The Iowa Department of Health and Human Services (HHS), pursuant to the requirements outlined in 42 C.F.R. ยง447.205, hereby gives notice of the following proposed action regarding changes to the reimbursement rates for air ambulance services under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

Summary of Submission

Pursuant to the authority of 2024 Iowa Acts, House File (SF) 2698, Section 14, for the fiscal year beginning July 1, 2024, reimbursement rates for air medical services provided by an entity that has over 40 years of experience and is the largest community-based provider of air medical services shall be increased within the additional $250,000 appropriated for this purpose.

Estimated Fiscal Impact

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

Total Dollars:                                                          $ 25,630

Federal Dollars:                                                      $ 18,117

State Dollars:                                                          $ 7,513

Public Review and Comments

A copy of the SPA-IA-24-0007 and public notice is posted below, under Related Files.  To reach all stakeholders, non-electronic copies will be made available for review at each local HHS office. 

Submission of Comments

Written comments may be sent to Dex Walker, 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-24-0007 in the subject line of the email. 

All written and emailed comments must be received no later than Monday, July 22, 2024 by 4:30 p.m.

Submitted by:

Elizabeth Matney
Iowa Medicaid Director
Iowa Department of Health and Human Services