514I.1 Intent of the general assembly. 1. It is the intent of the general assembly to provide health care coverage to eligible children that improves access to preventive, diagnostic, and treatment health services which result in improved health status using in part resources made available from the passage of Tit. XXI of the federal Social […]
514I.10 Cost sharing. 1. Cost sharing for eligible children whose family income is below one hundred fifty percent of the federal poverty level shall not exceed the standards permitted under 42 U.S.C. §1396o(a)(3) or §1396o(b)(1). 2. Cost sharing for eligible children whose family income equals one hundred fifty percent but does not exceed two hundred […]
514I.11 Hawk-i trust fund. 1. A hawk-i trust fund is created in the state treasury under the authority of the department of human services, in which all appropriations and other revenues of the program such as grants, contributions, and participant payments shall be deposited and used for the purposes of the program. The moneys in […]
514I.12 Hawk-i expansion program. Repealed by 2009 Acts, ch 118, §41 .
514I.2 Definitions. As used in this chapter, unless the context otherwise requires: 1. “Benchmark benefit package” means any of the following: a. The standard blue cross/blue shield preferred provider option service benefit plan, described in and offered under 5 U.S.C. §8903(1). b. A health benefits coverage plan that is offered and generally available to state […]
514I.3 Hawk-i program — established. 1. The hawk-i program, a statewide program designed to improve the health of children and to provide health insurance coverage to eligible children on a regional basis which complies with Tit. XXI of the federal Social Security Act, is established and shall be implemented January 1, 1999. 2. Health insurance […]
514I.4 Director and department — duties — powers. 1. The director, with the approval of the hawk-i board, shall implement this chapter. The director shall do all of the following: a. At least every six months, evaluate the scope of the program currently being provided under this chapter, project the probable cost of continuing the […]
514I.5 Hawk-i board. 1. A hawk-i board for the hawk-i program is established. The board shall meet not less than six and not more than twelve times annually, for the purposes of establishing policy for, directing the department on, and adopting rules for the program. The board shall consist of seven voting members and four […]
514I.6 Participating insurers. Participating insurers shall meet the qualifying standards established by rule under this chapter and shall perform all of the following functions: 1. Provide plan cards and membership booklets to qualifying families. 2. Provide or reimburse accessible, quality medical or dental services. 3. Require that any plan provided by the participating insurer establishes […]
514I.7 Administrative contractor. Repealed by 2019 Acts, ch 124, §9.
514I.8 Eligible child. 1. a. Effective July 1, 1998, and notwithstanding any medical assistance program eligibility criteria to the contrary, medical assistance shall be provided to, or on behalf of, an eligible child under the age of nineteen whose family income does not exceed one hundred thirty-three percent of the federal poverty level, as defined […]
514I.8A Hawk-i — all income-eligible children. The department shall provide coverage to individuals under nineteen years of age who meet the income eligibility requirements for the hawk-i program and for whom federal financial participation is or becomes available for the cost of such coverage. 2009 Acts, ch 118, §14
514I.9 Program benefits. 1. The hawk-i board shall review the benefits package annually and shall determine additions to or deletions from the benefits package offered. The hawk-i board shall submit the recommendations to the general assembly for any amendment to the benefits package. 2. Benefits, in addition to those required by rule, may be provided […]
