In the results table, click the arrow to expand the waiver/variance record. Click the number in the Agency Reference field to expand the details and see a summary of the waiver/variance request and disposition. Click the date in the Request Date field to view the rule as it read on the date of the waiver/variance request.
| Agency |
Agency-Chapter.Rule(Subrule) Paragraph |
Topic |
Submitted |
Approved |
Denied |
| Human Services Department |
441-81.81(2) ▼ |
Admit PMIC in Ada, Oklahoma |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001166 |
Approved |
01/28/2026 |
03/05/2026 |
|
|
| Human Services Department |
441-81.81(3) ▼ |
OOS PMIC |
1 |
0 |
1 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| 25-E0466 |
Denied |
08/30/2024 |
09/13/2024 |
|
|
| Human Services Department |
441-81.81(3) ▼ |
PMIC |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600303 |
Approved |
08/08/2025 |
11/13/2025 |
|
|
| Human Services Department |
441-81.81(5)"16" ▼ |
Adjust per diem rate |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001241 |
Approved |
02/12/2026 |
04/08/2026 |
|
|
| Human Services Department |
441-81.81(5)"16" ▼ |
Access a per diem without the QAAF |
2 |
0 |
2 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001266 |
Denied |
02/17/2026 |
06/24/2026 |
|
| ETP26001266 |
Denied |
02/17/2026 |
06/24/2026 |
|
|
| Human Services Department |
441-81.81(5)"19" ▼ |
Reevaluate case mix index for rates effective July 1, 2025 |
1 |
0 |
1 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001032 |
Denied |
12/18/2025 |
02/27/2026 |
|
|
| Human Services Department |
441-81.81(5)"19" ▼ |
reevaluate case mix index for rates effective July 1, 2025 |
1 |
0 |
1 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001177 |
Denied |
01/29/2026 |
03/09/2026 |
|
|
| Human Services Department |
441-81.81(5)"3" ▼ |
Waive financial penalty for late submission of cost report |
1 |
0 |
1 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001023 |
Denied |
12/17/2025 |
02/05/2026 |
|
|
| Human Services Department |
441-81.81(6)"14" ▼ |
Facility transfer after receivership |
1 |
0 |
1 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600551 |
Denied |
09/17/2025 |
10/09/2025 |
|
|
| Human Services Department |
441-81.81(6)"16" ▼ |
Per diem rate |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| 25-E0031 |
Approved |
07/05/2024 |
08/09/2024 |
|
|
| Human Services Department |
441-81.81(6)"16" ▼ |
RIIF |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| 25-E0043 |
Approved |
07/08/2024 |
08/09/2024 |
|
|
| Human Services Department |
441-81.81(6)"16" ▼ |
Nursing services |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP260044 |
Approved |
07/02/2025 |
08/29/2025 |
|
|
| Human Services Department |
441-81.81(6)"16" ▼ |
Nursing |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600205 |
Approved |
07/31/2025 |
08/29/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Continue enrollment as out of state skilled nursing facility |
5 |
5 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600784 |
Approved |
11/04/2025 |
12/11/2025 |
|
| ETP2600790 |
Approved |
11/04/2025 |
01/02/2026 |
|
| ETP2600794 |
Approved |
11/04/2025 |
12/11/2025 |
|
| ETP2600798 |
Approved |
11/04/2025 |
12/11/2025 |
|
| ETP2600809 |
Approved |
11/05/2025 |
01/02/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Continue enrollment as out of state PMIC |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600785 |
Approved |
11/04/2025 |
12/11/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow out of state skilled nursing facility to enroll as Medicaid provider |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600786 |
Approved |
11/04/2025 |
12/11/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow out of state facility to enroll as skilled nursing facility |
3 |
1 |
2 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600786 |
Approved |
11/04/2025 |
12/22/2025 |
|
| ETP2600797 |
Denied |
11/04/2025 |
12/22/2025 |
|
| ETP2600806 |
Denied |
11/05/2025 |
12/22/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Continue enrollment of out of state skilled nursing facility |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600787 |
Approved |
11/04/2025 |
12/22/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow Florida facility to continue enrollment as out of state provider |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600789 |
Approved |
11/04/2025 |
04/01/2026 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow out of state facility to continue enrollment as skilled nursing facility |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600791 |
Approved |
11/04/2025 |
12/22/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Enroll out of state skilled nursing facility provider |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600792 |
Approved |
11/04/2025 |
12/11/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow reenrollment as out of state skilled nursing facility |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600795 |
Approved |
11/04/2025 |
12/11/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Continue enrollment as out of state nursin facility |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600805 |
Approved |
11/05/2025 |
12/11/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow out of state facility to enroll in Iowa Medicaid |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600807 |
Approved |
11/05/2025 |
01/15/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow out of state facility to continue enrollment as out of state provider |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600808 |
Approved |
11/05/2025 |
01/27/2025 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Allow Michigan facility to continue enrollment as out-of-state PMIC provider |
1 |
0 |
1 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001169 |
Denied |
01/30/2026 |
03/19/2026 |
|
|
| Human Services Department |
441-81.81(15)"1" ▼ |
Continue enrollment as out of state provider |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP26001249 |
Approved |
02/13/2026 |
03/09/2026 |
|
|
| Human Services Department |
441-81.81(20)"1" ▼ |
OOS provider |
5 |
5 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| 25-E0136 |
Approved |
07/21/2024 |
08/20/2024 |
|
| 25-E0135 |
Approved |
07/21/2024 |
08/20/2024 |
|
| 25-E0134 |
Approved |
07/21/2024 |
08/20/2024 |
|
| ETP2600422 |
Approved |
08/29/2025 |
11/21/2025 |
|
| ETP2600479 |
Approved |
09/05/2025 |
11/21/2025 |
|
|
| Human Services Department |
441-81.81(20)"1" ▼ |
OOS placement |
1 |
1 |
0 |
| Agency Reference |
Status |
Request Date |
Disposition Date |
Docs |
| ETP2600420 |
Approved |
08/29/2025 |
10/28/2025 |
|
|