Public Notice: IA 22-007 Public Comment Period for State Plan Amendment IA-22-0007: Rescission of COVID-19 Relief Rate Payments to Nursing Facilities

Posted: April 6, 2022

Notice is hereby given, in accordance with 42 CFR §447.205, that the Iowa Department of Human Services (DHS) has posted for public comment a Medicaid State Plan Amendment (SPA), IA-22-0007.


Pending federal approval, effective July 1, 2022, DHS will no longer make COVID-19 Relief Rate (CRR) payments to nursing facilities. During the COVID-19 public health emergency (PHE), DHS has been making CRR payments to nursing facilities that meet one of the following requirements:

  1. The facility has a designated isolation unit for the treatment of COVID‐19; or
  2. The facility, in its entirety, is designated for the treatment of COVID‐19.

CRR payments of $300 per day have been made to eligible facilities for each enrollee residing in a designated isolation unit or COVID-19 designated facility who:

  1. Was discharging from a hospital to the nursing facility; or
  2. Was pending test results for COVID‐19; or
  3. Had a positive COVID‐19 diagnosis.

The CRR payments were in addition to the already established nursing facility per diem rates.

Fiscal Impact

Fee for Service Total Federal State
SFY22 Payments (FFY22) $9,300 $6,356 $2,944
SFY23 Payments (FFY23) $0 $0 $0


Public Review and Comments

A copy of SPA IA-22-0007 and this public notice are posted on the DHS website at To reach all stakeholders, non-electronic copies will be made available for review at each local DHS office.

 Written comments may be sent to: Jessica McBride, Program Manager, Iowa Medicaid, 1305 E. Walnut Street, Des Moines, IA 50319-0114. Comments may also be sent via e-mail to Please indicate SPA 22-0007 in the subject line of the email.

All comments must be received by Friday, May 6,2022 at 4:30 p.m.



7.4.A. Recission to the State’s Disaster Relief Policies for the COVID-19 National Emergency


Submitted by:  

Elizabeth Matney, Medicaid Director

Iowa Department of Human Services