Notice is hereby given, in accordance with 42 CFR Β§447.57, that the Iowa Department of Health and Human Services (HHS) will be submitting to the Centers for Medicare and Medicaid Services (CMS) State Plan Amendment (SPA) IA 23-0010 to address premiums and cost-sharing upon the end of the national COVID-19 public health emergency (PHE).


Pending federal approval, HHS will continue to suspend all copayments and premiums for all Hawki and Medicaid enrollees until June 1, 2024.

Fiscal Impact

The estimated financial impact to Medicaid for SFY24 related to suspension of all copayments and premiums for Medicaid enrollees through June 1, 2024, is:

Total Dollars:                                                          $ 269,988

Federal Dollars:                                                       $ 216,459

State Dollars:                                                          $ 53,529

Public Review and Comments

A copy of SPA 23-0010 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: Tashina Hornaday, Program Manager-Policy, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319-0114. Comments may also be sent via e-mail to Please indicate β€œPremium and Cost Sharing SPA 23-0010” in the subject line of the email.

All comments must be received by April 10, 2023 at 4:30 p.m.

Additional Attachments:

Submitted by: 

Elizabeth Matney,  Medicaid Director

Iowa Department of Health and Human Services