Iowa Admin. Code r. 441-90.5 - Rights restrictions

Current through Register Vol. 44, No. 20, April 6, 2022

Rule 441-90.5 (249A) applies to all categories of case management and all populations covered by case management. Any effort to restrict the rights of a member to realize the member's preferences or goals must be justified by a specific individualized assessed safety need and documented in the person-centered service plan. The following requirements must be documented in the plan when a safety need has been identified that warrants a rights restriction:

1. The specific and individualized assessed safety need;
2. The positive interventions and supports used prior to any modifications or additions to the person-centered service plan regarding safety needs;
3. The less intrusive methods of meeting the safety needs that have been tried but were not successful;
4. A clear description of the rights restriction that is directly proportionate to the specific assessed safety need;
5. The regular collection and review of data to measure the ongoing effectiveness of the rights restriction;
6. The established time limits for periodic reviews to determine whether the rights restriction is still necessary or can be terminated;
7. The informed consent of the member to the proposed rights restriction; and
8. An assurance that the rights restriction itself will not cause undue harm to the member.


Iowa Admin. Code r. 441-90.5
ARC 7957B, lAB 7/15/09, effective 7/1/09; ARC 9588B, lAB 6/29/11, effective 9/1/11 Amended by IAB February 12, 2020/Volume XLII, Number 17, effective 3/18/2020

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