IHCA is monitoring the Dec. 24 and Jan. 7 Iowa Administrative Bulletin for items that may impact members, with several newly noticed Iowa Medicaid and waiver-related rule updates tied to the state’s Red Tape Review (Executive Order 10). The updates include proposed changes to waiver services, payment methods, provider policies and conditions of participation, managed care and covered services, along with an adopted rule increasing the State Supplementary Assistance personal needs allowance from $50 to $55.
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The 2026 Iowa legislative session is underway, and IHCA is advocating at the Capitol for policies that support long-term care providers across the state. IHCA’s priorities include strengthening the CNA and CMA workforce pipeline, improving access to care through a more sustainable Home- and Community-Based Services (HCBS) Elderly Waiver and securing funding to support critical long-term care services. To connect directly with legislators on these issues, mark your calendar for IHCA Day on the Hill, happening March 4, 2026.
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As we kick off 2026, IHCA President and CEO Brent Willett reminds members that work in long-term care isn’t a tragedy — it’s a calling that requires resilience, skill and professionalism. He reaffirms IHCA’s commitment to elevating the work of providers and advocating for the fairness, respect and recognition the profession has earned.
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Effective Jan. 1, 2026, all Wellcare (Medicare) prior authorization requests for certain services will transition from Evolent to Wellcare, with no changes to Iowa Total Care (Medicaid) processes. Affected services include advanced and cardiac imaging, therapies, select surgeries, oncology services and interventional pain management, with all requests required to be submitted through Wellcare’s secure provider portal.
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As part of Iowa Total Care's ongoing work to improve the prior authorization (PA) process for both providers and members, Iowa Total Care is sharing some important updates to their PA requirements. Their goal is to reduce administrative burden, simplify submission and approval processes and facilitate timely access to appropriate, high-quality care. Code changes will become effective on April 1, 2026.
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Iowa Medicaid and Iowa Department of Health and Human Services (DHHS) have announced upcoming updates to Home- and Community-Based Services (HCBS) waiver service names, procedure codes and Attendant Care forms, effective Jan. 1, 2026. The changes affect multiple waivers, including AIDS/HIV, Brain Injury, Elderly, Intellectual Disabilities and Physical Disability, and will align service names and codes with updated Medicaid fee schedules. Providers are encouraged to review the implementation guidance and prepare their systems in advance, as a revised Attendant Care form will also be released to support Electronic Visit Verification (EVV) and documentation requirements.
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As 2026 approaches, Home Health Value-Based Purchasing (HHVBP) measures continue to evolve, with performance from multiple years influencing future payment adjustments. Provider Insights’ 2026 HHVBP comparison sheet helps agencies understand how 2024 and 2025 performance data connect to updated measures taking effect in 2026, providing a clear, at-a-glance view to support planning and compliance.
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On Thursday, Dec. 11, IHCA hosted its monthly Home Care Provider Update Call to discuss the most recent changes for the home health and home care profession. The main discussion focused on CMS's final rule for home health payments, which included changes to rates, quality reporting and implementation of a new Outcome and Assessment Information Set (OASIS) E2 system. The conversation ended with updates on Low Utilization Payment Adjustment (LUPA) rates and survey delays.
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IHCA continues to track issues of importance to members, including the subjects mentioned in the Iowa Administrative Bulletin that is released every two weeks. The bi-weekly areas of note found in the Nov. 12, Nov. 26 and Dec. 10 issues of the Iowa Administrative Bulletin include regulatory analyses related to Medicaid waiver services, conditions of participation for providers of medical and remedial care, adopted and filed rule related to conditions of eligibility, newly noticed rules related to assisted living programs, health care facility audits, adult day care and more.
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IHCA’s new on-demand webinar, "Home Health Final Rule 2026 – What You Need to Know," features expert insights from home health consultant Annette Lee of Provider Insights on the key provisions of the CY 2026 Home Health Final Rule. The webinar covers reimbursement and quality reporting changes, offers practical implementation guidance and is approved for 1.0 contact hour for administrators and nurses.
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The Iowa Medicaid Long-Term Services and Supports (LTSS) team, in partnership with the managed care organizations, invite you to join for a special Home- and Community-Based Services (HCBS) Enabling Technology Town Hall held tomorrow, Dec. 11, at 2:30 p.m.
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Iowa Medicaid has released the Home Health Low Utilization Payment Adjustment (LUPA) rates effective July 1, 2025. These updated rates apply to home health services delivered under the state Medicaid program for the current fiscal year.
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Iowa Medicaid and the Iowa Department of Health and Human Services (DHHS) recently released an amended informational letter (IL) 2711 on Dec. 9, 2025. This serves as an amendment to the original IL 2711, published on Nov. 14, 2025. The updates include correcting the citation for Iowa Administrative Code and adding a link to the Telecommunication Technology Guide. The effective date of the IL remains the same.
