Pursuant to the requirements outlined in 42 CFR 447.205 and 1902(a)(13)(A) of the Social Security Act, notice is hereby given that the Iowa Department of Health and Human Services (HHS) has posted for public comment Medicaid State Plan Amendment (SPA) IA-23-0007.  This SPA proposes to address  the COVID-19 public health emergency (PHE) and comply with the provisions of the American Rescue Plan Act. 


Effective March 11, 2021, and through the last day of the first calendar quarter that begins one year after the last day of the national COVID-19 PHE, HHS will provide the following coverage, without cost sharing, for all Hawki and Medicaid enrollees:

  • COVID-19 vaccines and their administration 
  • All types of FDA authorized COVID-19 testing
  • COVID-19 treatment, including specialized equipment and therapies, medically necessary non-pharmacological items or services, and any drug or biological approved or licensed by the FDA or authorized under an Emergency Use Authorization (EUA) to treat or prevent COVID-19
  • Treatment of a condition that may seriously complicate COVID-19 treatment during the period when a Medicaid or Hawki beneficiary is diagnosed with or presumed to have COVID-19

Estimated Fiscal Impact

The estimated increase in Medicaid fee-for-service (FFS) expenditures for SFY22 related to COVID-19 vaccines, vaccine administration, testing and treatment is:

Total Dollars:                                                                     $845,175

Federal Dollars:                                                                  $619,082

State Dollars:                                                                      $226,093     

Public Review and Comments

This notice and a copy of SPA 23-0007 is posted on the HHS website at the following link: https://hhs.iowa.gov/public-notices. To reach all stakeholders, non-electronic copies will be available for review at each local HHS office.

Submission of Comments

Written comments may be sent to Tashina Hornaday, Program Manager-Policy, Iowa Medicaid, 1305 East Walnut, Des Moines, IA 50319 or may be emailed to thornad@dhs.state.ia.us.  Please indicate SPA 23-0007 in the subject line of the email.  Written and e-mailed comments must be received no later than 30 calendar days from the publication date of this notice.


Submitted by:

Elizabeth Matney

Medicaid Director

Iowa Medicaid

Iowa Department of Health and Human Services