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. Needed services are not available or
received from qualified providers.
c. Service needs exceed the aggregate monthly
costs established in 83.2(2)"b," or are not met by the
services are not available or received from qualifying providers.
Termination. A particular
service may be terminated when the department determines that:
a. The provisions of 441-paragraph
130.5(2)"a," "b," "c," "g," or "h"
b. The costs of the health
and disability waiver service for the person exceed the aggregate monthly costs
established in 83.2(2)"b."
c. The member receives care in a hospital,
nursing facility, or intermediate care facility for persons with an
intellectual disability for 120 days in any one stay for purposes other than
d. The member
receives health and disability waiver services and the physical or mental
condition of the member requires more care than can be provided in the member's
own home as determined by the designated case manager.
e. Service providers are not
of services shall apply as in 441-subrule 130.5(3),
paragraphs"a" and "b."
Iowa Admin. Code r. 441-83.8
ARC 0306C, IAB 9/5/12,
effective 11/1/12; ARC 0757C, IAB 5/29/2013, effective 8/1/2013
July 5, 2017/Volume XL, Number 01, effective
August 2, 2017/Volume XL, Number 3, effective