Iowa Admin. Code r. 441-151.22 - Expenses
The following lists of expenses that are either eligible or
ineligible for reimbursement from the
(1)
Expenses to be
reimbursed. The expenses for which reimbursement shall be made
include:
a. Expenses, other than salary,
incurred by a person ordered by the court, other than a juvenile court officer ,
in transporting a child to or from a place designated by the court, including
mileage, lodging and meals.
b. The
expense of care or treatment ordered by the court whenever the minor is placed
by the court with someone other than the parents; or a minor is given a
physical or mental examination or treatment under order of the court; or, upon
certification by the department , a minor is given physical or mental
examinations or treatment with the consent of the parent, guardian or legal
custodian relating to a child abuse investigation and no provision is otherwise
made by the law for payment for the care, examination, or treatment of the
minor. Care and treatment expenses for which no other provision for payment is
made by law that shall be reimbursable include court-ordered:
(1) Individual services for the child
separate from a family's treatment plan.
(2) Diagnosis and evaluation on an outpatient
basis unless the diagnosis and evaluation is provided by a person or agency
with a contract with the department for that service for which the child is
eligible.
(3) An evaluation of a
child in a residential facility.
(4) Inpatient (hospital) evaluation of a
child previous to disposition.
(5)
Medical treatment for a child . This includes medical treatment while in
detention in a facility used for detention when the medical treatment is
court-ordered.
(6) Drug treatment,
testing and care for a child .
(7)
Intensive in-home supervision and monitoring and alternatives to shelter care
unless a person or agency that has a contract with the department provides the
service for which the child is eligible.
(8) Evaluation of parents pursuant to a
delinquent adjudication unless the diagnosis and evaluation is provided by a
person or agency with a contract with the department for that service for which
the child is eligible.
(9)
One-to-one supervision of a child not in a detention facility unless the
service is provided by a person or agency with a contract with the department
for that service for which the child is eligible.
(10) Physical or mental examinations ordered
pursuant to Iowa Code section
232.49
or
232.98
except those set forth in paragraph 151.22(2)"c" or those
eligible for payment pursuant to Iowa Code chapter 249A.
(11) Services ordered under family in need of
assistance proceedings unless a person or agency with a contract with the
department provides the service for which the child is eligible.
(12) Expenses for all educational testing or
programming for children, not weighted as special education students, who
attend an on-campus school in an out-of-state facility.
(13) Expenses for educational testing or
programs related to a general equivalency diploma (GED) or for credit hours,
when the expenses are not required to be paid by the state.
c. Medical cost sharing for payment of one
deductible amount or a coinsurance amount when Medicaid or private insurance is
then available to pay the remainder of the cost.
(2)
Expenses not reimbursed.
Expenses that are excluded from reimbursement from court-ordered services funds
because another source is available to pay for the service include:
a. Foster care (including shelter care).
Payment provision is Iowa Code section
234.35.
b. All charges for which the county is
obligated by statute to pay including:
(1)
Care and treatment of patients by any state mental health institute. Payment
provision is Iowa Code section
230.20(5).
(2) Care and treatment of patients by either
of the state resource centers or by any other facility established under Iowa
Code chapter 222. Payment provision is Iowa Code section
222.60.
(3) Care and treatment of patients by the
psychiatric hospital at Iowa City. Payment provision is Iowa Code chapter
225.
(4) Care and treatment of
persons at the alcoholic treatment center at Oakdale or any other facility as
provided in Iowa Code chapter 125. Payment provision is Iowa Code section
125.44.
(5) Care of children
admitted or committed to the Iowa juvenile home at Toledo. Payment provision is
Iowa Code section
233B.14.
(6) Clothing and medical or other service
provided to persons attending the Iowa Braille and Sight Saving School, the
Iowa School for the Deaf, or the University of Iowa Stead Family Children's
Hospital for which the county becomes obligated to pay pursuant to Iowa Code
sections
263.12,
269.2,
and 270.4.
(7) Expenses for
detention in a facility used for detention. The payment provision is Iowa Code
section 232.142.
(8) Care and
treatment of persons placed in the county hospital, county care facility, a
health care facility as defined in Iowa Code section
135C.1, subsection 6,
or any other public or private facility in lieu of admission or commitment to a
state mental health institute, resource center, or other facility established
pursuant to Iowa Code chapter 222. Payment provisions are Iowa Code sections
222.50,
230.1 and
233B.14.
c. Child -abuse photos and X-rays. Payment
provision is Iowa Code section 232.77.
d. Any expenses set forth in subrule
151.22(1) above, which qualify for payment pursuant to Iowa Code chapter
249A.
e. Expense of a child sexual
abuse examination. Payment provision is Iowa Code section 915.41.
f. Expense of child day care. Payment
provision is Iowa Code section
234.6.
g. Expense of in-home treatment services.
Payment provision is 441-Chapters 78, 79, and 83.
h. Expense of homemaker-home health aide
services. Payment provision is department of public health rules 641-Chapter
80.
i. Expenses for all educational
testing or programming required to be paid by the state, except for juveniles
who attend an on-campus school in an out-of-state facility and who are not
weighted as special education students. The payment provision is Iowa Code
chapter 256.
j. Expenses, except
for the allowable medical cost sharing, for all court-ordered counseling and
treatment for adults, including individual, marital, mental health, substance
abuse and group therapy. The payment provision is private insurance, Medicare,
Medicaid, or other resources consistent with Medicaid and social services
eligibility and Iowa Code chapter 249A.
k. Expenses, except for the allowable medical
cost sharing, for psychiatric medical institutions for children (PMIC). The
payment provision is private insurance, Medicare, Medicaid, or other resources
consistent with Medicaid and social services eligibility and Iowa Code chapter
249A.
(3)
Services not listed. If a court orders a service not currently
listed in subrule 151.22(1), the chief juvenile court officer or approved
administrator shall review the order and shall consult with the department . If
reimbursement for the service expense is not in conflict with current law or
administrative rules and meets the criteria for certification of the court , the
chief juvenile court officer or approved administrator shall authorize
reimbursement to the provider .
Notes
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