20,160 sections across 1,928 Iowa regulatory chapters.
R.441—123.9 Finality. The certificate of need application process is continuous beginning with
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submission of a letter of intent or request for waiver of a letter of intent through issuance of a final decision by the department subject to judicial review under Iowa Code chapter 17A. 123.9(1) The following stages of the process are intermediate and subject to judicial review…
R.441—124.1 Cardiac catheterization and cardiovascular surgery standards
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124.1(1) Purpose and scope. a. These standards are measures of some of those criteria found in Iowa Code section 135.63(1)“a” through “q” and 135.63(3). Criteria that are measured by a standard are cited in parentheses following each standard. b. Certificate of need applications …
R.441—124.2 Radiation therapy standards
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124.2(1) Purpose and scope. a. These standards provide guidelines to assist the department in applying those criteria in Iowa Code section 135.63(1)“a” through “r” and 135.63(3). Criteria that are measured by a standard are cited in parentheses following each standard. b. Certifi…
R.441—124.3 Computerized tomography standards
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124.3(1) Purpose and scope. a. These standards are measures of some of those criteria in Iowa Code section 135.63(1)“a” through “l.” Criteria that are measured by a standard are cited in parentheses following each standard. b. Certificate of need applications that are to be evalu…
R.441—124.4 Long-term care
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124.4(1) Purpose and scope. a. These standards are measures of criteria found in Iowa Code section 135.63(1)“a” through “g.” Criteria that are measured by a standard are cited in parentheses following each standard. b. Certificate of need applications that are to be evaluated aga…
R.441—124.5 MRI services standards
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124.5(1) Purpose and scope. a. These standards are measures of some of those criteria in Iowa Code section 135.63(1)“a” through “q.” Criteria that are measured by a standard are cited in parentheses following each standard. b. Certificate of need applications that are to be evalu…
R.441—124.6 PET services standards
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124.6(1) Purpose and scope. a. These standards are measures of some of those criteria in Iowa Code section 135.63(1)“a” through “q.” Criteria that are measured by a standard are cited in parentheses following each standard. b. Certificate of need applications that are to be evalu…
R.441—125.1 Definitions
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“Approval” means the authorization granted to a kinship caregiver by the department through an expedited process to provide child foster care and allows the kinship caregiver to receive maximum financial support and to obtain the information and resources necessary to meet the ne…
R.441—125.10 Emergency care and release of child
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125.10(1) Supervision and arrangements for emergency care. Kinship foster caregivers shall provide supervision of the child in preadoptive placement as dictated by the individual child’s specific needs. a. In case of emergency requiring the kinship foster caregiver’s temporary ab…
R.441—125.11 Changes in kinship foster care home. Kinship foster caregivers shall notify the
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department and the recruitment and retention contractor within 30 working days of: 1. Any change in the persons living in the home (except for the child placed in the home); 2. A move to a new home; or 3. Any circumstances in the home that could negatively affect the health, safe…
R.441—125.12 Liability. Kinship foster caregivers who apply the reasonable and prudent parent
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standard reasonably and in good faith in regard to the child(ren) placed in their home shall have immunity from civil or criminal liability that might otherwise be incurred or imposed. This rule shall not remove or limit any existing liability protection afforded under any other …
R.441—125.2 Application for approval
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125.2(1) Right to apply. A relative or fictive kin of a child who has been court-ordered to placement in the relative or fictive kin’s care can apply for kinship foster care approval. All applicants must be at least 18 years of age. 125.2(2) Referrals. A relative or fictive kin c…
R.441—125.3 and 441—125.4(237)
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125.2(8) Notification. The department will notify an applicant of the approval or denial of an initial application within 60 days of the date that the applicant is referred to the recruitment and retention contractor. The department will notify an applicant regarding reapproval w…
R.441—125.4 Approval procedure
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125.4(1) Application. Applicants for an initial approval to become a kinship foster home shall submit the Kinship Foster Care Approval Application forms directed in rule 441—125.2(237). 125.4(2) Record checks. Prior to approval of an application for kinship foster care, applicant…
R.441—125.5 Involvement of kin
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125.5(1) Support by kinship foster caregiver. Kinship foster caregivers shall support the involvement of biological or adoptive parents and other relatives of the child unless this involvement is evaluated and documented by the department to be detrimental to the child’s well-bei…
R.441—125.6 Information on the child placed in the home
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125.6(1) Information about the child. Kinship foster caregivers shall maintain a separate file of information on the child placed in the home to include contact information for all medical, dental, vision, hearing and mental health professionals for the child; current medications…
R.441—125.7 Record checks. Record checks are required for each foster parent applicant and for
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anyone who is 18 years of age or older living in the home of the applicant. The purpose of the record checks is to determine whether any of these persons has any founded child abuse or dependent adult abuse reports or criminal convictions or has been placed on the sex offender re…
R.441—125.8 Medical examinations and health care of the child
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125.8(1) Medical and dental care. Kinship foster caregivers shall keep the child’s department case manager informed of any medical and dental appointments as well as any treatments prescribed for the child. a. The department may delegate its authority, as custodian, to consent to…
R.441—125.9 Training and discipline of child