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IHCA will host a webinar next Wednesday, Dec. 10, led by home health consultant Annette Lee, to review the newly released 2026 Home Health Final Rule. The session will cover changes to reimbursement, quality reporting and compliance requirements, offering practical guidance to help agencies prepare for implementation. The webinar will offer 1.5 contact hours for administrators and nurses.
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On Nov. 28, CMS issued the calendar year (CY) 2026 Home Health Prospective Payment System Rate and Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Updates Final Rule. CMS has also released a fact sheet accompanying the final rule, along with a fact sheet addressing durable medical equipment competitive bidding provisions. The overall impact of the rule is an estimated -1.3% ($220 million) decrease in payments relative to CY 2025. This is in comparison to a proposed -6.4% ($1.135 billion) decrease in payments relative to CY 2025.
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CMS has issued notices to home health agencies that did not meet Home Health Quality Reporting Program requirements for the CY 2026 annual payment update, with notifications posted in iQIES on Nov. 26, 2025. Medicare administrative contractors will also send follow-up letters, and non-compliant agencies may request reconsideration by Jan. 6, 2026. CMS reminds providers that reconsideration requests must be under 20 MB and cannot contain any protected health information.
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Iowa Medicaid and Iowa Department of Health and Human Services (DHHS) have issued IL 2717 outlining annual fraud- and abuse-prevention submission requirements for providers or entities receiving $5 million or more in Medicaid payments during a federal fiscal year. Eligible providers must maintain specific written policies and submit the required Attestation of Compliance form (470-5506) by Jan. 31, 2026. Failure to comply may result in sanctions, including suspension or termination from the Iowa Medicaid program.
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CMS has approved a one-year temporary extension and amendment of the "Iowa Wellness Plan" section 1115 demonstration. This approval allows the state to continue operating the demonstration through 2026 and sunsets the waiver of non-emergency medical transportation on Dec. 31, 2026.
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Iowa Medicaid has announced the release of the 2025 Home- and Community-Based Services (HCBS) Provider Quality Self-Assessment questionnaire, which is due Jan. 31, 2026. All HCBS waiver and habilitation providers enrolled for the services listed in this article are required to complete this annual HCBS Provider Quality Self-Assessment. Failure to submit by Jan. 31, 2026, will jeopardize an organization’s Medicaid enrollment, including managed care contracts, and may result in a sanction of payment suspension.
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Iowa Medicaid is aligning with the requirements for the coordination of benefits to ensure when a member has both Medicaid and commercial insurance (primary payer), Medicaid is the payor of last resort. Payments cannot exceed the Medicaid allowable amount or the amount paid by commercial insurance. This is known as the Lesser of Logic. This policy is effective for claims received by managed care organizations (MCOs) and dental plans on or after Dec. 1, 2025. Implementation for Fee-For-Service claims will occur at a later date and additional guidance will be provided. This logic has been applied to Medicare claims since July 1, 2017, and will be extended to commercial claims received on or after Dec. 1, 2025, for claims received by MCOs and dental plans.
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Join IHCA for its Home Health Final Rule 2026 - What You Need to Know webinar on Dec. 10, led by IHCA’s home health consultant, Annette Lee of Provider Insights. While CMS has not yet released the final rule, we expect it soon. Annette will break down the key provisions, highlight changes to reimbursement and quality reporting and explain what agencies need to know to prepare for implementation. This webinar is approved for 1.5 contact hours for administrators and nurses.
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A recently passed continuing resolution restores Medicare telehealth flexibilities for home health and hospice face-to-face (FTF) encounters through Jan. 30, 2026, retroactive to Oct. 1, 2025, preventing denials during the shutdown period. The law also renews funding for Medicare hospice surveys, halts an additional 4% sequestration cut by waiving Statutory PAYGO through 2026, and stabilizes VA and TriCare funding so claims from the shutdown period can be paid.
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IHCA's November Home Care Provider Update Call last week covered the government shutdown resolution and its impact on telehealth services, hospice surveys and payment rules. Discussion focused on the timing of payment rule releases and Low Utilization Payment Adjustment (LUPA) rate adjustments for home health providers in Iowa, including implementation challenges and concerns about claim processing. The group also addressed the acuity add-on program's implementation issues and explored ways to improve the system and support providers in its effective use.
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The One Big Beautiful Bill Act introduces major Medicaid changes that will significantly affect Iowa’s long-term care providers, including reduced retroactive coverage beginning in 2027, more frequent eligibility redeterminations and new asset and home equity limits in 2028. While the law delays the federal staffing mandate, it also adjusts how states can finance Medicaid, creating additional operational and administrative considerations for providers. Facilities will need to prepare for shorter coverage windows, increased renewal activity and upcoming eligibility rule changes.
