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 its methods and standards for state plan amendment (SPA) IA-25-0034: Medication-Assisted Treatment (MAT) under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).
Summary of Submission:
The purpose of the proposed state plan amendment is to remove the end date of September 30, 2025, to be compliant with section 1905(a)(29) of the Social Security Act (the Act). Section 201 of the Consolidated Appropriations Act, 2024 (CAA 2024) made the medications for opioid use disorder (MOUD) a mandatory benefit by amending section 1905(a)(29) of the Act to remove the end date of “September 30, 2025.”
There is no change to the Medication-Assisted Treatment (MAT) service reimbursement methodology or reimbursement rates.
Fiscal Impact:
There is no fiscal impact expected.
Public Review and Comments
A copy of the Medicaid State Plan Amendment and this public notice are posted on the HHS website at the following link: https://hhs.iowa.gov/public-notice/2025-12-08/spa-ia-25-0034.
To reach all stakeholders, non-electronic copies will be made available for review at each local HHS office.
Submission of Comments
Written comments concerning this notice may be addressed to Quality/Innovation and Medical Policy Bureau Team, Iowa Department of Health and Human Services, Division of Medicaid, 312 East 12th Street, Des Moines, IA 50319 or may be emailed to qimp_public_comment@hhs.iowa.gov. Please indicate IA-25-0034: Medication-Assisted Treatment (MAT) in the subject line of the email.
All written and emailed comments must be received within 30 days from the issuance of this notice and no later than January 7, 2026, by 4:30 p.m.
Submitted by:
Lee Grossman, Medicaid Director
Iowa Department of Health and Human Services