Iowa Admin. Code r. 441-76.9 - Responsible persons and authorized representatives
(1)
Responsible person . If
an applicant or member is unable to act on the applicant's or member 's own
behalf because the applicant or member is a minor or is incompetent,
incapacitated, or deceased, a responsible person may act for the applicant or
member . Except as provided in paragraph 76.9(1)"a" below, the
responsible person shall be a family member , friend or other person who has
knowledge of the applicant's or member 's financial affairs and circumstances
and has a personal interest in the applicant's or member 's welfare. The
responsible person shall assume the applicant's or member 's position and
responsibilities during the application process or for ongoing eligibility. The
responsible person may designate an authorized representative as provided for
in subrule 76.9(2) to represent the applicant or member. However, the
designation of an authorized representative does not relieve the responsible
person from assuming the applicant's or member's position and responsibilities
during the application process or for ongoing eligibility.
a. When there is no person as described above
to act on behalf of the minor, incompetent, incapacitated, or deceased
applicant or member , any individual or organization may be allowed to act as
the responsible person if the individual or organization conducts a diligent
search and completes Inability to Find a Responsible Person, Form 470-3356,
attesting to the individual's or organization's inability to find a responsible
person to act on behalf of the minor, incompetent, incapacitated, or deceased
applicant or member .
b. The
department may require verification of the applicant's or member 's incompetence
or death and of the responsible person's relationship to the applicant or
member .
c. Copies of all
departmental correspondence with the applicant or member shall be provided to
the recognized responsible person.
(2)
Authorized
representative . An individual or organization designated by a
competent applicant or member , designated by a responsible person recognized
pursuant to subrule 76.9(1), or with other legal authority to do so may act on
behalf of the applicant or member in the application process, renewal of
eligibility, or for ongoing eligibility.
a.
The designation of an authorized representative by an applicant, member, or
responsible person must be in writing and must be signed and dated by the
applicant or member or the responsible person. The applicant, member, or
responsible person may authorize the representative to complete and sign an
application on the applicant's behalf, complete and submit a renewal form,
receive copies of the applicant's or member's notices and other communications
from the department, and act on behalf of the applicant or member in all other
matters with the department.
b.
Legal documentation of authority to act on behalf of the applicant or member
under state law, such as a court order establishing legal guardianship or a
power of attorney, shall serve in place of a written authorization by the
applicant or member .
c.
Designations of authorized representatives, legal documentation of authority to
act on behalf of the applicant or member , and modifications or terminations of
designations or legal authority may be submitted via the Internet Web
site,www.dhsservices.iowa.gov [File Link Not Available], by mail, by e-mail, by
fax, or in person.
d. For purposes
of this rule, the department shall accept electronic, including telephonically
recorded, signatures and handwritten signatures transmitted by fax or other
electronic transmission.
e. If the
authorization indicates the time period or dates the authorization is to cover,
the stated period or dates shall be honored and may include subsequent
applications, if necessary, that relate to the time period or dates indicated
on the authorization. If the authorization does not indicate the time period or
dates it is to cover, the authorization shall be valid for any applications
filed within 120 days from the date the authorization was signed and for all
subsequent actions pertaining to the applications filed within the 120-day
period.
f. The power to act as an
authorized representative based on a designation by an applicant, member, or
responsible person is valid until the applicant, member, or responsible person
modifies the authorization or notifies the department that the representative
is no longer authorized to act on behalf of the applicant or member or until
the authorized representative informs the department that the representative no
longer is acting in such capacity. Such notice must be in writing and should
include the applicant's, member's, responsible person's, or authorized
representative 's signature as appropriate.
g. Copies of all departmental correspondence
shall be provided to the applicant or member and the authorized
representative .
(3)
Additional requirements applicable to all authorized representatives
and responsible persons.
a. An
authorized representative or responsible person must agree to maintain, or be
legally bound to maintain, the confidentiality of any information regarding an
applicant or member provided by the department.
b. A provider or staff member or volunteer of
an organization serving as an authorized representative or responsible person
must sign an agreement that the provider, staff member, or volunteer will
adhere to the regulations in Part 431, Subpart F of 42 CFR Chapter IV and at
45 CFR
155.260(f) (relating to
confidentiality of information), § 447.10 of 42 CFR Chapter IV (relating
to the prohibition against reassignment of provider claims as appropriate for a
health facility or an organization acting on the facility's behalf), as well as
other relevant state and federal laws concerning conflicts of interest and
confidentiality of information.
c.
The authorized representative or responsible person is responsible for
fulfilling all responsibilities encompassed within the scope of the authorized
representation to the same extent as the individual the authorized
representative or responsible person represents.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.