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Iowa Department of Health and Human Services

PUBLIC NOTICE: Public Comment Period for Critical Access Hospital Cost Adjustment Factor

Pursuant to the requirements outlined in 42 CFR § 447.205 and 1902(a)(13)(A) of the Social Security Act, notice is hereby given that the Iowa Department of Human Services (DHS) has posted for public comment Medicaid State Plan Amendment (SPA) 19-008.

This SPA proposes to update its methods and standards for critical access hospital reimbursement under the SPA under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

PUBLIC NOTICE: PUBLIC COMMENT PERIOD FOR SPA IA-19-008: Critical access hospital cost adjustment factor

Post Date:

June 28, 2019

End Date:

July 29, 2019


The purpose of this posting is to provide public notice and receive public comments regarding Critical Access Hospital Cost Adjustment Factor


Public Notice: Public Comment Period For SPA IA-19-008: Critical Access Hospital Cost Adjustment Factor
Attachments: Attachment 4.19-A page 31 32

Supplement 2 to Attachment 4.19 B page 25 25b


Jennifer Steenblock, Federal Compliance Officer
Department of Human Services
Iowa Medicaid Enterprise
611 Fifth Avenue
Des Moines, IA 50309

Comments may also be sent via electronic mail to

ALL COMMENTS MUST BE RECEIVED BY July 29, 2019 at 4:30 p.m.