Posted: February 27, 2025
Notice is hereby given, in accordance with 1902(a)(10)(A)(ii)(XIII) of the Social Security Act, that the Iowa Department of Health and Human Services (HHS) will be submitting to the Centers for Medicare and Medicaid Services (CMS) State Plan Amendment (SPA) IA-25-0012 to address coverage of eligible juveniles and former foster care children who are within 30 days of their scheduled date of release from a public institution following adjudication, and for at least 30 days following release.
Summary
This amendment will align with the federal regulations in the Consolidated Appropriations Act, 2023 (CAA 2023), Section 5121 to provide services to individuals who are under 21 years of age and determined eligible for any Medicaid eligibility group, or individuals determined eligible for the mandatory eligibility group for former foster care children age 18 up to age 26, immediately before becoming an inmate of a public institution or while an inmate of a public institution who are within 30 days of their scheduled date of release from a public institution following adjudication and for at least 30 days following release. Services include those identified under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) as well as Targeted Case Management. Targeted case management (TCM) services are defined as services furnished to assist individuals, eligible under the SPA, in gaining access to needed medical, social, educational and other services.
HHS seeks a January 1, 2025, effective date for this SPA.
Fiscal Impact
| Federal Fiscal Year Anticipated Costs | |||
|---|---|---|---|
| Total | Federal | State | |
| Federal Fiscal Year 2025 | $115,523 | $ 63,135 | $ 52,388 |
| Federal Fiscal Year 2026 | $154,031 | $ 83,934 | $ 70,097 |
| Total | $269,554 | $147,069 | $122,485 |
Public Review and Comments
A copy of SPA IA-25-0012 and this public notice are posted on the HHS website at hhs.iowa.gov/about/newsroom/public-notices. To reach all stakeholders, non-electronic copies will be made available for review at each local HHS office.
Written comments may be sent to: Donnell Anderson, Iowa Medicaid, 321 E 12th St, Des Moines, IA 50319-0114. Comments may also be sent via e-mail to donnell.anderson@hhs.iowa.gov Please indicate “SPA IA-25-0012” in the subject line of the email.
All comments must be received by March 28th, 2025 at 4:30 p.m.
Submitted by:
Rebecca Curtiss, Interim Medicaid Director
Iowa Department of Health and Human Services