Iowa Administrative Code

51.5(1) Elementary school. A dental screening for elementary school enrollment shall be performed by a licensed dentist, a licensed dental hygienist, a licensed physician, a licensed physician assistant, or a licensed nurse. 51.5(2) High school. A dental screening for high school…

51.6(1) Elementary school. To be valid, a minimum of one dental screening shall be performed on an applicant no earlier than three years of age but no later than four months after the enrollment date. 51.6(2) High school. To be valid, a minimum of one dental screening shall be pe…

enrolled in elementary school or high school shall submit a valid department certificate of dental screening to the admitting official of the school district or accredited nonpublic elementary school in which the applicant wishes to enroll. 51.7(1) To be valid, the certificate of…

51.8(1) Student information. A person authorized to perform a dental screening required by this chapter shall record the following student information or ensure that such information is recorded on the certificate of dental screening provided or approved in writing by the departm…

collaboration with the department, shall ensure that the parent or guardian of a student enrolled in the school has complied with the dental screening requirement. Parents or guardians of students who do not have a valid certificate of dental screening shall be provided with comm…

“Advanced registered nurse practitioner” or “ARNP” means the same as defined in rule 655—7.1(17A,124,147,152). “Autorefractor” means a method of vision screening involving skiascopy methods or wave-front technology to evaluate the refractive error of each eye. Depending on the au…

52.2(1) The child vision screening requirements specified in this chapter apply to all persons seeking first-time enrollment in kindergarten and third grade in a public or accredited nonpublic elementary school in Iowa. 52.2(2) Persons shall be included or excluded as established…

52.3(1) The requirement for a child vision screening may be satisfied pursuant to Iowa Code section 135.39D. 52.3(2) All vision screening methods, including emerging vision screening technologies, shall be age- appropriate and will be approved by the department. A list of accepta…

52.4(1) Kindergarten. To be valid, a minimum of one child vision screening shall be performed on a child no earlier than one year prior to the date of the child’s enrollment in kindergarten and no later than six months after the date of the child’s enrollment in kindergarten. 52.…

52.5(1) The parent or guardian of a child enrolled in kindergarten or third grade shall ensure that evidence of a child vision screening is submitted to the school district or accredited nonpublic elementary school in which the child is enrolled either electronically through IRIS…

52.6(1) A person authorized to perform a child vision screening required by this chapter shall report results of the child vision screening to the department. a. An ophthalmologist or optometrist shall report the results in written form, either electronically or by hard copy, to …

52.7(1) Each public and accredited nonpublic elementary school, in collaboration with the department, shall provide the parents or guardians of students enrolled in the school with vision screening referral resources prior to enrollment or during the enrollment period. 52.7(2) Ea…

develop and maintain a statewide child vision screening database module in IRIS to collect and maintain child vision screening results, to ensure students receive the required vision screening, and to monitor eye health. 52.8(1) The database module will consist of vision screenin…

52.9(1) If a vision screening identifies a potential vision impairment in a child, the person who performed the vision screening or the person’s designee shall, if the person is not an ophthalmologist or optometrist, refer the child to an ophthalmologist or optometrist for a comp…

“Asymptomatic” means the student is no longer showing signs, symptoms, or behaviors consistent with a concussion or other brain injury. “Contest” means the same as defined in Iowa Code section 280.13C(2). “Extracurricular interscholastic activity” means the same as defined in Iow…

school athletic association and Iowa girls high school athletic union and be disseminated to Iowa public schools and accredited nonpublic schools. The protocol will be based on current evidence-based practice and will include the following process: 54.2(1) Return-to-play process.…

“Assessment” means the review of the member’s current functioning with regard to the member’s situation, needs, strengths, abilities, desires and goals. “Brain injury services waiver” means the same as defined in Iowa Code section 135.22B. “Cost share” means the portion an indivi…

the waiting list for the waiver are eligible for the waiver-eligible component. The program may provide funding for the nonfederal share of the cost of services if the appropriation for the medical assistance program does not have sufficient funding designated to do so. 56.2(1) P…

due to fiscal or functional criteria or persons who are eligible for the waiver but for whom funding was not authorized or available to provide waiver eligibility are eligible for the cost-share component of the program. 56.3(1) An individual must meet all of the following requir…

56.4(1) The department will provide the application materials, including the waiver application and any denial letter, financial assessment, and functional assessment regarding the person in an agreed-upon format. 56.4(2) The department will determine eligibility within 45 days o…

56.5(1) A service provider must either be certified to provide services under the brain injury services waiver or have a contract with a county to provide services and apply to become certified to provide services under the brain injury services waiver within 90 days of the date …

56.6(1) Services available will be consistent with the services offered through the Medicaid home- and community-based services waiver. 56.6(2) Service plans must reflect use of all services, including non-cost-shared services, to ensure that no duplication of services occurs. 56…

56.7(1) The department will annually conduct a complete financial redetermination of continuing eligibility for the program after consultation with the case manager and the interdisciplinary team. 56.7(2) The department will also conduct a redetermination of continuing eligibilit…

cost-share component of the program may appeal pursuant to 441—Chapter 7. [ARC 9705C, IAB 11/12/25, effective 1/1/26] These rules are intended to implement Iowa Code section 135.22B. [Filed emergency 5/9/07—published 6/6/07, effective 5/9/07] [Filed 7/13/07, Notice 6/6/07—publish…

