Iowa Admin. Code r. 281-56.18 - Exceptions to payment for services
Current through Register Vol. 44, No. 12, December 15, 2021
As required by the Act and
CFR Section 361.50
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281—56.18 (259) Exceptions to payment for services. As required by the Act and 34 CFR Section 361.50(c), the division shall have a method of allowing for exceptions to its rules regarding payment for services.
56.18(1) Prohibitions. Pursuant to federal law, the division is subject to the following prohibitions:
a. The fee schedule shall not be designed in a way that effectively denies an individual a necessary service.
b. An absolute limit on what may be provided to an individual may not be established, whether a dollar limit on specific service categories or on the total services provided to an individual may not be established.
56.18(2) Exception process. A request for an exception shall originate with the job candidate with assistance from qualified personnel of the division, who shall either develop a case note detailing the reason(s) why an exception is believed to be warranted or complete the appropriate form. The case note or form shall be presented to a supervisor for determination. The supervisor’s determination shall be documented by the supervisor in a separate case note or in the designated place on the form.
[ARC 2844C, IAB 12/7/16, effective 1/11/17]