There is language in the last years appropriations bill (House File 891) that allows Medicaid authority to implement federal flexibilities that may be in conflict with Iowa rules/regs (see excerpt below).

DIVISION XIII PUBLIC HEALTH EMERGENCY PROVISIONS COVID-19 REGULATIONS

Sec. 53. COVID-19 FEDERAL REGULATIONS. For the time period beginning on the effective date of this division of this Act, and ending June 30, 2022, notwithstanding state administrative rules to the contrary, to the extent federal regulations relating to the COVID-19 pandemic differ from state administrative rules, including applicable federal waivers, the federal regulations are controlling during the pendency of the federally declared state of emergency and for such period of time following the end of the federally declared state of emergency applicable to the respective federal regulations

This language is set to end 6/30/22. The Department continues to monitor the federal PHE declarations and will suggest extension language if determined necessary for the Medicaid program.

CMS has continued to message to States they will give at least a 60 day notice in advance of the official end of the PHE. We will notify providers as we receive any information from CMS regarding the official declaration to end the PHE.