The Centers for Medicare and Medicaid Services (“CMS”) approved a waiver of the three month retroactive eligibility period for nearly all new Iowa Medicaid applicants as of November 1, 2017. Pregnant women and infants under age 1 will still qualify for retroactive coverage in Iowa, but the new retroactive coverage waiver will impact many others, including the hospitals and health care providers, low-income parents, children over age 1, the disabled and many seniors. Retroactive coverage is provided in the majority of states and benefits both health care providers as well as many low-income Medicaid beneficiaries. If you are a health care provider or physician in Nebraska and have patients driving in from Iowa for care, you are encouraged to review and update your policies and procedures as a result of the change. In addition, if you contract with a company or third party for patient enrollment or eligibility services, you will want to review the terms of the agreement following the change.