Iowa Admin. Code r. 441-301.3 - [Effective 7/1/2025] Provider qualifications
(1)
Behavioral health safety net service providers. Behavioral
health safety net service providers, which are defined in rule 441-300.1(225A),
are required to:
a. Adhere to minimum access
standards as set forth in 441-subrule 302.2(1).
b. Accept behavioral health service system
funds as payment in full for individuals served through behavioral health
service system funding. The safety net provider may not bill individuals for
missed appointments, or for copayments or other cost-sharing arrangements,
except as described in individual eligibility standards in rule
441-301.1(225A).
c. Work with
BH-ASOs to coordinate care for the individuals the safety net provider serves,
including making referrals to secure services and supports appropriate for the
individual, coordinating warm handoffs to ensure continuity of care,
coordinating transportation, and performing post-discharge follow-up.
d. Notify the BH-ASO within seven days when a
safety net provider is at or above 90 percent capacity to admit individuals in
need of behavioral health services.
(2)
Behavioral health service system
provider eligibility. The following persons or organizations are
eligible to participate as behavioral health service system providers to the
extent allowed under the scope of their licensure, certification, or
accreditation:
a. Hospitals providing
inpatient psychiatric treatment or emergency department services licensed
pursuant to Iowa Code chapter 135B.
b. Providers of outpatient mental health
services licensed to practice in the state of Iowa or accredited under
441-Chapter 24.
c. Providers of
crisis services accredited under 441-Chapter 24.
d. Community mental health centers (CMHCs)
accredited under 441-Chapter 24.
e.
Certified community behavioral health clinics (CCBHCs) certified by the
department.
f. Federally qualified
health centers (FQHCs) certified by the Centers for Medicare and Medicaid
Services (CMS).
g. Providers of
substance use disorder treatment programs and problem gambling treatment
programs licensed pursuant to 641-Chapter 155.
h. Local tobacco control programs designated
by the department.
i. Recovery
community centers (RCCs) designated by the department.
j. Providers of recovery support services
(RSSs) designated by the department.
k. Subacute mental health facilities licensed
pursuant to 481-Chapter 71.
l.
PMICs licensed pursuant to 481-Chapter 41.
m. Providers of prevention services
designated by the department.
n.
Providers of early intervention services designated by the
department.
o. Recovery and peer
support providers trained or certified through approved programs designated by
the department.
Notes
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