Iowa Admin. Code r. 441-83.28 - Adverse service actions

Current through Register Vol. 44, No. 12, December 15, 2021

(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e. Rescinded IAB 3/2/94, effective 3/1/94.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

Iowa Admin. Code r. 441-83.28
Amended by IAB August 2, 2017/Volume XL, Number 3, effective 9/6/2017 Amended by IAB February 10, 2021/Volume XLIII, Number 17, effective 4/1/2021

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