlizumab-tmca) (439.24 KB) .pdf
Amondys 45 (casimersen) (385.67 KB) .pdf
Amvuttra (vutrisiran) (395.95 KB) .pdf
Bavencio (avelumab) (552.9 KB) .pdf
Botulinum Toxins (870.96 KB) .pdf
Breyanzi (lisocabtagene maraleucel) (693.5 KB) .pdf
Brineura (cerliponase alfa) (261.98 KB) .pdf
Briumvi (ublituximab-xiiy) (444.5 KB) .pdf
Cablivi (caplacizumab-yhdp) (261.98 KB) .pdf
Carvykti (ciltacabtagene autoleucel) (458.19 KB) .pdf
Columvi (glofitamab-gxbm) (441.96 KB) .pdf
Crysvita (burosumab-twza) (592.89 KB) .pdf
Danyelza (naxitamab-gqgk) (393.37 KB) .pdf
Darzalex and Darzalex Faspro (daratumumab; daratumumab and hyaluronidase-fihj) (400.35 KB) .pdf
Elahere (mirvetuximab soravtansine-gynx) (856.24 KB) .pdf
Elaprase (idursulfase) (511.22 KB) .pdf
Elevidys (delandistrogene moxeparvovec-rokl) (509.81 KB) .pdf
Elfabrio (pegunigalsidase alfa-iwxj) (411.29 KB) .pdf
Elrexfio (elranatamab-bcmm) (451.26 KB) .pdf
Enhertu (fam-trastuzumab deruxtecan-nxki) (600.59 KB) .pdf
Enjaymo (sutimlimab-jome) (480.08 KB) .pdf
Epkinly (epcoritamab-bysp) (511.77 KB) .pdf
Exondys 51 (eteplirsen) (492.91 KB) .pdf
Fasenra (benralizumab) (522.59 KB) .pdf
Fyarro (sirolimus protein-bound particles) (386.25 KB) .pdf
Givlaari (givosiran) (261.98 KB) .pdf
Imfinzi (durvalumab) (544.12 KB) .pdf
Imjudo (tremelimumab-actl) (244.5 KB) .pdf
Injectafer (ferric carboxymaltose) (325.32 KB) .pdf
Jelmyto (mitomycin gel) (348.19 KB) .pdf
Jemperli (dostarlimab-gxly) (488.62 KB) .pdf
Kadcyla (ado-trastuzumab emtansine) (478.99 KB) .pdf
Keytruda (pembrolizumab) (512.31 KB) .pdf
Kimmtrak (tebentafusp-tebn) (218.83 KB) .pdf
Kisunla (donanemab-azbt) (520.46 KB) .pdf
Korsuva (difelikefalin) (378.39 KB) .pdf
Krystexxa (pegloticase) (559.91 KB) .pdf
Kymriah (tisagenlecleucel) (577.5 KB) .pdf
Lamzede (velmanase alfa-tycv) (411.88 KB) .pdf
Leqembi (lecanemab-irmb) (696.68 KB) .pdf
Loqtorzi (toripalimab-tpzi) (485.88 KB) .pdf
Lunsumio (mosunetuzumab-axgb) (368.81 KB) .pdf
Lutathera (lutetium Lu 177 dotatate) (258.17 KB) .pdf
Luxturna (voretigene neparvovec-rzyl) (380.21 KB) .pdf
Monjuvi (tafasitamab-cxix) (414.27 KB) .pdf
Namenda (memantine) for Autism Spectrum Disorder (483.97 KB) .pdf
Natalizumab Agents (Tysabri, Tyruko) (674.39 KB) .pdf
Nexviazyme (avalglucosidase alfa-ngpt) (370.2 KB) .pdf
Ocrevus (ocrelizumab) (453.83 KB) .pdf
Opdualag (nivolumab and relatlimab-rmbw) (428.77 KB) .pdf
Orphan Drugs (Rare Diseases) (261.98 KB) .pdf
Padcev (enfortumab vedotin-ejfv) (541.4 KB) .pdf
Phesgo (pertuzumab, trastuzumab, and hyaluronidase-zzxf) (466.48 KB) .pdf
Pluvicto (lutetium Lu 177 vipivotide tetraxetan) (218.54 KB) .pdf
Qalsody (tofersen) (639.96 KB) .pdf
Radicava (edaravone) (624.62 KB) .pdf
Rylaze [asparaginase erwinia chrysanthemi (recombinant)-rywn] (426.46 KB) .pdf
Rystiggo (rozanolixizumab-noli) (442.08 KB) .pdf
Sarclisa (isatuximab-irfc) (373.74 KB) .pdf
Spevigo (spesolimab-sbzo) (505.59 KB) .pdf
Spinraza (nusinersen) (404.86 KB) .pdf
Spravato (esketamine nasal spray) (538.31 KB) .pdf
Talvey (talquetamab-tgvs) (395.97 KB) .pdf
Tecartus (brexucabtagene autoleucel) (277.1 KB) .pdf
Tecvayli (teclistamab-cqyv) (468.73 KB) .pdf
Tepezza (teprotumumab-trbw) (552.11 KB) .pdf
Tezspire (tezepelumab-ekko) (493.25 KB) .pdf
Trodelvy (sacituzumab govitecan-hziy) (203.16 KB) .pdf
Tzield (teplizumab-mzwv) (434.7 KB) .pdf
Uplizna (inebilizumab-cdon) (427.38 KB) .pdf
Veopoz (pozelimab-bbfg) (397.66 KB) .pdf
Viltepso (viltolarsen) (400.56 KB) .pdf
Vitamin, Mineral, Amino Acid Supplements (136.01 KB) .pdf
Vyjuvek (beremagene geperpavec-svdt) (440.35 KB) .pdf
Vyepti (eptinezumab-jjmr) (371.85 KB) .pdf
Vyondys 53 (golodirsen) (464.15 KB) .pdf
Xenpozyme (olipudase alfa-rpcp) (456.32 KB) .pdf
Ycanth (cantharidin) (420.18 KB) .pdf
Yescarta (axicabtagene ciloleucel) (484.75 KB) .pdf
Zolgensma (onasemnogene abeparvovec-xioi) (522.44 KB) .pdf
Ablative Laser Treatment of Burns and Surgical Scars (116.5 KB) .pdf
Artificial Disc Replacement (159.78 KB) .pdf
Autologous Chondrocyte Implantation (204.21 KB) .pdf
Bariatric Surgery (187.22 KB) .pdf
Bone Marrow and-or Peripheral Blood Stem Cell Transplant (131.8 KB) .pdf
Cochlear Implant Repair and Replacement (131.84 KB) .pdf
Fecal Microbiota Transplant (177.91 KB) .pdf
Laser Linear Accelerator Based Stereotactic Radiosurgery (147.57 KB) .pdf
Left Ventricular Assist Device (209.9 KB) .pdf
Lung Transplant (129.68 KB) .pdf
Nipple Tattooing (122.46 KB) .pdf
Pancreas Transplant (163.2 KB) .pdf
Prior Authorization from Iowa Medicaid is required for certain services and supplies. For more information, please see the Prior Authorization webpage.
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