Summary
The State of Iowaβs Medicaid program currently operates the Integrated Health Home (IHH). The proposed changes in the SPA are summarized below:
Integrated Health Home (IHH SPA IA-22-0004)
- Updated the Comprehensive Transitional Care code from G2065 to 99426 based on the Centers for Medicare and Medicaid Services (CMS) Code updates.
- Updated the monthly reimbursement rate for tier 6 from $121.14 to $200.97.
Fiscal Impact
The Governor has appropriated additional funding to address the reduction in the non-intensive care management (ICM) reimbursement rate that went into effect July 1, 2021. Effective for dates of service beginning January 1, 2022, IHHs will be reimbursed at the rate of $200.97 for both tier 6 (99490 TG) and tier 8 (99490 U2). IHHs will continue to include the Level II modifier on the claim to indicate an ICM and Non-ICM enrollee.
ββββββThere is no fiscal impact related to the changes proposed in the IHH SPA.
The changes in the reimbursement amounts are budget neutral.
Public Review and Comments
A copy of this SPA IA-22-0004 and this public notice are posted on the DHS website at: https://dhs.iowa.gov/public-notices/IHH_1. To reach all stakeholders, non-electronic copies will be made available for review at the DHS Field Offices.
Written comments concerning this notice, or the proposed amendments may be addressed to: Health Home Program, Iowa Department of Human Services, Iowa Medicaid Enterprise, 1305 East Walnut, Des Moines, Iowa 50319 or may be emailed to:
Healthhomes@dhs.state.ia.us. Please indicate SPA IA-21-0004 in the subject line of the email.
All comments must be received by: Monday January 31, 2022, at 4:30 PM.