Iowa Admin. Code r. 61-9.82 - Application for sexual abuse examination payment
(1)
Consideration for
payment. The department will consider payment upon receipt of a claim
for reimbursement from a medical provider indicating that the claim is for the
collection of evidence by sexual abuse examination . In the case that a victim ,
guardian of a victim , person responsible for the victim , or dependent of a
victim who died of injuries sustained in a sexual assault has paid part or all
of the charges incurred, a copy of the provider bill and documentation of
personal payment of the bill must be submitted for reimbursement. An
application for sexual abuse examination payment must include the federal
identification number or social security number of the claimant .
(2)
Application filing. To
apply for payment under the sexual abuse examination program , the form or bill
submitted must identify the sexual assault victim by name, birth date, and
patient number; indicate that the claim is for a sexual abuse examination ; and
itemize all services rendered and the fee for each service.
Notes
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