Medicaid and Medicare ResourcesMedicaid ResourcesProvider Services Contact Info
Iowa Total Care
Forms
QAAF QAAF Fees and form 470-4836 are due 30 days after the end of the previous quarter.
HCBS
HCBS Settings Rule The largest change to HCBS in recent years is the HCBS Settings Rule. According to CMS, the HCBS Settings Rule is meant to ensure HCBS services in residential and non-residential settings provide full access to the benefits of community living and offers services in the most integrated settings. HCBS services will be required to determine if provider-owned/controlled HCBS that are located in, on the grounds of, or immediately adjacent to nursing facilities, institutions for mental disease, intermediate care facilities for individuals with intellectual disabilities and hospitals fit the criteria in the final rule to be eligible to receive Medicaid waiver funding. The following provider regulations and guidance on the HCBS Settings Rule:
Iowa's initial Statewide Transition Plan (STP) was approved on August 9, 2016. Final STP were developed and submitted to CMS explaining the results of the state's discovery, assessment, remediation and monitoring processes. The final STP also outlined the state's ongoing monitoring processes. Iowa's final STP was approved on March 17, 2023. Even though Iowa's final STP was approved, there was still some work that needed to be done to fully demonstrate compliance. Iowa, and many other states are working through a corrective action plan (CAP) to finish up work around heightened scrutiny and validation of results. Other Resources
Medicare ResourcesMedicare:
Medicare Advantage:
|
Enhanced Business Members
