Iowa Administrative Code

222.3(1) A council will establish a meeting schedule on an annual basis to conduct its business. There will be a minimum of four meetings per year. 222.3(2) A majority of appointed members constitutes a quorum. 222.3(3) When a quorum is present, a position is carried by an affirm…

duties as may be deemed necessary. [ARC 9282C, IAB 5/14/25, effective 7/1/25]

be considered necessary expenses for reimbursement of council members who are individuals with disabilities or caregivers when incurred on behalf of council business and are subject to established state reimbursement rates: 1. Reimbursement for travel in a private car. 2. Actual …

50 percent of members being individuals with disabilities or caregivers. [ARC 9282C, IAB 5/14/25, effective 7/1/25] These rules are intended to implement Iowa Code chapter 231. [Filed ARC 9282C (Notice ARC 9018C, IAB 3/19/25), IAB 5/14/25, effective 7/1/25]

funding, an individual will meet the following financial and needs-based eligibility criteria. 223.1(1) Financial eligibility. a. An adult with disabilities will have an income equal to or less than 200 percent of the federal poverty level. b. A family of a child with disabilitie…

list of individuals denied access to the program due to lack of available funds. Waiting list information will include the date on which the individual was placed on the waiting list. If additional funds become available, the department will contact individuals on the list. [ARC …

223.3(1) Support for community living. The first appointment shall occur within 30 days of the completion of the functional assessment determining need for a home health aide, home and vehicle modification, respite, or supportive community living. 223.3(2) Support for employment.…

223.4(1) Definitions. For the purposes of this rule, the following definitions apply. “Agency action” includes the whole or part of an agency rule or other statement of law or policy, order, decision, license, proceeding, investigation, sanction, relief, or the equivalent or a de…

“Aging and disability resource center” or “ADRC” means a person-centered navigation and coordination system that blends and braids service delivery methods and funding to ensure supports and services contribute to a consumer’s ability to remain at home and in the consumer’s commu…

224.2(1) Pursuant to Iowa Code section 231.64, the department will administer ADRCs. 224.2(2) The department’s responsibilities are as follows: a. Perform all duties mandated by federal and state law. b. Designate ADRC member organizations and withdraw designation. If the departm…

member organizations. [ARC 9282C, IAB 5/14/25, effective 7/1/25]

224.4(1) An ADRC member organization will provide services to eligible populations in its service area via telephone, in-person, or electronic communications. 224.4(2) An ADRC member organization will be physically accessible and provide services in a private and confidential man…

224.5(1) Staffing. The ADRC member organization will ensure adequate staffing levels to meet the needs of the service delivery area. Staff performing ADRC services will demonstrate competency and knowledge pertinent to the staff’s areas of responsibility. Additionally, the ADRC w…

defined within the contract issued by the department. [ARC 9282C, IAB 5/14/25, effective 7/1/25]

grievances. [ARC 9282C, IAB 5/14/25, effective 7/1/25]

administer ADRC data reporting. On behalf of the department, the ADRC shall report individual-level client data, information, and performance as required by the department. The ADRC shall also cooperate with any external review of its activities by the department or the federal g…

information concerning an individual receiving services to entities outside the department without the individual’s informed consent or as authorized or required by law. [ARC 9282C, IAB 5/14/25, effective 7/1/25] These rules are intended to implement Iowa Code section 231.64. [Fi…

apply to all grants awarded to any recipient through the department and to any entities regulated by the department. Compliance with these rules is mandatory unless a waiver is granted in accordance with the procedures in 441—Chapter 6. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

otherwise specified. 225.2(1) Definitions. “Administration on Aging” means the federal agency established to administer the provisions of the federal Act. “Dietitian” or “licensed dietitian” means a person who maintains a license granted by the Iowa board of dietetics. “Federal A…

of: 1. The state unit on aging, 441—Chapter 226; 2. Area agencies on aging, 441—Chapter 227; 3. Service providers; 4. Office of the state long-term care ombudsman, 441—Chapter 230; and 5. Aging and disability resource centers, 441—Chapter 224. [ARC 9495C, IAB 8/20/25, effective 1…

225.4(1) Conflict of interest includes any action or failure to act made by the state unit on aging, an area agency on aging, a service provider, a contractor, or a legal representative that may be an actual or perceived conflict between official duties and personal interest. Con…

aging in Iowa. The department will perform all state unit on aging duties in accordance with the federal Act; 45 CFR 1321 through 1324 as amended to October 1, 2025; and Iowa Code chapter 231. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

for distribution of funds received under the federal Act and state funds to organizations serving as designated area agencies on aging that complies with 45 CFR 1321.49 as amended to October 1, 2025. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

ensure quality performance and compliance as set forth in 45 CFR 1321 as amended to October 1, 2025. 226.11(1) Correction of deficiencies. a. Remedies. The purpose of remedies is to ensure prompt action is taken by an area agency on aging to correct deficiencies arising from fail…

reporting. The department will maintain data on all individuals served. The department will develop policy and procedures for data management and confidentiality in accordance with 45 CFR 1321 as amended to October 1, 2025. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

coordinate efforts with Title III and Title VI programs, including area agencies on aging and service providers, to ensure outreach is provided to tribal elders and family caregivers regarding services for which they may be eligible under Title III or Title VI or both in accordan…

