Notice is hereby given, in accordance with 42 CFR §447.205, that the Iowa Department of Human Services (DHS) has posted for public comment a Medicaid State Plan Amendment (SPA), IA-22-0007.
Summary
Pending federal approval, effective July 1, 2022, DHS will no longer make COVID-19 Relief Rate (CRR) payments to nursing facilities. During the COVID-19 public health emergency (PHE), DHS has been making CRR payments to nursing facilities that meet one of the following requirements:
- The facility has a designated isolation unit for the treatment of COVID‐19; or
- The facility, in its entirety, is designated for the treatment of COVID‐19.
CRR payments of $300 per day have been made to eligible facilities for each enrollee residing in a designated isolation unit or COVID-19 designated facility who:
- Was discharging from a hospital to the nursing facility; or
- Was pending test results for COVID‐19; or
- Had a positive COVID‐19 diagnosis.
The CRR payments were in addition to the already established nursing facility per diem rates.
Fiscal Impact
| Fee for Service | Total | Federal | State |
|---|---|---|---|
| SFY22 Payments (FFY22) | $9,300 | $6,356 | $2,944 |
| SFY23 Payments (FFY23) | $0 | $0 | $0 |
Public Review and Comments
A copy of SPA IA-22-0007 and this public notice are posted on the DHS website at https://dhs.iowa.gov/public-notices/Rescission_of_Relief_Payments. To reach all stakeholders, non-electronic copies will be made available for review at each local DHS office.
Written comments may be sent to: Jessica McBride, Program Manager, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319-0114. Comments may also be sent via e-mail to jmcbrid@dhs.state.ia.us. Please indicate SPA 22-0007 in the subject line of the email.
All comments must be received by Friday, May 6,2022 at 4:30 p.m.
Attachments:
7.4.A. Recission to the State’s Disaster Relief Policies for the COVID-19 National Emergency
Submitted by:
Elizabeth Matney, Medicaid Director
Iowa Department of Human Services