Pursuant to the authority of Iowa Code Section 249A.4, the Iowa Department of Health and Human Services (HHS) intends to renew the Home and Community Based Services (HCBS) AIDS/HIV Waiver. This notice provides details about the waiver renewal and serves to open the 30-day public comment period which closes on February 27, 2025.
Summary
The Centers for Medicare and Medicaid Services (CMS) authorizes 1915(c) HCBS Waivers for a period of five years. The AIDS/HIV waiver is up for renewal in 2025. Iowa Medicaid is currently working on a project to redesign the entire HCBS waiver structure. With the redesign project underway, no major changes have been made to this renewal application. This renewal has been written to mirror the most recent amendment that was approved by CMS with a January 1, 2025, effective date. The minor changes that have been made to the application are technical in nature to incorporate the requirements of the newly updated application format and an edit to add the provider type of Community Business to the Homemaker service.
Fiscal Impact:
There is no expected fiscal impact.
Public Review and Comments
A copy of the AIDS/HIV Waiver renewal application, along with this public notice, are available at the following link: PUBLIC NOTICE: Public Comment Period for Renewal of the 1915 (c) Home and Community Based Services (HCBS) AIDS/HIV Waiver | Health & Human Services
To reach all stakeholders, non-electronic copies will be made available for review at the HHS Field Offices.
Prior to finalizing, HHS will consider all written comments received. The comments will be summarized and addressed in the final renewal application submitted to CMS.
Written comments concerning this notice, or the proposed renewal, may be addressed to: LTSS Policy Team, Iowa Department of Health and Human Services, Iowa Medicaid, 1305 East Walnut, Des Moines, Iowa 50319 or via email at HCBS_Public_Comment@hhs.iowa.gov. Please indicate AIDS/HIV Waiver Renewal in the subject line of the email.
Written and e-mailed comments must be received within 30 days from the issuance of this notice. All comments must be received by: February 27, 2025, at 4:30 PM.
Submitted by:
Rebecca Curtiss,
Interim Medicaid Director
Iowa Department of Health and Human Services
Iowa Medicaid