Section 249A.1 – Title.
249A.1 Title. This chapter may be cited as the “Medical Assistance Act”. [C62, 66, 71, 73, 75, 77, 79, 81, §249A.1]
Section 249A.11 – Payment for patient care segregated.
249A.11 Payment for patient care segregated. A state resource center or mental health institute, upon receipt of any payment made under this chapter for the care of any patient, shall segregate an amount equal to that portion of the payment which is required by law to be made from nonfederal funds. The money segregated shall […]
Section 249A.12 – Assistance to persons with an intellectual disability.
249A.12 Assistance to persons with an intellectual disability. 1. Assistance may be furnished under this chapter to an otherwise eligible recipient who is a resident of a health care facility licensed under chapter 135C and certified as an intermediate care facility for persons with an intellectual disability. 2. If a county reimbursed the department for […]
Section 249A.14 – County attorney to enforce.
249A.14 County attorney to enforce. Transferred to §249A.56; 2013 Acts, ch 24, §14 .
Section 249A.15 – Licensed psychologists eligible for payment — provisional licensees.
249A.15 Licensed psychologists eligible for payment — provisional licensees. 1. The department shall adopt rules pursuant to chapter 17A entitling psychologists who are licensed pursuant to chapter 154B and psychologists who are licensed in the state where the services are provided and have a doctorate degree in psychology, have had at least two years of […]
Section 249A.15A – Licensed marital and family therapists, licensed master social workers, licensed mental health counselors, certified alcohol and drug counselors, licensed behavior analysts, and licensed assistant behavior analysts — temporary licensees.
249A.15A Licensed marital and family therapists, licensed master social workers, licensed mental health counselors, certified alcohol and drug counselors, licensed behavior analysts, and licensed assistant behavior analysts — temporary licensees. 1. The department shall adopt rules pursuant to chapter 17A entitling marital and family therapists who are licensed pursuant to chapter 154D to payment for […]
Section 249A.15B – Speech pathologists eligible for payment.
249A.15B Speech pathologists eligible for payment. The department shall adopt rules pursuant to chapter 17A entitling speech pathologists who are licensed pursuant to chapter 154F, including those certified in independent practice, to payment for speech pathology services provided to recipients of medical assistance, subject to limitations and exclusions the department finds necessary on the basis […]
Section 249A.16 – New rates for services — effective date.
249A.16 New rates for services — effective date. Health care facilities licensed under chapter 135C receiving assistance payments for persons provided services by the health care facility shall submit the financial report to the department as provided by rule. Payment at a new rate is effective for services rendered as of the first day of […]
Section 249A.17 – Transitional medical assistance.
249A.17 Transitional medical assistance. Repealed by 97 Acts, ch 41, §29.
Section 249A.18 – Cost-based reimbursement — rural health clinics and federally qualified health centers.
249A.18 Cost-based reimbursement — rural health clinics and federally qualified health centers. Rural health clinics and federally qualified health centers shall receive cost-based reimbursement for one hundred percent of the reasonable costs for the provision of services to recipients of medical assistance. 98 Acts, ch 1069, §1; 99 Acts, ch 203, §51
Section 249A.18A – Resident assessment.
249A.18A Resident assessment. A nursing facility as defined in section 135C.1 shall complete a resident assessment prior to initial admission of a resident and periodically during the resident’s stay in the facility. The assessment shall be completed for each prospective resident and current resident regardless of payor source. The nursing facility may utilize the same […]
Section 249A.19 – Health care facilities — penalty.
249A.19 Health care facilities — penalty. Transferred to §249A.57; 2013 Acts, ch 24, §14 .
Section 249A.2 – Definitions.
249A.2 Definitions. As used in this chapter: 1. “Department” means the department of human services. 2. “Director” means the director of human services. 3. “Discretionary medical assistance” means mandatory medical assistance or optional medical assistance provided to medically needy individuals whose income and resources are in excess of eligibility limitations but are insufficient to meet […]
Section 249A.20 – Noninstitutional health providers — reimbursement.
249A.20 Noninstitutional health providers — reimbursement. 1. Beginning November 1, 2000, the department shall use the federal Medicare resource-based relative value scale methodology to reimburse all applicable noninstitutional health providers, excluding anesthesia and dental services, that on June 30, 2000, are reimbursed on a fee-for-service basis for provision of services under the medical assistance program. […]
Section 249A.20A – Preferred drug list program.
249A.20A Preferred drug list program. 1. The department shall establish and implement a preferred drug list program under the medical assistance program. The department shall submit a medical assistance state plan amendment to the centers for Medicare and Medicaid services of the United States department of health and human services, no later than May 1, […]
Section 249A.20B – Nursing facility quality assurance assessment.
249A.20B Nursing facility quality assurance assessment. Repealed by 2005 Acts, ch 167, §40, 41, 66 .
Section 249A.21 – Intermediate care facilities for persons with an intellectual disability — assessment.
249A.21 Intermediate care facilities for persons with an intellectual disability — assessment. 1. An intermediate care facility for persons with an intellectual disability, as defined in section 135C.1, shall be assessed an amount for the preceding calendar quarter, not to exceed six percent of the actual paid claims for the previous quarter. 2. The assessment […]
Section 249A.24 – Iowa medical assistance drug utilization review commission — created.
249A.24 Iowa medical assistance drug utilization review commission — created. 1. An Iowa medical assistance drug utilization review commission is created within the department. The commission membership, duties, and related provisions shall comply with 42 C.F.R. pt. 456, subpt. K . 2. In addition to any other duties prescribed, the commission shall make recommendations to […]
Section 249A.25 – Enhanced mental health, mental retardation, and developmental disabilities services plan oversight committee.
249A.25 Enhanced mental health, mental retardation, and developmental disabilities services plan oversight committee. Repealed by 94 Acts, ch 1150, §4.
Section 249A.26 – State and county participation in funding for services to persons with disabilities — case management.
249A.26 State and county participation in funding for services to persons with disabilities — case management. 1. The state shall pay for one hundred percent of the nonfederal share of the services paid for under any prepaid mental health services plan for medical assistance implemented by the department as authorized by law. 2. a. Except […]