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 AIDS/HIV
waiver services are not needed on a regular basis.
c. Service needs exceed the aggregate monthly
costs established in 83.42(2)"b" or cannot be met by the
services provided under the waiver.
d. Needed services are not available from
Termination. Participation in the AIDS/HIV waiver program may be terminated
when the department determines that:
provisions of 441-subrule 130.5(2), paragraph"a," "b," "c," "d,"
"g," or "h" apply.
b. The costs of the AIDS/HIV waiver services
for the person exceed the aggregate monthly costs established in
The client receives care in a hospital or nursing facility for 120 days or more
in any one stay for purposes other than respite care.
d. The client receives AIDS/HIV 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 service
e. Service providers are
Reduction of services shall apply as in 441-subrule 130.5(3), paragraphs
"a" and "b."
Iowa Admin. Code r. 441-83.48
August 2, 2017/Volume XL, Number 3, effective