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125.9(1) Methods of training and discipline. The home study evaluation of each applicant shall include a discussion and a written assessment of the kinship foster caregivers’ methods of training and discipline. Discipline shall be designed to help the child develop self-control, …
R.441—13.1 Definitions
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“Active case” means a case that was receiving assistance for the month of review. “Case record” means the record used to establish a client’s eligibility. “Client” means a current or former applicant or recipient of the family investment program (FIP), Supplemental Nutrition Assi…
R.441—13.2 Review of public assistance records by the department
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13.2(1) Authorized representatives of the department shall have the right to review case records to determine the following: a. Whether the client has provided complete, correct and accurate information to the department to be used in the determination of the assistance benefits.…
R.441—13.3 Cases to be reviewed. Any active or negative public assistance case may
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be reviewed at any time at the discretion of the department to: 13.3(1) Ensure federal and state requirements for quality control are met. 13.3(2) Detect error prone case issues to assist in corrective action. 13.3(3) Maintain public assistance program integrity. This rule is int…
R.441—13.4 Notification of review. On positive case actions, clients will be notified,
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either orally or in writing, that their case has been selected for review when contact is required by federal guidelines, or when contact is allowed and additional information is required to complete the review. The client will be contacted in a negative case only if a discrepanc…
R.441—13.5 Review procedure. The department will select the appropriate method of
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conducting the review. 13.5(1) A random sampling of active and negative case actions will be used to determine the case records to be studied. 13.5(2) The case record will be analyzed for discrepancies and correct application of policies and procedures and will be used as the bas…
R.441—13.6 Failure to cooperate. Client cooperation with quality control is a program eligibility
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requirement as set forth in rule 441—65.3(234). When quality control determines that a client has refused to cooperate with the review process, the client is no longer eligible for the program benefits and will not be eligible for the program benefits until the client has coopera…
R.441—13.7 Report of findings. The quality control review findings are used by the
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department in the following ways: 13.7(1) To take the appropriate case action where an overpayment or underpayment has been found in a client’s case record. 13.7(2) To identify error-prone program issues to be used in planning a department corrective action plan. 13.7(3) To deter…
R.441—13.8 Federal review. A sample of cases may also be reviewed by the
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applicable federal agency to determine the correctness of the department’s action or of the department’s review of the case. This rule is intended to implement Iowa Code sections 234.12, 237A.12, 239B.4, 249A.4, and 514I.4. [ARC 8067C, IAB 6/12/24, effective 7/17/24] [Filed 3/26/…
R.441—130.1 Definitions
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“Family” includes the following members: 1. Legal spouses (including common law) who reside in the same household. 2. Natural, adoptive, or step mother or father, and children who reside in the same household. 3. An individual or a child who lives alone or who resides with a pers…
R.441—130.2 Application
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130.2(1) Application for social services shall be made at any county office of the department of human services on forms available at the county office. Application for services shall be made on Form 470-0615, Application for All Social Services. 130.2(2) The application may be f…
R.441—130.3 Eligibility
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130.3(1) Eligibility factors for services available through the department are individual need for a service and family income except when services are provided without regard to income or when services are directed in a court order. a. Individual need is established when the ser…
R.441—130.4 Fees
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130.4(1) The department may set fees to be charged to clients for services received. The fees will be charged to those clients eligible under rule 441—130.3(234), but not those receiving services without regard to income due to a protective service situation. Nothing in these rul…
R.441—130.5 Adverse service actions
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130.5(1) Denial. Services shall be denied when it is determined by the department that: a. The client is not in need of service, or b. The client is not financially eligible, or c. The service to be provided is not in the Social Services Block Grant Pre-Expenditure Report, or d. …
R.441—130.6 Social casework. For each active service case, when service is provided directly,
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purchased, or by a combination of methods, a department social worker shall: 130.6(1) Determine eligibility. 130.6(2) Ensure that there is a department case plan for each individual or family based on assessment of strengths and needs. Furnish appropriate sections of the initial …
R.441—130.7 Case plan. The department worker shall develop a case plan with or on behalf of persons
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approved to receive services. However, a case plan is not required (1) for child or adult protective assessment, (2) for foster care cases in which the department does not have custody, guardianship or a voluntary placement agreement, or (3) when child care is the only service. A…
R.441—130.8 Reserved
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R.441—130.9 Entitlement. There is no automatic right to ongoing service in any service category from
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one fiscal year to the next. This rule is intended to implement Iowa Code section 234.6. [Filed 2/19/76, Notice 1/12/76—published 3/8/76, effective 4/12/76] [Filed emergency 6/30/76—published 7/26/76, effective 7/1/76] [Filed 9/29/76, Notice 8/23/76—published 10/20/76, effective …
R.441—131.1 Definitions
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“Evaluate” means to periodically assess the appropriateness of services provided under the case plan (including social casework services) and to continue or terminate them as appropriate according to 441—Chapter 130 and the specific service chapters. “Implement” means to arrange …
R.441—131.2 Eligibility. Social casework is provided to persons who meet the eligibility requirements
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for services as specified in rule 441—130.3(234).
