Federal Waiver Documents

1115 Approval 1/1/2020 to 12/31/2024

• IA IWP Approval Letter (11.15.2019) (1.83 MB) .pdf
• IA IWP STCs (11.15.2019) (343.82 KB) .pdf

Approved Temporary Extension

• Iowa Wellness Plan Temporary Extension Approval Letter (8.29.2025) (270.32 KB) .pdf

• IHAWP Fast Track Appendices (6.21.2024) (1.02 MB) .pdf
• IHAWP Interim Report - Supplemental Materials Draft (21.37 MB) .pdf
• IHAWP Interim Report Draft (6.26.2024) (6.21 MB) .pdf
• Iowa Application Certification Statement - Sec 1115(a) (96.45 KB) .pdf

• IWP & MPC Approval Letter (12.10.2013) (368.23 KB) .pdf
• Marketplace Choice Plan Special Terms & Conditions (9.7 MB) .pdf
• IHWP Special Terms & Conditions (3.51 MB) .pdf
• IWP & MPC Approval Letter (12.30.2013) (417.87 KB) .pdf
• Marketplace Choice Plan Special Terms & Conditions (Amended 12.30.2013) (9.53 MB) .pdf
• IHWP Special Terms & Conditions (Amended 12.30.2013) (4.63 MB) .pdf
• IWP & MPC Approval Letter (2.2.2015) (19.36 MB) .pdf
• IA Marketplace Choice Plan - Current Approval (2.2.2015) (577.65 KB) .pdf
• CMS Letter - Iowa Wellness Plan Section 1115 Demonstration Extension Application (11.23.2016) (148.41 KB) .pdf
• IWP Amended STCs (11.23.2016) (988.94 KB) .pdf
• Iowa Wellness Plan Amendment Letter (10.26.2017) (571.97 KB) .pdf
• IA IWP Amendment STCs for Retro Eligibility (690.13 KB) .pdf
• DWP end HB -IME Letter to CMS (12.7.2021) (93.24 KB) .pdf

Dental Wellness Plan (DWP) Public Notice for Public Comment (96.97 KB) .pdf

DWP 1115 Demonstration Waiver (May 1, 2017) (765.67 KB) .pdf

DWP Cover Letter to Centers for Medicare and Medicaid Services (CMS) (May 1, 2017) (122.81 KB) .pdf

IFPN Waiver Renewal Document (May 16, 2016) (378.6 KB) .pdf

IFPN Waiver Renewal - Public Comment Notice and Schedule (May 20, 2016) (75.62 KB) .pdf

Home Health Habilitation Public Notice (March 4, 2016) (19.1 KB) .pdf

Chronic Conditions Health Home (July 12, 2016) (5.75 MB) .pdf

Integrated Health Home (July 12, 2016) (6.02 MB) .pdf

Habilitation Services - 1915(i) Home- and Community-Based Services State Plan Program (March 4, 2016) (458.5 KB) .pdf

1915(c) AIDS/HIV Waiver (9.81 MB) .PDF

1915(c) Brain Injury Waiver (11.59 MB) .PDF

1915(c) Children’s Mental Health Waiver  (5.67 MB) .PDF

1915(c) Elderly Waiver (10.92 MB) .PDF

1915(c) Health and Disability  (10.78 MB) .PDF

1915(c) Intellectual Disability Waiver  (11.21 MB) .PDF

1915(c) Physical Disability Waiver (7.55 MB) .PDF

1915c Children’s Mental Health Waiver  (5.67 MB) .PDF

1915c Elderly Waiver (10.38 MB) .PDF

1915c Health and Disability Waiver (10.23 MB) .PDF  

1915c Intellectual Disability Waiver  (3.71 MB) .pdf

1915c Physical Disability Waiver (7.08 MB) .PDF

1915c AIDS/HIV Waiver  (3.14 MB) .pdf

1915c Brain Injury Waiver  (11.48 MB) .PDF

SPA IA-21-0010 (LOCUS/CALOCUS, Needs-based eligibility, Home-based Habilitation and Supported Employment) approved May 16, 2022 (1.68 MB) .pdf

SPA IA- 22-0016 (SFY23 rate increase) approved November 18, 2022  (491.78 KB) .pdf

SPA IA 23-0023 (COVID Flexibilities, Host Homes and Remote Support) approved November 1, 2023 (1.41 MB) .pdf

SPA IA 24-0008 (SFY25 Rate Increase) approved September 26, 2024 (607.59 KB) .pdf

SPA IA 25-0008 (Per federal requirement, Iowa is changing the personal experience survey from IPES to HCBS CAHPS) approved May 8, 2025   (676.22 KB) .pdf

ABP.CS Public Notice (December 7, 2015) (48.33 KB) .pdf

ABP Populations - Iowa Wellness Plan (December 7, 2015) (2.08 MB) .pdf

ABP Populations - Iowa Marketplace Choice Plan (December 7, 2015) (2.08 MB) .pdf

ABP Populations - Service Delivery System (December 7, 2015) (1.7 MB) .pdf

Cost Sharing Limitations (December 7, 2015) (1.23 MB) .pdf

Cost Sharing Amounts - Targeting (December 7, 2015) (2.07 MB) .pdf

Cost Sharing Amounts - Medically Needy Individuals (December 7, 2015) (1.64 MB) .pdf

Cost Sharing Requirements (December 7, 2015) (1.22 MB) .pdf

Cost Sharing Amounts - Categorically Needy Individuals (December 7, 2015) (1.65 MB) .pdf

1915(b) High Quality Healthcare Initiative Waiver- Narrative (November 2025) (695.85 KB) .pdf

1915(b) High Quality Healthcare Initiative Waiver- Narrative (September 2015) (415.83 KB) .pdf

1915(b) High Quality Healthcare Initiative Waiver- Appendix D Workbook (September 2015) (483.52 KB) .pdf

1915(b) High Quality Healthcare Initiative Waiver- Cover Letter (September 2015) (29.51 KB) .pdf

1115 Iowa Wellness Plan Demonstration Waiver- Amendment (September 2015) (222.98 KB) .pdf

1115 Iowa Wellness Plan Demonstration Waiver- Cover Letter (September 2015) (222.98 KB) .pdf

1115 Family Planning Network Demonstration Waiver- Amendment (September 2015) (205.81 KB) .pdf

1115 Family Planning Network Demonstration Waiver- Cover Letter (September 2015) (29.01 KB) .pdf

Public Comment Summary (September 2015) (102.21 KB) .pdf