The Iowa Department of Health and Human Services (HHS), pursuant to the requirements outlined in 42 C.F.R. §447.205 and §1902(a)(13)(A) of the Social Security Act, hereby gives notice of the following proposed action regarding its plan to sunset the Integrated Health Home (IHH) Program.
Summary:
Iowa HHS has been working to align Behavioral Health Services state plan and system to make it easier for mental health and substance use providers to connect Iowans with the care they need. Starting July 1, 2025, Iowa HHS will start the transition to the new Certified Community Behavioral Health Clinic (CCBHC) Model. Iowa HHS will sunset the current Integrated Health Home (IHH) program by December 31, 2025. The following structured transition plan is in place to help minimize disruptions for members, providers, and Managed Care Organizations (MCOs).
- July 1, 2025 – Begin transition meetings for adults in the Habilitation and Non-Intensive Case Management (Non-ICM) program.
- August 1, 2025 – Begin transition meetings for children in the Children’s Mental Health Waiver and Non-ICM programs.
- September 30, 2025 - Complete transition of all eligible adults to:
- Targeted Case Management (TCM)
- MCO Community-Based Case Management (CBCM)
- CCBHCs
- December 30, 2025 - Complete transition of all eligible children to the same services.
- December 31, 2025 - IHH program will officially end.
To support transparent and ongoing communication throughout the transition, there will be multiple opportunities for engagement and information sharing, including:
- Town halls
- Medicaid open office hours
- Public comment period
- Rule change updates
- Website with FAQs, a transition timeline, and additional resources
Public Review and Comments:
This public notice for SPA 25-0030 is posted on the HHS website at the following link: https://hhs.iowa.gov/public-notice/2025-06-30/public-notice-state-plan-amendment-spa-ia-25-0030-public-comment-period-sunsetting-integrated-health
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 addressed to Quality/Innovation and Medical Policy Bureau, Department of Health and Human Services, Iowa Medicaid, 321 East 12th St., Des Moines, IA 50319-0114. Comments may also be sent via electronic mail to: QIMP_Public_Comment@hhs.Iowa.gov through July 30, 2025, at 4:30 P.M. Please indicate SPA IA-25-0030 in the subject line of the email.
All written and emailed comments must be received no later than July 30, 2025, by 4:30 p.m.
Submitted by:
Rebecca Curtiss, Interim Medicaid Director