Iowa Admin. Code r. 441-80.6 - Payment to provider-exception

Current through Register Vol. 44, No. 20, April 6, 2022

Payments for medical services may be made only to the provider of the services except as provided below:

(1) Medical assistance corrective payments. Payment may be made to the client or county relief agency in accordance with rule 441-75.8 (249A).
(2) Assignment. Payment may be made in accordance with an assignment to a county for medical services received while the recipient was receiving interim assistance or while an appeal of a denial of medical assistance was pending.
(3) Business agent of provider Payment may be made to a business agent that furnishes statements and receives payments in the name of the provider if the agent's compensation is:
a. Related to the cost of processing the billing.
b. Not related on a percentage or other basis to the amount that is billed or collected.
c. Not dependent upon the collection of the payment.


Iowa Admin. Code r. 441-80.6

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