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Iowa Medicaid’s new guidance establishes that, beginning Dec. 1, 2025, telehealth services billed with POS codes 02 or 10 will receive reduced reimbursement to account for the lower cost of virtual care compared to in-person visits. Providers must ensure services are on the approved telehealth list and billed with the correct POS code, with fee-for-service implementation details to be issued later. The Iowa Department of Health and Human Services (DHHS) and the MCOs have provided contact information for questions and additional support.
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Iowa Medicaid’s new policy requires certain medications to be dispensed in 90-day supplies beginning Dec. 1, 2025, with a single dispensing fee and one copay per 90-day fill. Beneficiaries in long-term care facilities, residential programs and medically needy populations are excluded, and pharmacists may use an override code when medically appropriate. A full list of affected medications is available on the Preferred Drug List website.
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IHCA is seeking member feedback through its 2025 Member Satisfaction Survey to help guide future initiatives in education, communication and member support. Members are encouraged to complete the short, 15-minute survey by this Friday, Nov. 14, using the link that corresponds with their sector. The results will help IHCA enhance the value and effectiveness of its programs and services.
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IHCA continues to track issues of importance to members, including the subjects mentioned in the Iowa Administrative Bulletin that is released every two weeks. IHCA is actively reviewing the new regulatory analyses and plans to make requests for modifications as necessary and communicate out important changes as they become finalized. The bi-weekly areas of note found in the Oct. 15 and Oct. 29 issues of the Iowa Administrative Bulletin include regulatory analyses related to adult day care, assisted living programs and Certificate of Need, as well as a newly noticed rule related to personal needs allowance.
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The Iowa Department of Health and Human Services (DHHS) has released an updated version of form 470-2115 – Authorization to Disclose Personal Health Information (PHI) Form for Eligibility Verification Purposes. This form replaces the previous version of form 470-2115 – Authorization for the Department to Release Information. Effective immediately, any prior versions of form 470-2115 on file that have not yet expired cannot be honored for the release of information. Facilities and individuals must use the new form to authorize the release of information to Iowa DHHS. Providers should ensure they are using the updated form moving forward to avoid delays in eligibility verification or information requests.
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On Nov. 10, Iowa Total Care released an updated Provider News Alert regarding prior authorization (PA) requirements, originally published on Nov. 3. The revised alert includes key updates regarding additional details on behavioral health PA requirements, inclusion of a new maternal health item and code changes effective Feb. 1, 2026. Aside from these updates, the information remains consistent with the version previously issued. Providers are encouraged to review the full alert carefully to ensure compliance with the updated effective date and new requirements.
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Iowa Total Care announced updates to its prior authorization (PA) requirements effective Nov. 3, 2025, aimed at reducing administrative burden and improving access to care. The revisions include removing certain PA requirements, standardizing rules across service categories and markets and refining criteria for services. Providers are encouraged to review the updated code list and contact their provider relations specialist with any questions.
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IHCA is seeking member feedback through its 2025 Member Satisfaction Survey to help guide future initiatives in education, communication and member support. Members are encouraged to complete the short, 15-minute survey by Friday, Nov. 14, using the link that corresponds with their sector. The results will help IHCA enhance the value and effectiveness of its programs and services.
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IHCA's eight-part Dementia Care On-Demand Training Series is crafted to address the multifaceted aspects of dementia care, encompassing not only the medical and cognitive dimensions but also the emotional, social and ethical considerations that play a vital role in providing holistic care. This training series provides the tools and insights needed to create a supportive and enriching environment for individuals with dementia, fostering dignity, respect and a sense of well-being and is approved for 8.0 contact hours for nurses, activity professionals, social services staff, environmental services staff, department heads, administrators, assisted living managers and home health professionals.
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The Q1 2025 home care (HC) survey trend report is now available on the IHCA website. This report is a member-only resource that provides listings of the most frequently cited tags and regulatory outcomes from Iowa agencies. Please share this report with the individuals at your organization involved with managing survey success, as it is a helpful resource when planning for future surveys.
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Medicare's open enrollment period is here! Visit Medicare.gov/plan-compare now through Dec. 7 to compare all your coverage options.
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IHCA has provided a breakdown of how the federal government shutdown impacts survey activity across different care settings. Please review the relevant section(s) for your organization. All providers are encouraged to stay proactive and compliant during this period to avoid future enforcement complications.
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On Oct. 1, 2025, CMS released QSO-26-01 regarding contingency plans related to state survey and certification activities in the event of a federal government shutdown. IHCA consultant Annette Lee of Provider Insights has provided an explanation and analysis regarding impacts to home health.
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IHCA has been made aware of delays affecting providers and Medicaid beneficiaries in the completion of level of care assessments conducted by Telligen. We have been in contact with the Iowa Department of Health and Human Services (DHHS) regarding this issue. DHHS has confirmed that it is aware of the backlog and is monitoring assessment completion rates on a weekly basis. To help address the delays, all assessments with due dates prior to July 1, 2025, will be conducted virtually. This protocol will be applied consistently across all waiver types and assessment categories.
