20,160 sections across 1,928 Iowa regulatory chapters.
R.441—156.2 Foster care recovery. The department will recover the cost of foster care provided by
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the department pursuant to the rules in this chapter and the rules in 441—Chapter 99, which establishes policies and procedures for the computation and collection of parental liability by child support services. 156.2(1) Funds are to be applied to the cost of foster care in the f…
R.441—156.3 Rate of maintenance payment for foster family care
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156.3(1) Basic rate. A monthly payment for care in a foster family home licensed in Iowa will be made to the foster family based on the following schedule: Age of child Daily rate 0 through 5 $18.50 6 through 11 $19.24 12 through 15 $21.06 16 or over $21.34 156.3(2) Out-of-state …
R.441—156.4 Kinship caregiver payment
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156.4(1) A kinship caregiver payment is a monthly payment to financially support the care of a child in a kinship caregiver’s home. If approved by the department, kinship caregiver payment will be provided for a period of up to four months. 156.4(2) All of the following condition…
R.441—156.5 Additional payments
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156.5(1) Clothing allowance. a. When, in the judgment of the department caseworker, clothing is needed at the time the child is removed from the child’s home and placed in foster care and annually thereafter as needed based on the date the child entered foster care, an allowance …
R.441—156.6 to meet the needs of the child. Certified respite providers deliver foster child respite
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services in the foster family home for at least five hours a day at $20 per day. 156.5(8) Tangible goods, child care, and ancillary services. To the extent that a foster child’s escrow funds are not available, the service area manager or designee may authorize reimbursement to fo…
R.441—156.7 Payment for reserve bed days
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156.7(1) Group care facilities. The department will provide payment for group care maintenance and child welfare services according to the following requirements. a. Family visits. Reserve bed payment will be made for days a child is absent from the facility for family visits whe…
R.441—156.8 Emergency juvenile shelter care payment. Contracted juvenile shelter care facilities
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approved or licensed in Iowa will be paid in accordance with contracted terms, not to exceed the allowable costs as permitted by Iowa Code section 232.141(8). This rule is intended to implement Iowa Code sections 234.6 and 234.39. [ARC 0074D, IAB 2/18/26, effective 4/1/26]
R.441—156.9 Supervised apartment living
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156.9(1) Child monthly stipend. For each eligible child living in a supervised apartment living situation, the monthly stipend payment for the child is $787.50. This payment may be paid to the child or another payee, other than a department employee, for the child’s living expens…
R.441—158.1 Applicability. This chapter specifically relates to the foster home insurance fund
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established by Iowa Code section 237.13. A foster home insurance fund shall be developed by the department. The fund shall provide reimbursement for any property damages caused by the acts of a foster child residing in a foster home. The department may contract with another state…
R.441—158.2 Definitions
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“Department” means the Iowa department of human services. “Foster family home” or “licensed foster home” means an individual, as defined in Iowa Code section 237.1(7), who is licensed to provide child foster care. “Personal property” means any movable thing of value which is owne…
R.441—158.3 Payments from the foster home insurance fund
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158.3(1) Eligible foster family claims. The foster home insurance fund shall pay the following within the limits defined in Iowa Code section 237.13(2): a. Valid and approved claims of a licensed foster family home. b. Compensation to licensed foster families for personal or real…
R.441—158.4 Payment limits. The fund is not liable for the first $150 per claim deductible per family
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Each claim shall be limited to one incident/occurrence. The fund is not liable for damages in excess of $5,000 for all claims arising out of one or more occurrences during a fiscal year related to a single home. Claims for losses related to bedbugs or other insect infestations wi…
R.441—158.5 Claim procedures. Claims against the fund shall be filed with the department’s
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contractor. Claims shall be filed on Form 470-5659, Foster Home Property Fund Notice of Loss Form. The decision to approve or deny the claim shall be made and the notice mailed or given to the claimant within 180 days of the date the claim is received. [ARC 5890C, IAB 9/8/21, eff…
R.441—158.6 Time frames for filing claims
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Claims by children who were under the age of 18 at the time of the occurrence shall be submitted within six months of the date of the occurrence. [ARC 9779B, IAB 10/5/11, effective 11/9/11; ARC 5890C, IAB 9/8/21, effective 11/1/21]
R.441—158.7 Appeals. Claimants dissatisfied with the decision may request a fair hearing under the
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provisions of 441—Chapter 7. [ARC 5890C, IAB 9/8/21, effective 11/1/21] These rules are intended to implement Iowa Code section 237.13 as amended by 2021 Iowa Acts, House File 891. [Filed emergency 6/9/88—published 6/29/88, effective 7/1/88] [Filed 9/2/88, Notice 6/29/88—publishe…
R.441—16.1 Definitions
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“Adequate notice” means any notice of decision or notice of action issued by the department or on the department’s behalf that includes all the following information: 1. A description of the action taken; 2. The effective date of the action; 3. The specific reasons supporting the…
