The director of health shall adopt rules in accordance with chapter 91 which are necessary to carry out this chapter. The rules shall include, but need not be limited to:
- (1) Establishment of guidelines for the purchase of health care coverage from health care contractors by the department;
- (2) Establishment of specific health care services to be covered, limited, and excluded by the program, including preventive services, outreach, and education strategies designed to reach gap group individuals;
- (3) Establishment of eligibility requirements for participation in the program;
- (4) Development and implementation of an identification and notification process for eligible program participants;
- (5) Establishment of a payment schedule based on the person's ability to pay;
- (6) Establishment of program participation criteria for health care contractors;
- (7) Establishment of monitoring and evaluative guidelines for the program;
- (8) Establishment of appeal procedures for denial of eligibility, disqualification from program participation, assessment of civil penalties, or other negative action; and
- (9) Establishment of procedures to exclude or remove from the program persons who drop individual or group coverage to obtain insurance.
[L 1989, c 378, pt of §1]