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Iowa Department of Inspections, Appeals and Licensing (DIAL) has expanded virtual options for the written portion of the CNA competency exam, adding a second online pathway beyond the one launched in June 2025. Nurse aide candidates — regardless of training program location — can now register and complete the written exam from home or work. The skills evaluation remains in person at approved sites for now, with DIAL exploring remote skills testing; IHCA will share updates when available.
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IHCA’s October Home Care Provider Update Call last week focused on recent developments affecting home health and home care providers, particularly the Rural Health Transformation (RHT) Program and its initiatives to expand access to care in rural Iowa. Discussion centered on three key home health initiatives: transitional coaching, technology integration such as remote patient monitoring, and funding decisions expected by mid-November. Annette Lee of Provider Insights also provided updates on star rating reports, value-based purchasing changes and training opportunities, underscoring the role of accurate data and staff engagement in improving quality outcomes.
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IHCA continues to track issues of importance to members, including the subjects mentioned in the Iowa Administrative Bulletin that is released every two weeks. The bi-weekly areas of note found in the Sept. 17 and Oct. 1 issues of the Iowa Administrative Bulletin include regulatory analyses related to personal needs allowance, investigatory authority and procedures of the Medicaid Fraud Control Unit and newly noticed rules related to Medicaid enrollment, personal needs allowance and more.
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Thank you to those who joined us at IHCA's 2025 Convention and Trade Show! CEUs from this event have now been uploaded to your IHCA profile. Please take some time to verify that you received credit for all of the sessions you attended. If you find that you are missing any certificates, please send a list of the sessions that are missing to
[email protected].
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IHCA will host a one-hour webinar, "Time to Lead – Prioritizing What Matters," this Friday, Oct. 3, with leadership expert Jerald Cosey. The session will equip long-term care leaders with tools to manage the “firefighting” cycle, prioritize strategic goals and build a resilient leadership mindset. Sponsored by Brighton Consulting Group, the webinar is approved for 1.0 contact hour and will be available on-demand after the live session.
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The Blueprint for OASIS Accuracy Workshop, held next Monday and Tuesday, will offer two days of comprehensive training on OASIS-E1 coding, based on the most current CMS guidance. Designed for clinicians, supervisors, educators and quality staff, the workshop uses real patient scenarios and group discussions to strengthen coding accuracy, compliance and data quality. The program is approved for 14.0 contact hours for nurses and social workers. Participants may also register separately for the COS-C Exam, which provides certification for expertise in OASIS data collection and accuracy.
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The flexibility allowing telehealth for face-to-face (FTF) encounters in home health and hospice expired yesterday, Sept. 30, 2025. As of now, CMS has not indicated any plans to extend this waiver. All FTF encounters for home health and hospice were to be completed by Sept. 30, 2025, to be eligible for telehealth. Going forward, FTF encounters must return to in-person visits, regardless of the start of care or recertification timing.
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The Preliminary CY 2025 Annual Performance Reports (CY 2025 APRs) for the expanded Home Health Value-Based Purchasing (HHVBP) Model have been published in the Internet Quality Improvement and Evaluation System (iQIES).
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Effective Oct. 1, 2025, Iowa Total Care has provided a list of manufacturers that will be terminated from the Medicaid Drug Rebate Program (MDRP) and will no longer be covered. For additional information regarding the MDRP changes please email the Iowa Total Care pharmacy team at
[email protected].
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The September skilled nursing facility (SNF) survey trend report is now available on the IHCA website. This report is a member-only resource that provides listings of the most frequently cited tags and regulatory outcomes from Iowa facilities. Please share this report with the individuals at your facility involved with managing survey success, as it is a helpful resource when planning for future surveys. Congratulations to the IHCA SNF member facilities that recently achieved a deficiency-free recertification survey!
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IHCA's on-demand Cybersecurity Essentials Series, sponsored by CLA, will help you fortify your digital fortress by focusing on cybersecurity hygiene, ransomware resilience and defending against business email compromise. Attendees will learn to identify online behaviors that can lead to increased exposure, identify common threats, gain insights into the latest ransomware threat landscape and develop and refine incident response plans. This on-demand course is approved for 3.0 contact hours for activity professionals, dietary staff, social services, nurses, department heads, administrators and assisted living managers.
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On Jan. 1, 2026, CMS will implement new prior authorization (PA) response time requirements for all providers. With shorter response times for supporting clinical information requests, all necessary clinical information should be submitted at the time of the authorization request. Centene clinical policies and criteria can be found at Availity or on Iowa Total Care’s clinical, payment and pharmacy policies webpage.
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IHCA will host a one-hour webinar, "Time to Lead – Prioritizing What Matters," on Oct. 3 with leadership expert Jerald Cosey. The session will equip long-term care leaders with tools to manage the “firefighting” cycle, prioritize strategic goals and build a resilient leadership mindset. Sponsored by Brighton Consulting Group, the webinar is approved for 1.0 contact hour and will be available on-demand after the live session.