R.441—16.2 Notices
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16.2(1) Written timely and adequate notice. When required by federal or state law, the department will provide written timely and adequate notice of the right to appeal any adverse benefit determination that affects an individual who is applying for, or receiving benefits from, a…
R.441—164.1 Definitions
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“Client” means an individual receiving the services enumerated in Iowa Code section 217.41C through the program. “Pregnancy support services” means the same as defined in Iowa Code section 217.41C. “Program” means the more options for maternal support (MOMS) program outlined in I…
R.441—164.2 Pregnancy support services. Pregnancy support services do not include health care
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treatment or services for purposes of the Health Insurance Portability and Accountability Act of 1996. [ARC 9105C, IAB 4/16/25, effective 6/1/25]
R.441—164.3 Program administrator responsibilities
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164.3(1) If a nonprofit entity is awarded a contract by the department though the request for proposals process to administer the program, that program administrator may assume ownership and oversight of any existing contracts providers have with the department. The program admin…
R.441—164.4 Client feedback. The department will create a process for clients to provide confidential
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feedback regarding their experience with providers. [ARC 9105C, IAB 4/16/25, effective 6/1/25]
R.441—164.5 Appeals. An applicant for program administrator, provider, or client who disagrees with a
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decision of the department may submit an appeal in accordance with 441—Chapter 7. [ARC 9105C, IAB 4/16/25, effective 6/1/25] These rules are intended to implement Iowa Code section 217.41C. [Filed ARC 9105C (Notice ARC 8541C, IAB 12/11/24), IAB 4/16/25, effective 6/1/25]…
R.441—166.1 Definitions
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“Eligible entities” means nursing facilities, state agencies, nursing facility advocacy groups, resident and family councils, and other nursing facility stakeholder groups. “Nursing facility” means a Medicaid-enrolled facility that is defined in rule 441—81.1(249A) as “facility.”…
R.441—166.2 Availability of grants. The department shall set aside an annual amount from the civil
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money penalty fund established pursuant to Iowa Code section 249A.57 to be awarded in the form of emergency reserve fund grants to eligible entities for approved support and protection of residents of a facility that closes (voluntarily or involuntarily). At no time shall the gra…
R.441—166.3 Grant eligibility. Grants are available for quality improvement initiatives that are
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outside the scope of normal operations for the nursing facility or other applicants. Grants cannot be used as replacement funding for goods or services that the applicant already offers. 166.3(1) Grants may be awarded for: a. Short-term quality improvement initiatives (three year…
R.441—166.4 Grant application process and selection of proposals. The department will announce
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through a request for proposals the opening of an application period. The request will state the purpose for which grant funds may be sought. Applicants shall submit their grant proposals by the deadline specified in the announcement. 166.4(1) Evaluation of proposals. All proposa…
R.441—166.5 Project contracts. Grants for approved applicant project plans will be awarded through
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a contract entered into by the department and the applicant. The contract period shall not exceed the time frames allowed by state and federal laws. The department will reimburse expenditures pursuant to contract terms and the regular reimbursement procedures of the state of Iowa…
R.441—167.1 Definitions
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“Allowable costs” means those expenses of the county or multicounty related to the establishment, improvements, operation, and maintenance of county or multicounty juvenile detention homes. “County or multicounty” means that the governing body is a county board of supervisors or …
R.441—167.2 Availability of funds. Any year that the Iowa legislature makes funds available for this
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program, the department shall accept requests for reimbursement from eligible facilities.
R.441—167.3 Eligible detention homes. County and multicounty juvenile detention homes shall be
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eligible for reimbursement under this program when: 167.3(1) The home is approved by the department under the standards of Iowa Code chapter 232 and 167.3(2) The home submits the completed forms in paragraphs 167.3(2)“a” and 167.3(2)“b” by March 15 and the certified audit in para…
R.441—167.4 Available reimbursement. The reimbursement for the participating detention homes
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shall be based on the distribution formula authorized by Iowa law. [ARC 3681C, IAB 3/14/18, effective 5/1/18]
R.441—167.5 Submission of voucher. Eligible detention homes shall submit a complete signed and
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dated Form GAX, General Accounting Expenditure, to the department to claim reimbursement. 167.5(1) Form GAX shall be submitted to the Department of Human Services, Division of Fiscal Management, First Floor, Hoover State Office Building, 1305 East Walnut Street, Des Moines, Iowa …
R.441—167.6 Reimbursement by the department. Reimbursement shall be made to those
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participating juvenile detention homes that have complied with these rules. [ARC 3681C, IAB 3/14/18, effective 5/1/18] These rules are intended to implement Iowa Code section 232.142.
