20,160 sections across 1,928 Iowa regulatory chapters.
R.481—70.11 Initial certification process for an accredited program
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70.11(1) Within 20 working days of receiving all finalized documentation, including building code and fire safety bureau approval, the department will notify the accredited program whether the accredited program meets applicable requirements and whether certification will be issu…
R.481—70.12 Recertification process for an accredited program
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70.12(1) To obtain recertification, an accredited program shall comply with rule 481—70.9(231D) at least 30 calendar days prior to the expiration of the program’s certification. 70.12(2) If the facility is in good standing, a full certification shall be issued for the term of the…
R.481—70.13 Listing of all certified programs. The department will maintain a list of all certified
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programs, which is available online at dia-hfd.iowa.gov/DIA_HFD/Home.do. [ARC 0066D, IAB 2/4/26, effective 3/11/26]
R.481—70.14 Recognized accrediting entity
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70.14(1) The department designates CARF as a recognized accrediting entity for programs. 70.14(2) To apply for designation by the department as a recognized accrediting entity for programs, an accrediting entity shall submit a letter of request and its standards shall meet the ap…
R.481—70.15 Requirements for an accredited program. Each accredited program that is certified
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by the department shall: 70.15(1) Provide the department a copy of all survey reports including outcomes, quality improvement plans and annual conformance to quality reports generated or received, as applicable, within ten working days of receipt of the reports. 70.15(2) Notify t…
R.481—70.16 Maintenance of program accreditation
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70.16(1) An accredited program will continue to be recognized for certification by the department if both of the following requirements are met: a. The program complies with the requirements outlined in rule 481—70.15(231D). b. The program maintains its voluntary accreditation st…
R.481—70.17 Change of ownership—notification to the department
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70.17(1) Certification, unless conditionally issued, suspended or revoked, may be transferable. If the program’s certification has been conditionally issued, the department must approve a change of ownership prior to the transfer of the certification. 70.17(2) In order to transfe…
R.481—70.18 Plan reviews of a building for a new program
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70.18(1) Before a building is constructed or remodeled for use in a new program, the state building code bureau shall review the blueprints for compliance with requirements pursuant to this chapter. Construction or remodeling includes new construction, remodeling of any part of a…
R.481—70.19 Plan review prior to the remodeling of a building for a certified program
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70.19(1) Before a building for a certified program is remodeled as defined in subrule 70.18(1), the building code bureau shall review the construction documents for compliance with requirements set forth in rule 481—70.35(231D). 70.19(2) A certified program shall submit construct…
R.481—70.2 Program certification. A program may obtain certification by meeting all applicable
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requirements or being voluntarily accredited by a recognized accreditation entity. 70.2(1) Posting requirements. A program’s current certificate shall be visibly displayed within the designated operation area of the program. The latest monitoring report, fire safety bureau report…
R.481—70.20 Cessation of program operation that includes seeking decertification
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70.20(1) The program shall provide, at least 90 days in advance of cessation, unless there is some type of emergency, written notification to the department of the date on which the program will cease operation. 70.20(2) At the time a program decides to cease operation, the progr…
R.481—70.21 Contractual agreement
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70.21(1) The contractual agreement shall be in 12-point type or larger, written in plain language using commonly understood terms and easy for the participant or the participant’s legal representative to understand. 70.21(2) In addition to the requirements of Iowa Code section 23…
R.481—70.22 Evaluation of participant
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70.22(1) Evaluation prior to participation. A program shall evaluate each prospective participant’s functional, cognitive and health status prior to the participant’s signing the contractual agreement and participating in the program, with the exception of visiting day(s), to det…
R.481—70.23 Criteria for admission and retention of participants
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70.23(1) Persons who may not be admitted or retained. Criteria are set forth in Iowa Code section 231D.19. 70.23(2) Disclosure of additional participation and discharge criteria. A program may have additional participation or discharge criteria if the criteria are disclosed in th…
R.481—70.24 Involuntary discharge from the program
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70.24(1) Program initiation of discharge. If a program initiates the involuntary discharge of a participant and the action is not the result of a monitoring, including a complaint investigation or program- reported incident investigation, by the department and if the participant …
R.481—70.25 Participant documents
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70.25(1) Documentation for each participant shall be maintained by the program and include: a. A participation record including the participant’s name, birth date, and home address; identification numbers; date of beginning participation; name, address and telephone number of hea…
R.481—70.26 Service plans