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Experience Outcome and Assessment Information Set (OASIS) training in an immersive and engaging atmosphere based on the most current CMS guidance available. The Blueprint for OASIS Accuracy Workshop, held Oct. 6-7, will provide education for learning and refining your OASIS coding knowledge, with focus on the OASIS-E1 items and evolving guidance, including a review of the guidance for the new COVID-19 Vaccination OASIS item. This program is approved for 14.0 contact hours for nurses and social workers. Additionally, IHCA will host the Certificate for OASIS Specialist-Clinical (COS-C) Exam on Oct. 8. Registration for the COS-C Exam is separate from registration for the Blueprint Workshop.
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The 2025 IHCA Annual Business Meeting will be held Tuesday, Sept. 23, from 1:30 – 2:30 p.m. at the Des Moines Marriott Downtown during the IHCA Convention and Trade Show. Members will hear the announcement of the 2026 IHCA Board of Trustees and Provider Cabinets, gain updates on key legislative and regulatory issues, and earn 1.0 CEU for attending. Sponsored by Williams & Company P.C., Brighton Consulting Group and IHCA Provider Solutions Enrollment Support, the meeting is an opportunity to help shape the association’s direction and celebrate shared achievements.
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IHCA will host a one-hour webinar, "Time to Lead – Prioritizing What Matters," tomorrow, Sept. 11, with leadership expert Jerald Cosey. The session will equip long-term care leaders with tools to manage the “firefighting” cycle, prioritize strategic goals and build a resilient leadership mindset. Sponsored by Brighton Consulting Group, the webinar is approved for 1.0 contact hour and will be available on-demand after the live session.
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IHCA’s 2025 Convention & Trade Show, sponsored by Martin Bros. Distributing Co., Inc., is officially sold out! A limited first-come, first-served waitlist is available for those who wish to attend but have not yet registered. Along with top-notch education and a packed trade show, IHCA's Convention offers plenty of ways to connect and celebrate — from receptions and networking to Casino Night, Music Bingo, free headshots and more.
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The Centers for Disease Control and Prevention (CDC) recently released the 2025-2026 influenza vaccine recommendations in its Morbidity and Mortality Week Report (MMWR). Routine annual influenza vaccination is recommended for all persons aged ≥6 months without a contraindication to vaccination to protect against influenza and its complications. Full details, including updates from the 2024-2025 season, timing and selection of vaccine are outlined in the MMWR report and in the Advisory Committee on Immunization Practices (ACIP) summary of recommendations.
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Experience Outcome and Assessment Information Set (OASIS) training in an immersive and engaging atmosphere based on the most current CMS guidance available. The Blueprint for OASIS Accuracy Workshop, held Oct. 6-7, will provide education for learning and refining your OASIS coding knowledge, with focus on the OASIS-E1 items and evolving guidance, including a review of the guidance for the new COVID-19 Vaccination OASIS item. This program is approved for 14.0 contact hours for nurses and social workers. Additionally, IHCA will host the Certificate for OASIS Specialist-Clinical (COS-C) Exam on Oct. 8. Registration for the COS-C Exam is separate from registration for the Blueprint Workshop.
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All IHCA members are encouraged to attend the 2025 IHCA Annual Business Meeting on Tuesday, Sept. 23, from 1:30 – 2:30 p.m. at the Des Moines Marriott Downtown. Sponsored by Williams & Company P.C., Brighton Consulting Group and IHCA Provider Solutions Enrollment Support, this event will feature the announcement of the 2026 IHCA Board of Trustees and Cabinets. All disciplines can earn 1.0 CEU for attending, making it a valuable opportunity to connect, engage and help shape the future of Iowa’s long-term and home care sector.
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IHCA will host a one-hour webinar, "Time to Lead – Prioritizing What Matters," next Thursday, Sept. 11, with leadership expert Jerald Cosey. The session will equip long-term care leaders with tools to manage the “firefighting” cycle, prioritize strategic goals and build a resilient leadership mindset. Sponsored by Brighton Consulting Group, the webinar is approved for 1.0 contact hour and will be available on-demand after the live session.
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IHCA’s 2025 Convention and Trade Show, sponsored by Martin Bros. Distributing Co., Inc., will take place Sept. 22–24 in downtown Des Moines. Along with more than 40 education sessions and a bustling trade show, the convention features special events including receptions, networking activities, entertainment and exclusive member gatherings. Seats are filling quickly — reserve your spot today.
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Iowa Medicaid and the Iowa Department of Health and Human Services have launched a new Provider Self-Assessment (PSA) application within the Iowa Medicaid Portal Application (IMPA) to streamline the annual self-assessment and Home- and Community-Based Services (HCBS) provider tracking process. The 2025 provider self-assessment has not been issued yet, and there is no due date at this time. Right now, the expectation is that providers ensure they can access the application. From there, verify your organization’s contact details, program/service enrollment and qualification information, ensuring that HCBS settings are correct.
