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:
Notes
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441—80.6(249A) Payment to provider—exception. Payments for medical services may be made only to the provider of the services except as provided below:
80.6(1) Medical assistance corrective payments. Payment may be made to the client or county relief agency in accordance with rule 441—75.8(249A).
80.6(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.
80.6(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.