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 23-0016 to address premiums and cost-sharing. This supersedes the public notice issued on March 10, 2023, for SPA IA-23-0010.    


Iowa Medicaid suspended copayments and premiums during the COVID-19 Public Health Emergency (PHE). HHS will reinstate premiums for Hawki and Medicaid for Employed People with Disabilities (MEPD) enrollees effective January 1, 2024. Copayments for all Medicaid enrollees will continue to be suspended until June 1, 2024.  


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

Total Dollars: $241,149  

Federal Dollars:$197,821  

State Dollars: $43,328  


A copy of SPA 23-0016 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 23-0016” in the subject line of the email.    

All comments must be received by July 13, 2023, at 4:30 p.m.


Submitted by:  

Elizabeth Matney, Medicaid Director  

Iowa Department of Health and Human Services