Medical Assistance Eligibility and Miscellaneous Provisions | Midpage

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Medical Assistance Eligibility and Miscellaneous Provisions

249A.1Title 249A.2Definitions 249A.3Eligibility 249A.3AMedical assistance — all income-eligible children 249A.4Duties of director 249A.4AHealth care coordination and intervention teams 249A.4BMedical assistance advisory council 249A.5Recovery of payment 249A.6Assignment — lien 249A.6ARestitution 249A.7Fraudulent practices — investigations and audits — Medicaid fraud fund 249A.8Fraudulent practice 249A.11Payment for patient care segregated 249A.12Assistance to persons with an intellectual disability 249A.13Medicaid managed care organization premiums fund 249A.14Sex reassignment surgeries or associated procedures — reimbursement prohibited 249A.15Licensed psychologists eligible for payment — provisional licensees 249A.15ALicensed marital and family therapists, licensed master social workers, licensed mental health counselors, certified alcohol and drug counselors, licensed behavior analysts, and licensed assistant behavior analysts — temporary licensees 249A.15BSpeech pathologists eligible for payment 249A.16New rates for services — effective date 249A.18Cost-based reimbursement — rural health clinics and federally qualified health centers 249A.18AResident assessment 249A.20Noninstitutional health providers — reimbursement 249A.20APreferred drug list program 249A.21Intermediate care facilities for persons with an intellectual disability — assessment 249A.24Iowa medical assistance drug utilization review commission — created 249A.26State and county participation in funding for services to persons with disabilities — case management 249A.27Indemnity for case management and disallowed costs 249A.28Hospital directed payment — prohibition of pass-through on non-Medicaid payors 249A.29Home and community-based services waiver providers — records checks 249A.30Home and community-based services waiver — service provider reimbursement rate adjustments 249A.30AMedical assistance — personal needs allowance 249A.31Reimbursement — targeted case management services — inpatient psychiatric services 249A.32Medical assistance home and community-based services waivers — consumer-directed attendant care — termination of contract 249A.32AHome and community-based services waivers — limitations 249A.32BEarly and periodic screening, diagnosis, and treatment funding 249A.33Pharmaceutical settlement account — medical assistance program 249A.35Purchase of qualified long-term care insurance policy — computation under medical assistance program 249A.37Duties of third parties 249A.38Inmates of public institutions — suspension of medical assistance 249A.38AResidents of mental health institutes — retaining of Medicaid eligibility 249A.38BSupported community living services