The Iowa Department of Health and Human Services (HHS), pursuant to the requirements outlined in 42 C.F.R. §447.205, 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 2025 Iowa Acts, House File (SF) 1049 Section 14, for the fiscal year beginning July 1, 2025, reimbursement rates for 1915(i) State Plan HCBS Habilitation services will be increased by 3.75%.
Estimated Fiscal Impact
The estimated increase in Medicaid fee-for-service (FFS) expenditures for State Fiscal Year (SFY) 2026 related to the Medicaid reimbursement rate increases is:
Total Dollars: $ 108,747
Federal Dollars: $ 68,336
State Dollars: $ 40,410
Public Review and Comments
A copy of the SPA-IA-25-0029 and public notice is posted below.
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 Mindy Williams, Department of Health and Human Services, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319 or may be emailed to mindy.williams@hhs.iowa.gov. Please indicate SPA IA-25-0029 in the subject line of the email.
All written and emailed comments must be received no later than July 27, 2025, by 4:30 p.m.
Submitted by:
Rebecca Curtiss, Interim Medicaid Director
Iowa Department of Health and Human Services