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 1915(i) State Plan HCBS Habilitation services under the State Plan for 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 1915(i) State Plan HCBS Habilitation services will be increased by 4.10%.

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 increases is:

Total Dollars:                                                          $ 65,275

Federal Dollars:                                                      $ 41,429

State Dollars:                                                          $ 23,845

Public Review and Comments

A copy of the SPA-IA-24-0008 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 LeAnn Moskowitz, Department of Health and Human Services, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319 or may be emailed to lmoskow@dhs.state.ia.us. Please indicate SPA IA-24-0008 in the subject line of the email. 

All written and emailed comments must be received no later than Friday, July 26, 2024 by 4:30 p.m.

Submitted by: 

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