226.14(1) Emergency planning. The department will: a. Establish emergency plans as set forth in Section 307(a)(28) of the federal Act. b. Coordinate with area agencies on aging, service providers, and local emergency management. c. Coordinate efforts among area agencies on aging …

Chapter 3, of the federal Act, the department will develop, strengthen, and carry out programs for the prevention of, detection of, assessment of, treatment of, intervention in, investigation of, and response to elder abuse, neglect, and exploitation. All programs using Title VII…

legal assistance developer to ensure the provision and monitoring of legal assistance, advice, and technical assistance delivery to older individuals and other service providers. The legal assistance developer activities will be contained in the state plan in accordance with the …

procedures in accordance with the federal Act; 45 CFR 1321 and 1324 as amended to October 1, 2025; and Iowa Code chapter 231. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

obtain the views of older individuals, family caregivers, service providers, and the public on a periodic basis, with a focus on those in greatest economic need and greatest social need according to 45 CFR 1321 as amended to October 1, 2025. [ARC 9495C, IAB 8/20/25, effective 10/…

226.4(1) Authority. As the state unit on aging, the department will develop and administer a state plan on aging or state plan amendment pursuant to the federal Act. 226.4(2) Multiyear state plan on aging. The department will develop and submit for approval a two-, three-, or fou…

PSAs in accordance with the federal Act; 45 CFR 1321 as amended to October 1, 2025; and Iowa Code chapter 231. 226.5(1) Notice of changes to PSAs will be provided in accordance with 441—Chapter 16. 226.5(2) Appeals to designation of and changes to PSAs. a. Appeals to the departme…

aging for each PSA in accordance with the federal Act; 45 CFR 1321 as amended to October 1, 2025; and Iowa Code chapter 231. Upon designation, an area agency on aging is considered an instrumentality of the state and will adhere to all state and federal mandates applicable to an …

area agency on aging’s designation as an area agency when the department determines that the area agency on aging does not meet the requirements of the federal Act, regulations, Iowa Code, Iowa Administrative Code, terms and conditions of grant awards, or department policies and …

226.8(1) An area agency on aging may appeal the department’s action or proceeding to withdraw the designation of an area agency on aging. Appeals will be provided in accordance with 441—Chapter 7, except for rule 441—7.51(17A). 226.8(2) An area agency on aging may appeal the depa…

or amended area plans on aging and may approve once any plan has been reviewed in accordance with the process in 441—Chapter 227. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

aging issues on behalf of all older individuals and caregivers in each PSA in accordance with the federal Act; 45 CFR 1321 through 1324 as amended to October 1, 2025; Iowa Code chapter 231; and policies and procedures defined by the department. Each area agency on aging is design…

227.10(1) Expenditure of state and federal funds. Each area agency on aging will adhere to the policies and procedures related to expenditure of state and federal funds developed in accordance with the federal Act; 45 CFR 1321 through 1324, 45 CFR 75, and 2 CFR 200, all as amende…

procedures to monitor the programmatic and fiscal requirements of all programs, service providers and activities. Each area agency on aging will implement procedures to correct deficiencies in programmatic and fiscal performance of all programs, service providers and activities. …

procedures in accordance with 45 CFR 1321 as amended to October 1, 2025, to evaluate and, when necessary, improve the quality and effectiveness of services provided directly by agency staff or contracted service providers. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

227.13(1) Data collection. All data collected as a result of an organization’s designation as an area agency on aging is owned and governed by the department’s policies and procedures. 227.13(2) Data protection. Each area agency on aging will use appropriate administrative, techn…

financial reports in accordance with department policies and procedures and with federal and state reporting requirements. Each area agency on aging will: 227.14(1) Complete client assessment and data collection, at a minimum, once each fiscal year per 45 CFR 1321 as amended to O…

227.15(1) Emergency and disaster plans. Each area agency on aging will establish emergency plans in accordance with 45 CFR 1321.97 as amended to October 1, 2025. 227.15(2) Service coordination. For continuity of services to individuals, each area agency on aging will coordinate w…

227.16(1) An area agency on aging will not provide a direct service as defined in 45 CFR 1321 as amended to October 1, 2025, except as allowed by the department pursuant to the requirements identified in the federal Act and 45 CFR 1321 as amended to October 1, 2025. The departmen…

compliance with 45 CFR 1321 as amended to October 1, 2025. Those grievance procedures shall contain at least the following procedures for resolution: 1. Acknowledgment of grievance. 2. Process for attempting to informally resolve dispute. 3. Notification of the outcome of the gri…

accordance with 45 CFR 1321 as amended to October 1, 2025; articles of incorporation; and bylaws. Pursuant to Iowa Code section 231.23, the area agency on aging will use the procedures defined by the department for selecting members of the area agency on aging’s board of director…

needs of the PSA and the approved area plan. Each area agency on aging must notify the department of changes in management-level staff within seven calendar days. Staff performing area agency on aging functions and services will demonstrate competency and knowledge pertinent to t…

regarding conflicts of interest at organizational and individual levels in accordance with the federal Act; 45 CFR 1321 as amended to October 1, 2025; and department policies and procedures. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

and procedures in accordance with the federal Act; 45 CFR 1321 as amended to October 1, 2025; and requirements set forth by the department. All manuals, guidelines, and standards referred to by these rules will be maintained by the area agency on aging and available for public in…