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70.26(1) A service plan shall be developed for each participant based on the evaluations conducted in accordance with rule 481—70.22(231D) and designed to meet the specific service needs of the individual participant. 70.26(2) Prior to the participant’s signing the contractual ag…
R.481—70.27 Nurse review. If a participant does not receive personal or health-related care, but an
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observed significant change in the participant’s condition occurs, a nurse review shall be conducted. If a participant receives personal or health-related care, the program shall provide for a registered nurse or a licensed practical nurse via nurse delegation: 70.27(1) To monito…
R.481—70.28 Food service
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70.28(1) The program shall provide or coordinate with other community providers to provide a hot or other appropriate meal(s) at least once a day or arrange for the availability of meals, unless otherwise noted in the contractual agreement. 70.28(2) Meals and snacks provided by t…
R.481—70.29 Staffing. In addition to the general staffing requirements in rule
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481—67.9(231B,231C,231D), the following requirements apply to staffing in programs. 70.29(1) No fewer than two staff persons who monitor participants will be awake and on duty during all hours of operation when two or more participants are participating in the program. 70.29(2) T…
R.481—70.3 Certification of a nonaccredited program—application process
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70.3(1) The applicant shall complete an application packet obtained from the department health facilities division website at dia-hfd.iowa.gov; by mail from the Department of Inspections, Appeals, and Licensing, Adult Services Bureau, 6200 Park Avenue, Des Moines, Iowa 50321; or …
R.481—70.30 and in subrule 70.32(2)
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[ARC 0066D, IAB 2/4/26, effective 3/11/26]
R.481—70.31 Managed risk policy and managed risk consensus agreements. The program shall
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have a managed risk policy that will be provided to the participant along with the contractual agreement and include: 70.31(1) An acknowledgment of the shared responsibility for identifying and meeting the needs of the participant and the process for managing risk and for upholdi…
R.481—70.32 Life safety—emergency policies and procedures and structural safety
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requirements. 70.32(1) The program shall submit to the department and follow written emergency policies and procedures, including: a. An emergency plan, with procedures for natural disasters that is located for easy reference; b. Fire safety procedures; c. Other general or person…
R.481—70.33 Transportation. When transportation services are provided directly or under contract
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with the program the following shall apply: 70.33(1) The vehicle will be accessible and appropriate to the participants who use it, with consideration for any physical disabilities and impairments. 70.33(2) Every participant transported will have a seat in the vehicle, except for…
R.481—70.34 Activities
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70.34(1) The program shall provide appropriate activities for each participant reflecting individual differences in age, health status, sensory deficits, lifestyle, ethnic and cultural beliefs, religious beliefs, values, experiences, needs, interests, abilities and skills by prov…
R.481—70.35 Structural requirements
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70.35(1) The structure, equipment and physical environment of the program will be designed and operated to meet the needs of the participants. The building, grounds and equipment will be well- maintained, clean, safe and sanitary. 70.35(2) There will be at least one toilet for ev…
R.481—70.36 Identification of veteran’s benefit eligibility
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70.36(1) Within 30 days of a participant’s participation in an adult day services program that receives reimbursement through the medical assistance program under Iowa Code chapter 249A, the program shall ask the participant or the participant’s personal representative whether th…
R.481—70.4 Nonaccredited program—application content. An application for certification or
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recertification of a nonaccredited program shall include the following: 70.4(1) The names, addresses, and percentage of stock, shares, partnership or other equity interest of all officers, members of the board of directors and trustees, as well as stockholders, partners or any in…
R.481—70.5 Initial certification process for a nonaccredited program
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70.5(1) Upon receipt of all completed documentation, including building code and fire safety bureau approval and structural and evacuation review approval, the department will determine whether the proposed program meets applicable requirements. 70.5(2) If the department determin…
R.481—70.6 Expiration of the certification of a nonaccredited program. Unless conditionally
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issued, suspended or revoked, certification of a program will expire at the end of the time period specified on the certificate. [ARC 0066D, IAB 2/4/26, effective 3/11/26]
R.481—70.7 Recertification process for a nonaccredited program. To obtain recertification, a
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program shall: 70.7(1) Submit one copy of the completed application, associated documentation, and the recertification fee as listed in Iowa Code section 231D.4 to the department at the address stated in subrule 70.3(1) at least 30 calendar days prior to the expiration of the pro…
R.481—70.8 Notification of recertification for a nonaccredited program
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70.8(1) The department will review the application, associated documentation and fees. After all finalized documentation is received, including building code and fire safety bureau approval, the department will determine the program’s compliance with applicable requirements. 70.8…
