Iowa Code r. 441-83.28 - Adverse service actions
(1)
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 elderly
waiver services are not needed on a regular basis.
c. Service needs are not met by services
provided.
d. Needed services are
not available or received from qualifying providers.
(2)
Termination. A
particular service may be terminated when the department determines that:
a. The provisions of 441-subrule 130.5(2),
paragraph "a," "b," "c," "d," "g," or "h"
apply.
b. The client receives care
in a hospital or nursing facility for 120 days in any one stay for purposes
other than respite care.
c. The
client receives elderly 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 case manager and the interdisciplinary team.
d. Service providers are not
available.
(3) Reduction
of services shall apply as in 441-subrule 130.5(3), paragraphs
"a" and "b."
Notes
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