“Applicant” means any person seeking first-time enrollment in kindergarten in a public or accredited nonpublic elementary school in Iowa. “Transfer student” means an applicant from any school outside Iowa who is seeking enrollment in kindergarten in a school in Iowa. [ARC 9070C, …

all applicants and transfer students as defined in this chapter. [ARC 9070C, IAB 4/2/25, effective 6/1/25]

religious reasons and for children determined by the department to be at very low risk for elevated blood lead levels. The parent or guardian of an applicant or transfer student approved for a religious exemption or an exemption for very low risk shall submit to the board of dire…

students, the local board of health, the department of education, and the department or its designee have the right to access the department’s determination that a child has received a blood lead test and the certificates of blood lead testing exemption of children enrolled in ki…

“Certified elevated blood lead (EBL) inspector/risk assessor” or “inspector” means a person who has met the requirements of rule 641—70.5(135) for certification or interim certification and who has been certified by the department. “Chewable surface” means an interior or exterior…

[ARC 9071C, IAB 4/2/25, effective 6/1/25] These rules are intended to implement Iowa Code section 135.102. [Filed 7/16/04, Notice 5/26/04—published 8/4/04, effective 9/8/04] [Filed ARC 9071C (Notice ARC 8719C, IAB 1/8/25), IAB 4/2/25, effective 6/1/25]…

EBL inspections in residential dwellings and child-occupied facilities where an EBL child lives, visits, or has recently lived. All owners and occupants shall allow access to the residential dwellings and child- occupied facilities that the certified inspector desires to inspect.…

property, then the inspector may make a complaint under oath to any magistrate of the county. The magistrate may issue a warrant directing the owner or occupant to allow the inspector to conduct an EBL inspection and directing a peace officer to accompany the inspector during the…

68.4(1) When the certified inspector appointed by the local board determines that hazardous lead- based paint, a dust-lead hazard, or a soil-lead hazard is present in a residential dwelling unit or child- occupied facility where an EBL child lives, frequently visits, or has recen…

68.5(1) The lessor of a dwelling, the employees of the lessor, and agents or persons acting on behalf of the lessor shall not retaliate against lessees of residential dwellings and child-occupied facilities whose occupants or visitors have been tested for lead poisoning and shall…

responsibility of enforcing this chapter. 68.6(1) Penalties are as provided in Iowa Code section 137.117. 68.6(2) Upon failure of any person to correct a hazard identified through this chapter in the time specified by the inspector appointed by the local board, the local board ma…

may appeal to the local board in writing within ten days of the date of such order. The appeal shall state the reasons for requesting the order to be rescinded or modified. The local board will review the action of the inspector. The local board will order compliance with the ord…

identified as a hazard by this chapter is not causing or does not have reasonable potential to cause lead exposure and is not required to be corrected through lead hazard reduction. The inspector shall document the reason for this determination in the inspection report. However, …

or other relief as allowed by law. [ARC 9071C, IAB 4/2/25, effective 6/1/25]

“Admitting official” means the superintendent of schools or the superintendent’s designated representative if a public school; if a nonpublic school or licensed child care center, the governing official of the school or child care center. “Advanced registered nurse practitioner” …

7.10(1) Statewide registry. The department shall maintain a statewide immunization and health screening registry. 7.10(2) Purpose and permitted uses of registry. a. The registry shall contain immunization and health screening information, including identifying and demographic dat…

7.11(1) Between a physician, physician assistant, nurse, certified medical assistant, pharmacist, or screening provider and the elementary, secondary, or postsecondary school or licensed child care center that the student attends. A physician, a physician assistant, a nurse, a ce…

apply to all persons enrolled or attempting to enroll in a licensed child care center or a public or nonpublic elementary or secondary school in Iowa including those who are provided competent private instruction. [ARC 8041C, IAB 5/29/24, effective 7/3/24]

medical and religious reasons pursuant to Iowa Code section 139A.8. Applicants approved for medical or religious exemptions shall submit to the admitting official a valid department certificate of immunization exemption. 7.3(1) To be valid, a medical certificate of immunization e…

7.4(1) Applicants enrolled or attempting to enroll shall have received the following vaccines in accordance with the doses and age requirements below: 7.4(2) Vaccine doses administered less than or equal to four days before the minimum interval or age shall be counted as valid. D…

hall or dormitory shall provide vaccination information on meningococcal disease to enrolled students on a student health form pursuant to Iowa Code section 139A.26. For purposes of this rule, student health form(s) means a document(s) prepared by an institution of higher educati…

7.6(1) A valid department certificate of immunization shall be submitted by the applicant or, if the applicant is a minor, by the applicant’s parent or guardian to the admitting official of the school or licensed child care center in which the applicant wishes to enroll. To be va…

7.7(1) Applicants may be granted provisional enrollment pursuant to Iowa Code section 139A.8. A valid department provisional certificate of immunization shall be submitted by the applicant or, if the applicant is a minor, by the applicant’s parent or guardian to the admitting off…

7.8(1) It shall be the duty of the admitting official of a licensed child care center or elementary or secondary school to ensure that the admitting official has a valid department certificate of immunization, certificate of immunization exemption, or provisional certificate of i…

are not entitled to enrollment in a licensed child care center or elementary or secondary school under the provisions of Iowa Code section 139A.8. It shall be the duty of the admitting official to deny enrollment to any applicant who does not submit proper evidence of immunizatio…

“Approved program” means a program that meets the requirements of Iowa Code section 135.104 and has been approved by the department. “Local board” means a county, district, or city board of health. [ARC 9074C, IAB 4/2/25, effective 6/1/25]