R.481—70.9 Certification or recertification of an accredited program—application process. An
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applicant for certification or recertification of a program accredited by a recognized accrediting entity shall: 70.9(1) Submit a completed application packet obtained from the department health facilities division website at dia-hfd.iowa.gov; by mail from the Department of Inspe…
R.481—700.1 Definitions
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“Active license” means a license that is current and has not expired. “Board” means the board of podiatry. “Grace period” means the 30-day period following expiration of a license when the license is still considered to be active. “Inactive license” means a license that has expir…
R.481—700.10 License reinstatement. A licensee whose license has been revoked,
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suspended, or voluntarily surrendered must apply for and receive reinstatement of the license in accordance with 481—Chapter 506 and must apply for and be granted reactivation of the license in accordance with rule 481—700.15(17A,147,272C) prior to practicing as a podiatrist in t…
R.481—700.2 Requirements for licensure
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700.2(1) The applicant will submit a completed online application for licensure and pay the nonrefundable licensure fee specified in rule 481—507.15(147,148F,149). 700.2(2) No application will be considered complete until official copies of academic transcripts are received, veri…
R.481—700.3 Written examinations
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700.3(1) The examinations required by the board shall be Part I, Part II, and Part III of the NBPME. 700.3(2) The applicant has responsibility for: a. Making arrangements to take the examinations; and b. Arranging to have the examination score reports sent directly to the board f…
R.481—700.4 Educational qualifications
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700.4(1) A new applicant for permanent or temporary licensure to practice as a podiatrist shall present official copies of academic transcripts, verifying graduation from a college of podiatric medicine approved by the CPME of the American Podiatric Medical Association. Transcrip…
R.481—700.5 Title designations. A podiatrist may use the prefix “Doctor” but shall add after the
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person’s name the word “Podiatrist” or “DPM.” [ARC 7986C, IAB 5/15/24, effective 6/19/24; Editorial change: IAC Supplement 9/18/24]
R.481—700.6 Temporary license
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700.6(1) A temporary license may be issued for up to one year and may be annually renewed at the discretion of the board. Temporary licenses will expire on June 30. 700.6(2) Each applicant shall: a. Submit a completed online application for licensure and pay the nonrefundable lic…
R.481—700.7 Licensure by endorsement. An applicant who has been a licensed podiatrist under the
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laws of another jurisdiction may file an application for licensure by endorsement with the board office. 700.7(1) The board may receive by endorsement any applicant from the District of Columbia, another state, territory, province or foreign country who: a. Submits a completed on…
R.481—700.8 License renewal
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700.8(1) The biennial license renewal period for a license to practice podiatry begins on July 1 of an even-numbered year and ends on June 30 of the next even-numbered year. The licensee is responsible for renewing the license prior to its expiration. 700.8(2) An individual who w…
R.481—700.9 License reactivation. To apply for reactivation of an inactive license, an
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applicant will: 700.9(1) Submit a completed online application for licensure and pay the nonrefundable licensure fee specified in rule 481—507.15(147,148F,149). 700.9(2) Provide verification of current competence to practice as a podiatrist by satisfying one of the following crit…
R.481—701.1 Definitions
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“Active license” means a license that is current and has not expired. “Board” means the board of podiatry. “Grace period” means the 30-day period following expiration of a license when the license is still considered to be active. “Inactive license” means a license that has expir…
R.481—701.2 Requirements for licensure
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701.2(1) The applicant will submit a completed online application for licensure and pay the nonrefundable licensure fee specified in rule 481—507.15(147,148F,149). 701.2(2) No application will be considered complete until official copies of academic transcripts are received. a. A…
R.481—701.3 Written examinations
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701.3(1) Prosthetists must have completed and passed the Board of Certification/Accreditation, International (BOC), or American Board for Certification in Orthotics, Prosthetics and Pedorthics, Incorporated (ABC), examination for prosthetists. 701.3(2) Orthotists must have comple…
R.481—701.4 Educational qualifications
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701.4(1) An applicant for licensure to practice as an orthotist or prosthetist shall present official copies of academic transcripts, verifying completion of the following requirements: a. A baccalaureate or higher degree from a regionally accredited college or university. Transc…
R.481—701.5 Licensure by endorsement
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701.5(1) An applicant who has been a licensed orthotist, prosthetist, or pedorthist under the laws of another jurisdiction may file an application for licensure by endorsement with the board office. The board may receive by endorsement any applicant from the District of Columbia,…
R.481—701.6 License renewal
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701.6(1) The biennial license renewal period for a license to practice orthotics, prosthetics, or pedorthics begins on July 1 of an even-numbered year and ends on June 30 of the next even-numbered year. The licensee is responsible for renewing the license prior to its expiration.…