R.441—131.3 Service provision. Social casework is provided directly by departmental staff
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R.441—131.4 Reserved
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R.441—131.5 Adverse actions. Services shall be denied or terminated and appropriate notice given to
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clients as specified in rules 441—16.3(17A) and 441—130.5(234). [ARC 6503C, IAB 9/7/22, effective 11/1/22] These rules are intended to implement Iowa Code section 234.6. [Filed 3/24/81, Notice 2/4/81—published 4/15/81, effective 7/1/81] [Filed emergency 2/10/84—published 2/29/84,…
R.441—133.1 Definitions
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“Child” means a person under 18 years of age or a person 18 or 19 years of age who meets any of the following conditions: 1. Is in full-time attendance at an accredited school pursuing a course of study leading to a high school diploma, 2. Is attending an instructional program le…
R.441—133.2 Application. An application for emergency assistance shall be made according to rule
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441—130.2(234). An application shall be completed anytime a decision is made to provide emergency assistance or when an adult family member requests emergency assistance on behalf of a child. 133.2(1) The application shall be filed by a parent, except where both parents are absen…
R.441—133.3 Eligibility. To be eligible for emergency assistance, the family shall meet all of the
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following criteria: 133.3(1) Existence of an emergency. An emergency situation shall exist. An emergency exists when one of the following situations exists: a. Abuse, neglect, or abandonment of a child exists, or risk of same. b. Children are in imminent danger where continued pr…
R.441—133.4 Method of service provision. Services shall be provided through department workers or
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through purchase of service agreements with providers that are approved by the department as qualified to provide specified services and have a current contract with the department of human services to provide services. [ARC 7741B, IAB 5/6/09, effective 7/1/09; ARC 6716C, IAB 11/…
R.441—133.5 Duration of services. Services to families and children provided through the emergency
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assistance program as a result of a single application may be provided for either a period not to exceed 12 months or until there is no longer a need for services according to eligibility criteria for the specified services, whichever occurs first. [ARC 7741B, IAB 5/6/09, effecti…
R.441—133.6 Discontinuance of the program. The program shall be discontinued when federal funds
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have been exhausted. These rules are intended to implement Iowa Code section 235.2. [Filed emergency 9/15/94—published 10/12/94, effective 10/1/94] [Filed emergency 12/14/94—published 1/4/95, effective 12/14/94] [Filed 2/16/95, Notices 10/12/94, 1/4/95—published 3/15/95, effectiv…
R.441—142.1 Compact agreement. As a member of the interstate compact on placement of children,
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the department of human services shall cooperate on interstate aspects of placements preliminary to possible adoptions, placements in foster care where no adoption is contemplated, placements with any parent or relative, and institutional placements of adjudicated children in nee…
R.441—142.10 NEICE database
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142.10(1) Definitions. For the purpose of this chapter, unless the context otherwise requires: “National Electronic Interstate Compact Enterprise system” or “NEICE system” means the national electronic web-based system for administration of the interstate compact on the placement…
R.441—142.2 Compact administrator
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142.2(1) The compact administrator may appoint up to three deputy compact administrators to serve as active members of the association of administrators of the interstate compact on the placement of children and who shall be responsible for day-to-day operation of the interstate …