Iowa Code r. 441-22.7 - Financial management of the program

(1) The department shall:

a. Not take new applications for the program that would cause expenditures of the program to exceed the budgeted amount.

b. Limit expenditure of program funds to services for those individuals determined to be eligible individuals and for related administrative costs.

c. Allocate available funds for eligible individuals' services in a manner that allows for funding for all eligible individuals' services authorized by the administrator without exceeding the department's funding limits.

(2) The administrator shall:

a. Limit annual expenditures for each eligible individual to the amount identified in Iowa Code section 225D.2(2) "a."

b. Limit length of service through the program to the amount identified in Iowa Code section 225D.2(2) "b."

c. Limit payment for applied behavioral analysis services to an hourly or equivalent quarter-hour unit rate that is equal to the contracted rate currently paid by Medicaid for applied behavioral analysis services.

d. Limit payment for integrated health home services to an amount consistent with the monthly per-member per-month amount paid by Medicaid to approved providers of integrated health home services for children with a serious emotional disturbance.

e. Not provide financial compensation to the University of Iowa regional autism assistance program for care coordination services.

Notes

Iowa Code r. 441-22.7

ARC 1329C, IAB 2/19/14, effective 4/1/14; ARC 2816C, IAB 11/23/16, effective 1/1/17

ARC 1329C, IAB 2/19/2014, effective 4/1/2014 Amended by IAB November 23, 2016/Volume XXXIX, Number 11, effective 1/1/2017