Iowa Admin. Code r. 441-25.41 - Minimum data set
Each
(1)
Submission of data. Each
region shall submit to the department a copy of the data regarding each
individual that the region serves.
a. The
state supplementary assistance program, mental health institutes, state
resource centers, Medicaid program, and Medicaid managed care contractors shall
provide the equivalent data in a compatible format on the same schedule as the
required submission from the regions.
b. The department shall maintain the data for
research and analysis purposes only. Only summary data shall be reported to
policy makers or the public.
(2)
Data required. The data
to be submitted are as follows:
a. Basic
individual information including a unique identifier, name, address, and county
of residence .
b. The state I.D.
number when applicable.
c.
Demographic information including date of birth, sex, ethnicity, marital
status, education, residential living arrangement, current employment status,
monthly income , income sources, type of insurance, insurance carrier, veterans'
status, guardianship status, legal status in the system, source of referral,
diagnosis code in the current version of the ICD, disability group (i.e.,
intellectual disability, developmental disability, mental illness, brain
injury ), and county of residence number.
d. Service information including the decision
on services, date of decision, termination date and reason for termination,
residence, approved service, service beginning dates, service ending dates,
reason for terminating each service, approved units of services, unit rate for
service, expenditure data, and provider data.
e. Regions shall submit data according to the
file layouts, format, and naming conventions prescribed by the department . Any
changes to the data submission requirements will be made in consultation with
the regional administrators.
f.
Regions must submit their data for each fiscal year by December 1 of the
following fiscal year.
(1) When a region 's
data is incomplete or is not compliant with the prescribed file layouts,
format, or naming conventions the region will be notified by email.
(2) The region shall resubmit corrected files
or provide an explanation for noncompliant data within 30 days of the date of
the email notice.
(3) If the region
remains noncompliant after the 30-day time period, the department may take
action as allowable under the performance-based contracts established pursuant
to rule 441-25.23 (225C).
This rule is intended to implement Iowa Code chapter 225C, subchapter V.
Notes
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