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Public Comments Public Comments IA - Iowa Iowa Marketplace Choice Plan

Iowa Marketplace Choice Plan

  • Iowa Marketplace Choice Plan (modified: 4 years ago)
    Iowa has requested an amendment to extend the current waiver of the guarantee of non-emergency medical transportation (NEMT) through June 26, 2016 in the Marketplace Choice Plan 1115 demonstration and the Wellness Plan 1115 demonstration. The current NEMT waiver is set to sunset at the end of the first year of both demonstrations on December 31, 2014. The state requests this amendment to extend the duration of the NEMT waiver to allow Medicaid expansion in Iowa to resemble a commercial benefit plan with the goals of improving health outcomes, align Medicaid with developments in the private insurance and Marketplace, and require beneficiaries to have a financial stake in their own health care. The federal public comment period is open from September 23, 2014 through October 23, 2014.
  • Iowa Marketplace Choice Plan - Non-Emergency Medical Transportation (NEMT) (modified: 4 years ago)
    The state requests an amendment to extend the current waiver of assurance of non-emergency medical transportation (NEMT) through December 31, 2016 in both the Marketplace Choice Plan and Wellness Plan section 1115 demonstrations. The current NEMT waiver in both demonstrations is scheduled to sunset on July 31, 2015. The state requests this amendment to extend the NEMT waiver to allow Medicaid expansion in Iowa to resemble a commercial benefit plan with the goals of improving health outcomes, aligning Medicaid with developments in the private insurance and Marketplace, and requiring beneficiaries to have a financial stake in their own health care. The federal public comment will be open from June 10, 2015 through July 10, 2015.
  • Iowa Marketplace Choice Plan - Termination (modified: 3 years ago)
    Iowa requests a termination of this section 1115 demonstration which was approved on December 10, 2013. The demonstration expanded Medicaid for beneficiaries in the new adult group with incomes from 101 percent to 133 percent of the federal poverty level through premium assistance for purchasing Qualified Health Plan (QHP) coverage. The demonstration also required payment of premiums that could be waived if beneficiaries completed certain healthy behavior activities and provided enhanced dental benefits if beneficiaries had periodic exams. The demonstration waived the assurance to provide non-emergency medical transportation. Iowa is submitting a termination request for this demonstration because the two QHPs that served this population exited the market and beneficiaries in this demonstration were transitioned into another demonstration. The federal comment period will be open from June 16, 2016 through July 16, 2016.