R.441—167.7 to 167.10
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DIVISION II SEVENTY-TWO HOUR REIMBURSEMENT PROGRAM Reserved [Filed 11/18/83, Notice 5/25/83—published 12/7/83, effective 2/1/84] [Filed emergency 1/15/87—published 2/11/87, effective 1/15/87] [Filed emergency 9/11/92—published 9/30/92, effective 10/1/92] [Filed 11/10/92, Notice 9…
R.441—170.1 Definitions
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“Agency error” means child care assistance incorrectly paid for the client because of action attributed to the department as the result of one or more of the following circumstances: 1. Loss or misfiling of forms or documents. 2. Errors in typing or copying. 3. Computer input err…
R.441—170.2 Eligibility requirements. A person deemed eligible for benefits under this
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chapter is subject to all other state child care assistance requirements including, but not limited to, provider requirements under Iowa Code chapter 237A and provider reimbursement methodology. The department shall determine the number of units of service to be approved. 170.2(1…
R.441—170.3 Application and determination of eligibility
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170.3(1) Application process. a. Application for child care assistance may be made at any local office of the department on: (1) Form 470-3624 or 470-3624(S), or (2) Form 470-4377 or 470-4377(S), when returned after the end of the certification period. b. The application may be f…
R.441—170.4 Elements of service provision
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170.4(1) Case file. The child welfare case file shall document the eligibility for service under 170.2(2)“b”(3). 170.4(2) Fees. Fees for services received shall be charged to clients according to the schedules in this subrule, except that fees shall not be charged to clients rece…
R.441—170.5 Adverse actions
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170.5(1) Provider agreement. The department may refuse to enter into or may revoke Form 470-3871 or 470-3871(S) if any of the following occur: a. The department finds a hazard to the safety and well-being of a child, and the provider cannot or refuses to correct the hazard. b. Th…
R.441—170.6 Appeals. Notice of adverse action shall be given in accordance with 441—Chapter 16
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The right to appeal shall be given in accordance with 441—Chapter 7. [ARC 6965C, IAB 4/5/23, effective 6/1/23]
R.441—170.7 Provider fraud
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170.7(1) Fraud. The department shall consider a child care provider to have committed fraud when: a. The department of inspections and appeals, in an administrative or judicial proceeding, has found the provider to have obtained by fraudulent means child care assistance payment i…
R.441—170.8 Allocation of funds. Rescinded IAB 2/6/02, effective 4/1/02
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R.441—170.9 Child care assistance overpayments. All child care assistance overpayments shall be
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subject to recoupment. 170.9(1) Notification and appeals. All clients or providers shall be notified as described at subrule 170.9(6), when it is determined that an overpayment exists. Notification shall include the amount, date and reason for the overpayment. The department shal…
R.441—83.60 to have a condition which impairs the child’s intellectual and social functioning
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3. The child has been diagnosed by a mental health professional as defined in rule 441—24.1(225C) to have a behavioral or emotional disorder characterized by situationally inappropriate behavior which deviates substantially from behavior appropriate to the child’s age, or which s…
R.441—93.1 or the date the person has a need for child care assistance to participate in an approved
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PROMISE JOBS activity as described in 441—Chapter 93, whichever is later. (2) For a family receiving family investment program benefits, the effective date of child care assistance shall be no earlier than the effective date of family investment program benefits, or 30 days befor…
R.441—172.1 Definitions
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“Agency” means the Iowa department of human services. “Agency child welfare service case” means at least one child in a household is involved in agency services with an agency-assigned social work case manager. “Agency worker” means the agency child welfare worker who has been as…
R.441—172.2 Purpose and scope. Family-centered services are services designed to prevent the child
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from entering foster care and to assist the family when the needs of the child, parent, or kinship caregiver are directly related to the safety, permanency, or well-being of the child. The outcome of the services may be to maintain the child with a parent or in the home of the ki…
R.441—172.3 Authorization. When the agency has approved provision of family-centered services for
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a child and family, the agency worker shall notify the contractor by issuing the referral and authorization for child welfare services form. This authorization form shall indicate: 1. The specific service category authorized; and 2. The duration of the authorization. [ARC 9491B, …
R.441—172.4 Reimbursement. Rescinded ARC 5248C, IAB 11/4/20, effective 1/1/21
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R.441—172.5 Client appeals. Clients may appeal the agency’s decision pursuant to 441—Chapter 7
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when: 1. The client’s application for services as described in this chapter is denied, or 2. The services are terminated. [ARC 9491B, IAB 5/4/11, effective 7/1/11]