The Iowa Department of Health and Human Services (HHS), pursuant to the requirements outlined in 42 C.F.R. ยง447.205, hereby gives notice of the following proposed action regarding  State Plan Amendment (SPA) IA-23-0003. This SPA is being submitted to the Centers for Medicare and Medicaid Services (CMS) to add Multi-Systemic Therapy (MST) and Functional Family Therapy (FFT) as covered Medicaid services under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for members under age 21, including setting forth provider types that may assess members for and provide the respective service. SPA IA-23-0003 also implements the following reimbursement rates for MST and FFT provided by Nationally accredited providers meeting the requirements set forth in the SPA:


Service Code




H2033-15 min










This SPA is being submitted pursuant to the requirements of 2022 Iowa Acts, House File (HF) 2578, Div. 5, Section 13. 12, item 21.

Pending federal approval, the proposed effective date of this SPA is March 1, 2023.

Estimated Fiscal Impact

The estimated increase in Medicaid fee-for-service (FFS) expenditures for State Fiscal Year (SFY) 2023 related to establishing coverage of Multi-Systemic Therapy (MST) and Functional Family Therapy (FFT) is:

Total Dollars:        $ 125,370

Federal Dollars:    $ 70,275

State Dollars:    $ 55,095

There is no state general fund impact. The state share cost will be funded by increased assessment fees.

Public Review and Comments

A copy of this SPA is posted on the HHS website at the following link: [INSERT LINK]. To reach all stakeholders, the SPA is also available for public review at each local HHS office.

Submission of Comments

Written comments may be sent to Jenny Erdman, Behavioral Health and Substance Use Disorder Policy Specialist, Department of Human Services, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319 or may be emailed to Please indicate SPA IA-23-0003 in the subject line of the email.

Written and emailed comments must be received by March 27, 2023 by 4:30 p.m.


Submitted by:

Elizabeth Matney

Medicaid Director

Iowa Medicaid

Iowa Department of Health and Human Services