Iowa Admin. Code r. 441-83.28 - Adverse service actions
(1)
Denial. An application for services shall be denied when it is
determined by the department that:
a. The
client is not eligible for or in need of services.
b. Except for respite care, the elderly
waiver services are not needed on a regular basis.
c. Service needs are not met by services
provided.
d. Needed services are
not available or received from qualifying providers.
e. Rescinded IAB 3/2/94, effective
3/1/94.
(2)
Termination. A particular service may be terminated when the
department determines that:
a. The provisions
of 441-subrule 130.5(2), paragraph "a, " "b, " "c, " "d, " "g,
" or "h" apply.
b. The client receives care in a hospital or
nursing facility for 120 days in any one stay for purposes other than respite
care.
c. The client receives
elderly waiver services and the physical or mental condition of the client
requires more care than can be provided in the client's own home as determined
by the case manager and the interdisciplinary team.
d. Service providers are not
available.
(3) Reduction
of services shall apply as in 441-subrule 130.5(3), paragraphs
"a" and "b. "
Notes
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