249A.26A State and county participation in funding for rehabilitation services for persons with chronic mental illness. Repealed by 2007 Acts, ch 218, §122 . See §249A.26.
249A.27 Indemnity for case management and disallowed costs. 1. If the department contracts with a county or consortium of counties to provide case management services funded under medical assistance, the state shall appear and defend the department’s employees and agents acting in an official capacity on the department’s behalf and the state shall indemnify the […]
249A.29 Home and community-based services waiver providers — records checks. 1. For purposes of this section and section 249A.30 unless the context otherwise requires: a. “Consumer” means an individual approved by the department to receive services under a waiver. b. “Provider” means an agency certified by the department to provide services under a waiver. c. […]
249A.3 Eligibility. The extent of and the limitations upon eligibility for assistance under this chapter is prescribed by this section, subject to federal requirements, and by laws appropriating funds for assistance provided pursuant to this chapter. 1. Mandatory medical assistance shall be provided to, or on behalf of, any individual or family residing in the […]
249A.30 Home and community-based services waiver — service provider reimbursement rate adjustments. 1. The base reimbursement rate for a provider of services under a medical assistance program home and community-based services waiver for persons with an intellectual disability shall be recalculated at least every three years to adjust for the changes in costs during the […]
249A.30A Medical assistance — personal needs allowance. The personal needs allowance under the medical assistance program, which may be retained by a person who is a resident of a nursing facility, an intermediate care facility for persons with an intellectual disability, or an intermediate care facility for persons with mental illness, as defined in section […]
249A.31 Reimbursement — targeted case management services — inpatient psychiatric services. 1. Effective July 1, 2018, targeted case management services shall be reimbursed based on a statewide fee schedule amount developed by rule of the department pursuant to chapter 17A. 2. Effective July 1, 2014, providers of inpatient psychiatric services for individuals under twenty-one years […]
249A.32 Medical assistance home and community-based services waivers — consumer-directed attendant care — termination of contract. 1. A case manager for a medical assistance home and community-based services waiver may terminate the contract of a person providing consumer-directed attendant care services to whom payment is being made for provision of such services under the waiver […]
249A.32A Home and community-based services waivers — limitations. In administering a home and community-based services waiver, the total number of openings at any one time shall be limited to the number approved for the waiver by the secretary of the United States department of health and human services. The openings shall be available on a […]
249A.32B Early and periodic screening, diagnosis, and treatment funding. The department of human services, in consultation with the Iowa department of public health and the department of education, shall continue the program to utilize the early and periodic screening, diagnosis, and treatment program funding under the medical assistance program, to the extent possible, to implement […]
249A.33 Pharmaceutical settlement account — medical assistance program. 1. A pharmaceutical settlement account is created in the state treasury under the authority of the department of human services. Moneys received from settlements relating to provision of pharmaceuticals under the medical assistance program shall be deposited in the account. 2. Moneys in the account shall be […]
249A.34 Medical assistance crisis intervention team. Repealed by 2005 Acts, ch 167, §40, 66 .
249A.35 Purchase of qualified long-term care insurance policy — computation under medical assistance program. A computation for the purposes of determining eligibility under this chapter concerning an individual who is the beneficiary of a qualified long-term care insurance policy under chapter 514H shall include consideration of the asset disregard provided in section 514H.5. 2005 Acts, […]
249A.36 Medical assistance quality improvement council. Repealed by 2012 Acts, ch 1138, §111.
249A.37 Health care information sharing. 1. As a condition of doing business in the state, health insurers including self-insured plans, group health plans as defined in the federal Employee Retirement Income Security Act of 1974, Pub. L. No. 93-406, service benefit plans, managed care organizations, pharmacy benefits managers, and other parties that are, by statute, […]
249A.38 Inmates of public institutions — suspension of medical assistance. 1. Following the first thirty days of commitment, the department shall suspend, but not terminate, the eligibility of an individual who is an inmate of a public institution as defined in 42 C.F.R. §435.1010 , who is enrolled in the medical assistance program at the […]
249A.39 Reporting of overpayment. 1. A provider who has received an overpayment shall notify in writing, and return the overpayment to, the department, the department’s agent, or the department’s contractor, as appropriate. The notification shall include the reason for the return of the overpayment. 2. Notification and return of an overpayment under this section shall […]
249A.3A Medical assistance — all income-eligible children. The department shall provide medical assistance to individuals under nineteen years of age who meet the income eligibility requirements for the state medical assistance program and for whom federal financial participation is or becomes available for the cost of such assistance. 2009 Acts, ch 118, §13
249A.4 Duties of director. The director shall be responsible for the effective and impartial administration of this chapter and shall, in accordance with the standards and priorities established by this chapter, by applicable federal law, by the regulations and directives issued pursuant to federal law, by applicable court orders, and by the state plan approved […]
249A.40 Involuntarily dissolved providers — overpayments or incorrect payments. Medical assistance paid to a provider following administrative dissolution of the provider pursuant to chapter 490, subchapter XIV, part 2, shall be considered incorrectly paid for the purposes of section 249A.53 and the provider shall be considered to have received an overpayment for the purposes of […]
