Notice is hereby given that the Iowa Department of Health and Human Services (HHS) will be submitting an amendment to its Iowa High Quality Healthcare Initiative 1915(b) Waiver to the Centers for Medicare and Medicaid Services (CMS). This notice provides a summary of the amendment request and describes the method for providing comments and questions.


HHS has operated Iowa Health Link, Iowa’s Medicaid managed care program under §1915(b) waiver authority since April 2016. This amendment application does not propose any modifications to the program design and is being submitted to address technical corrections necessary to reflect the addition of Molina Healthcare of Iowa as an additional managed care organization through which members may be enrolled under the waiver effective July 1, 2023. Additionally, the amendment addresses technical corrections reflecting the reorganization of the Iowa Department of Human Services (DHS) to the current HHS structure in accordance with current state law and updates Iowa Medicaid Enterprise to Iowa Medicaid.

Public Review and Comments

A copy of the waiver amendment and this public notice are posted on the HHS website at To reach all stakeholders, non-electronic copies will be made available for review at each local HHS office.

Written comments may be sent to: Kimee Pierson, Federal Oversight and Compliance Director, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319-0114. Comments may also be sent via e-mail to Please indicate “1915(b) Waiver Amendment” in the subject line of the email.

All comments must be received by March 29, 2023 at 4:30 p.m.

Additional Attachments

Submitted by: 

Elizabeth Matney, Medicaid Director

Iowa Department of Health and Human Services