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Experience Outcome and Assessment Information Set (OASIS) training in an immersive and engaging atmosphere based on the most current CMS guidance available. The Blueprint for OASIS Accuracy Workshop, held Oct. 6-7, will provide education for learning and refining your OASIS coding knowledge, with focus on the OASIS-E1 items and evolving guidance, including a review of the guidance for the new COVID-19 Vaccination OASIS item. This program is approved for 14.0 contact hours for nurses and social workers. Additionally, IHCA will host the Certificate for OASIS Specialist-Clinical (COS-C) Exam on Oct. 8. Registration for the COS-C Exam is separate from registration for the Blueprint Workshop.
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All IHCA members are encouraged to attend the 2025 IHCA Annual Business Meeting on Tuesday, Sept. 23, from 1:30 – 2:30 p.m. at the Des Moines Marriott Downtown. Sponsored by Williams & Company P.C., Brighton Consulting Group and IHCA Provider Solutions Enrollment Support, this event will feature the announcement of the 2026 IHCA Board of Trustees and Cabinets. All disciplines can earn 1.0 CEU for attending, making it a valuable opportunity to connect, engage and help shape the future of Iowa’s long-term and home care sector.
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Nominations for IHCA's 2026 cabinets, committees and advisory councils are due by this Friday, Aug. 29. Whether your expertise is in clinical care, operations, education, public policy or quality improvement, there’s a leadership opportunity for you. Members may nominate themselves or a peer for the group that best aligns with their interests and experience. Nominations will be reviewed by the IHCA Executive Committee Chair, and selected individuals will be notified in November. Terms begin in January 2026.
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IHCA’s 2025 Convention and Trade Show, sponsored by Martin Bros. Distributing Co., Inc., will take place Sept. 22–24 in downtown Des Moines. Along with more than 40 education sessions and a bustling trade show, the convention features special events including receptions, networking activities, entertainment and exclusive member gatherings. Seats are filling quickly — reserve your spot today.
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IHCA is marking its 75th anniversary with a member-exclusive trivia contest sponsored by IHCA Provider Solutions Enrollment Support. Three winners will each receive a free full registration to the 2025 IHCA Convention & Trade Show, Sept. 22–24 in Des Moines. Members can enter by completing the IHCA 75th Anniversary Trivia Quiz by this Friday, Aug. 29. Winners will be notified via email by Sept. 5.
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The Iowa Department of Health and Human Services (DHHS) has posted the 1915(c) HCBS Waivers for public comment. The 30-day public comment period will close on Sept. 19 at 4:30 p.m.
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CMS has announced plans to modernize the Clinical Laboratory Improvement Amendments (CLIA) program by moving to a fully electronic system. By March 1, 2026, nursing homes performing lab testing must transition to email notifications, electronic fee coupons and electronic CLIA certificates, as paper versions will no longer be available. Facilities can make the switch by notifying their state agency in writing or updating their CMS-116 application form.
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IHCA continues to track issues of importance to members, including the subjects mentioned in the Iowa Administrative Bulletin that is released every two weeks. The bi-weekly areas of note found in the Aug. 6 and Aug. 20 issues of the Iowa Administrative Bulletin include updates on nursing home administrator licensure, enrollment and reenrollment, conditions of eligibility, the long-term care ombudsman and more.
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Iowa Medicaid will host its 2025 Annual Medicaid Provider Training this fall, with sessions offered in person on Sept. 30 in Des Moines and virtually on Oct. 14. Providers must register by Sept. 19 to participate, choosing either the in-person or virtual option. The training offers an opportunity to connect with Iowa Medicaid, ask questions and learn about program updates impacting providers. Additionally, Iowa Medicaid now offers competency-based training and technical assistance for long-term care providers and case managers, with resources available for a wide range of services.
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All IHCA members are encouraged to attend the 2025 IHCA Annual Business Meeting on Tuesday, Sept. 23, from 1:30 – 2:30 p.m. at the Des Moines Marriott Downtown. Sponsored by Williams & Company P.C., Brighton Consulting Group and IHCA Provider Solutions Enrollment Support, this event will feature the announcement of the 2026 IHCA Board of Trustees and Cabinets. All disciplines can earn 1.0 CEU for attending, making it a valuable opportunity to connect, engage and help shape the future of Iowa’s long-term and home care sector.
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Nominations for IHCA's 2026 cabinets, committees and advisory councils are due by next Friday, Aug. 29. Whether your expertise is in clinical care, operations, education, public policy or quality improvement, there’s a leadership opportunity for you. Members may nominate themselves or a peer for the group that best aligns with their interests and experience. Nominations will be reviewed by the IHCA Executive Committee Chair, and selected individuals will be notified in November. Terms begin in January 2026.
