IA HF2518

Requires the Department of Health and Human Services to conduct biennial reviews of shelter care and qualified residential treatment provider costs compared to current reimbursement rates, with reports due to the governor and general assembly by October 1 following each review

Mandates annual departmental review of Medicaid provider reimbursement rates for services paid via statewide fee schedules that aren't already periodically updated, comparing non-dental services to Medicare rates and dental services to rates in states bordering Iowa

Requires annual departmental reports to the general assembly by January 15 summarizing Medicaid provider reimbursement rate reviews

Establishes a cost-based reimbursement system for Medicaid home and community-based waiver services, requiring providers to submit actual cost of service and supply data to the department by July 1 each fiscal year

Mandates the department establish a new base period at least every four years for calculating waiver service rate models, with reports to the general assembly by October 1 including proposed rates, fiscal impact projections, and documentation supporting actuarial soundness