The Iowa Department of Health and Human Services (HHS), pursuant to the requirements outlined in 42 C.F.R. Β§447.205, hereby gives notice of the following proposed action regarding the addition of a new service and the accompanying rates to the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid). 


Summary of Submission: 

This Medicaid State Plan Amendment (SPA) adds Therapeutic Foster Care to Iowa’s State Plan as a rehabilitative service. This service will be provided by licensed child placing agencies who contract with licensed and specially trained foster parents to serve children in the community.

Medicaid State Plan Amendment (SPA) IA-24-0002 will amend Attachment 4.19-B, page 5, to indicate the fee schedule effective date for behavioral health service providers is July 1, 2024. 

Estimated Fiscal Impact

The estimated increase in Medicaid fee-for-service (FFS) expenditures for State Fiscal Year (SFY) 2025 related to the therapeutic foster care rate is: 

estimated fiscal impact
Estimated Fiscal Impact
Total Dollars$ 58,553.73
Federal Dollars$ 37,164.05
State Dollars$ 21,389.68

Public Review and Comments

Printable copies of this notice and related attachments are available at the following links:

 To reach all stakeholders, non-electronic copies will be made available for public review at each local HHS office. 


Submission of Comments

Written comments may be sent to Hannah Olson, Department of Health and Human Services, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319 or may be emailed to Please indicate SPA IA-24-0002 in the subject line of the email.  

All written and emailed comments must be received no later than Monday June 3, 2024 by 4:30 p.m. 


Submitted by

Elizabeth Matney, Director

Iowa Medicaid