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IHCA’s 2025 Convention and Trade Show, sponsored by Martin Bros. Distributing Co., Inc., will take place Sept. 22–24 in downtown Des Moines. Along with more than 40 education sessions and a bustling trade show, the convention features special events including receptions, networking activities, entertainment and exclusive member gatherings. Seats are filling quickly and registrations are expected to sell out soon — reserve your spot today.
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IHCA is marking its 75th anniversary with a member-exclusive trivia contest sponsored by IHCA Provider Solutions Enrollment Support. Three winners will each receive a free full registration to the 2025 IHCA Convention & Trade Show, Sept. 22–24 in Des Moines. Members can enter by completing the IHCA 75th Anniversary Trivia Quiz by next Friday, Aug. 29. Winners will be notified via email by Sept. 5.
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On Thursday, Aug. 14, IHCA hosted its monthly Home Care Provider Update Call to discuss the most recent changes for the home health and home care profession. The call included a comprehensive discussion on CMS's proposed rule changes and their impact on access to care, including modifications to value-based purchasing, HHCAHPS and various measures.
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The Final July 2025 Interim Performance Reports (IPRs) for the expanded Home Health Value-Based Purchasing Model have been published in the Internet Quality Improvement and Evaluation System. Starting with this IPR, home health agencies that were initially Medicare certified in 2023 are eligible to receive IPRs.
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Some of the most meaningful advocacy outcomes are the structural changes that help providers plan and succeed long-term. With support from Iowa Health PAC and active engagement from IHCA members, 2025 brought several future-focused reforms.
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IHCA’s 2025 Convention and Trade Show, taking place Sept. 22–24 in Des Moines, will celebrate the association’s 75th anniversary with three days of education, networking and recognition. Sponsored by Martin Bros. Distributing Co., Inc., the event will feature more than 40 education sessions, nationally renowned keynote speakers and a bustling trade show with over 90 vendors. Attendees can earn up to 15.0 CEUs and participate in special events like Casino Night and Music Bingo. Highlights include keynotes from Chris Norton, Danny Goldberg and Dan Gable.
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IHCA is marking its 75th anniversary with a member-exclusive trivia contest sponsored by IHCA Provider Solutions Enrollment Support. Three winners will each receive a free full registration to the 2025 IHCA Convention & Trade Show, Sept. 22–24 in Des Moines. Members can enter by completing the IHCA 75th Anniversary Trivia Quiz by Aug. 29. Winners will be notified via email by Sept. 5.
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IHCA is now accepting nominations for its 2026 cabinets, committees and advisory councils. Whether your expertise is in clinical care, operations, education, public policy or quality improvement, there’s a leadership opportunity for you. Members may nominate themselves or a peer for the group that best aligns with their interests and experience. All nominations must be submitted by Aug. 29, 2025, to be considered. Nominations will be reviewed by the IHCA Executive Committee Chair, and selected individuals will be notified in November. Terms begin in January 2026.
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IHCA is now accepting nominations for its 2026 cabinets, committees and advisory councils. Whether your expertise is in clinical care, operations, education, public policy or quality improvement, there’s a leadership opportunity for you. Members may nominate themselves or a peer for the group that best aligns with their interests and experience. All nominations must be submitted by Aug. 29, 2025, to be considered. Nominations will be reviewed by the IHCA Executive Committee Chair, and selected individuals will be notified in November. Terms begin in January 2026.
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IHCA’s 2025 Convention and Trade Show, taking place Sept. 22–24 in Des Moines, will celebrate the association’s 75th anniversary with three days of education, networking and recognition. Sponsored by Martin Bros. Distributing Co., Inc., the event will feature more than 40 education sessions, nationally renowned keynote speakers and a bustling trade show with over 90 vendors. Attendees can earn up to 15.0 CEUs and participate in special events like Casino Night and Music Bingo. Highlights include keynotes from Chris Norton, Danny Goldberg and Dan Gable.
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IHCA's Business Office Manager Training Series, sponsored by IHCA Provider Solutions Enrollment Support, is designed to equip business office managers with the essential skills and knowledge necessary to navigate the intricate financial and administrative landscape of long-term care facilities. Experienced industry professionals will guide participants through best practices and strategies which will allow for effective implementation in your facility’s daily operations.
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Every year in July, CMS provides the home health industry with a proposed rule that impacts payment, compliance and quality measures. IHCA's Home Health Proposed Rule and Actions webinar will take place tomorrow, July 31. This webinar will simplify the complex by breaking down each proposed change step-by-step, and what that may mean for you and your agency. This webinar is approved for 1.0 CEU for nurses and administrators.
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IHCA will host its Medicaid HCBS Elderly Waiver Training next Tuesday, Aug. 5, offering practical guidance on waiver structure, eligibility and related housing assistance programs. Expert speakers from Healthcare of Iowa and the Iowa Department of Health and Human Services will share insights to help providers strengthen processes and support accurate determinations. The hybrid event offers both in-person and virtual attendance options. This course is approved for 3.0 contact hours for nurses, assisted living managers, social services staff, home care professionals and nursing facility administrators.
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Congratulations to IHCA member Briarwood Healthcare Center in Iowa City on receiving the 2025 Governor’s Award for Quality Care! The award will be presented on Aug. 6 by Iowa Department of Inspections, Appeals and Licensing Director Larry Johnson, Jr. This honor recognizes Briarwood’s exceptional commitment to resident care and innovative practices that enhance quality of life.
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In response to the CMS proposed rule for calendar year (CY) 2026, which includes a significant 9% cut to the Medicare home health 30-day payment rate, The Alliance for Care at Home has finalized and submitted a pre-comment letter voicing strong opposition to the proposed reductions. The pre-comment letter was circulated to state associations and other partners with an invitation to sign on in support. IHCA was joined by 57 other state associations in support of the letter. A more detailed and comprehensive comment letter is currently in development and will be submitted later in the official comment period. In the meantime, the pre-comment letter serves as both an early response and a helpful resource for organizations preparing their own submissions to CMS.
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Iowa Medicaid and the Iowa Department of Health and Human Services have launched a new Provider Self-Assessment (PSA) application within the Iowa Medicaid Portal Application (IMPA) to streamline the annual self-assessment and Home- and Community-Based Services (HCBS) provider tracking process. The application includes four sections and is required for HCBS providers delivering specific services under Iowa’s waivers and habilitation programs. A user guide, training video and FAQ are available to support consistent use. Access is limited to authorized IMPA users with signatory responsibilities.
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Join us Sept. 22–24 for IHCA’s 2025 Convention and Trade Show as we celebrate 75 years of empowering members and improving lives. Sponsored by Martin Bros. Distributing Co., Inc., this milestone event will feature inspiring keynote speakers including Dan Gable, Chris Norton and Danny Goldberg. Attendees can expect expert-led education, a robust trade show and special anniversary celebrations honoring the strength and dedication of Iowa’s long-term care community.
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Every year in July, CMS provides the home health industry with a proposed rule that impacts payment, compliance and quality measures. IHCA's Home Health Proposed Rule and Actions webinar next Thursday, July 31, will simplify the complex by breaking down each proposed change step-by-step, and what that may mean for you and your agency. This webinar is approved for 1.0 CEU for nurses and administrators.
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This year, IHCA Nurse Connect is offering eligible members the opportunity to apply for grants that will cover the cost of registration for IHCA’s 2025 Convention and Trade Show. Please note, this grant is for IHCA member nurses only. To apply for a grant, submit the grant application form by next Thursday, July 31. Selected individuals will be contacted via email in August.
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Earlier this week, the IHCA Foundation awarded over $100,000 in scholarships to 74 IHCA members seeking to further their health care education in the long-term care sector. The recipients include current long-term care workers, high school students, first-generation college students and individuals from rural communities. Scholarships provide for the cost of a variety of health care and leadership programs to equip health care workers with the skills they need to work in long-term care. The IHCA Foundation is grateful for its generous donors and applauds this year’s recipients for their dedication to this essential field.
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Iowa Medicaid and the Iowa Department of Health and Human Services (DHHS) have issued guidance outlining face-to-face contact requirements for case managers working with individuals enrolled in Home- and Community Based Services (HCBS) Waivers and Habilitation Services. During the first three months of enrollment, case managers must conduct monthly in-person visits; ongoing contact must occur monthly, with some flexibility for virtual methods. Individuals with intellectual or developmental disabilities must receive in-home, face-to-face visits every other month, while others must receive them quarterly. Exceptions for virtual visits due to medical conditions require annual physician documentation.
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Iowa Medicaid's Annual Provider Training will take place in person on Tuesday, Sept. 30, from 8:00 a.m. to 5:00 p.m. at the Iowa State Historical Museum in Des Moines. The event is open to all provider types and will include sessions on fee-for-service billing, provider enrollment and updates from MCOs. A virtual session will be available later this fall for those unable to attend in person. Registration opens next month, and providers are encouraged to submit topic suggestions or questions in advance.
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IHCA will host its Medicaid HCBS Elderly Waiver Training on Aug. 5, offering practical guidance on waiver structure, eligibility and related housing assistance programs. Expert speakers from Healthcare of Iowa and the Iowa Department of Health and Human Services will share insights to help providers strengthen processes and support accurate determinations. The hybrid event offers both in-person and virtual attendance options. This course is approved for 3.0 contact hours for nurses, assisted living managers, social services staff, home care professionals and nursing facility administrators.
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Get ready to celebrate a monumental milestone — IHCA’s 75th anniversary — at the 2025 Convention and Trade Show, sponsored by Martin Bros. Distributing Co., Inc.! With the theme “Diamond Resilience,” this year’s event promises to honor the strength, brilliance and dedication of Iowa’s long-term care professionals.
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