Iowa Administrative Code

24.3(1) Performance improvement system. a. Performance benchmark. The organization has a systematic, organizationwide, planned approach to designing, measuring, evaluating, and improving the level of its performance. b. Performance indicators. The organization: (1) Annually measu…

standards in rule 441—24.9(225C). [ARC 1660C, IAB 10/15/14, effective 12/1/14]

to children and youth include coordination with parents, guardians, family members, natural supports, and service providers and with other systems such as education, juvenile justice and child welfare. Crisis response services for individuals who have co-occurring or multi-occurr…

crisis assessment. 24.32(1) Crisis screening. The purpose of crisis screening is to determine the presenting problem and appropriate level of care. a. Performance benchmark. Crisis screening includes a brief assessment of suicide lethality, substance use, alcohol use and safety n…

provide access to crisis screening and assessment to de-escalate and stabilize the crisis. When the assessment indicates, a stabilization plan is developed to support the individual’s return to a prior level of functioning. Twenty-four-hour crisis response staff link the individu…

coordination, information and referral, linkage to services and crisis screening. Crisis line staff are qualified to provide crisis stabilization services pursuant to subrule 24.24(2). 24.34(1) Performance benchmark. Crisis screening, counseling, crisis service coordination and r…

someone with lived experience with mental, behavioral health and trauma issues. The line provides a resource for individuals experiencing emotional distress. 24.35(1) Performance benchmark. A warm line provides nonjudgmental listening, nondirective assistance, information, referr…

individuals experiencing a mental health crisis. The mobile response staff provide crisis response services in the individual’s home or at locations in the community. Staff work in pairs to ensure staff safety and the safety of the individual served. A single staff member may res…

observation and holding services may be a stand-alone service or embedded within a crisis stabilization residential service. Twenty-three-hour crisis observation and holding services are designed for individuals who need short-term crisis intervention in a safe environment less r…

stabilize the individual within the community. CSCBS is designed as a voluntary service for individuals in need of a safe, secure location that is less intensive and restrictive than an inpatient hospital. Individuals receive CSCBS services including, but not limited to, psychiat…

services are short-term services provided in facility-based settings of no more than 16 beds. The goal of CSRS is to stabilize and reintegrate the individual back into the community. Crisis stabilization residential services are designed for voluntary individuals who are in need …

24.4(13) shall meet the standards in subrules 24.4(1) through 24.4(8) in addition to the standards for the specific service. Providers of outpatient psychotherapy and counseling services shall also meet standards in subrules 24.4(1), 24.4(2), 24.4(4), 24.4(6), 24.4(7), and 24.4(8…

medication requirements for 23-hour crisis observation and holding, crisis stabilization community-based services, and crisis stabilization residential services. 24.40(1) Performance benchmark. Policies and procedures ensure prescription and over-the-counter drugs are administere…

DIVISION III COMMUNITY MENTAL HEALTH CENTERS Preamble The department of human services in consultation with the mental health and disability services commission has established this set of standards to be met by all designated community mental health centers (CMHCs). CMHCs are to…

denial, or revocation of accreditation. This accreditation shall delineate all categories of service the organization is accredited to provide. Although an organization may have more than one facility or service site, the division administrator shall issue only one accreditation …

“Catchment area” means the same as defined in Iowa Code section 230A.102(2). “Community mental health center self-assessment” means the form completed and submitted to the department by a new organization as part of the initial application to be designated as a CMHC. Designated C…

24.51(1) Application. An organization seeking designation as a community mental health center or a designated community mental health center seeking to expand its designated catchment area shall submit the following to the department: a. Form 470-3005, Accreditation Application, …

policy guidelines and administrative procedures for: 1. Core services and supports, 2. Serving the target population with minimal to no service denials, 3. Addressing the standards in rule 441—24.2(225), and 4. Ensuring an individual’s ability to access services regardless of abi…

in rule 441—24.3(225C) and the standards identified in this rule. 24.53(1) A CMHC organized as a nonprofit corporation shall be governed by a board of directors consistent with the requirements identified in Iowa Code section 230A.110(3)“b.” 24.53(2) A CMHC organized as a for-pro…

24.54(1) Outpatient services. Outpatient services include outpatient psychotherapy and counseling services and evaluation. These services are to be provided directly by the CMHC. a. Outpatient psychotherapy and counseling services shall be provided in accordance with subrule 24.4…

24.55(1) The provider shall be accredited as a provider of outpatient psychotherapy and counseling pursuant to subrule 24.4(14) and evaluation pursuant to subrule 24.4(16) and meet the standards of rule 441—24.3(225C). 24.55(2) The provider shall meet the standards in rules 441—2…

accredited by a recognized national, not-for-profit, accrediting body when the division determines the accreditation is for similar services. The division may also grant deemed status for supported community living services to organizations that are certified under the Medicaid h…

individuals using the services, employees, any interested people, and the public relating to or alleging violations of applicable requirements of the Iowa Code or administrative rules. 24.7(1) Submittal of complaint. The complaint may be submitted in person; or by mail to the Div…

441—Chapter 7. Notice of an appeal shall be sent to Appeals Section, Department of Human Services, Hoover State Office Building, Fifth Floor, 1305 East Walnut, Des Moines, Iowa 50319-0114, within 30 calendar days of the written decision from the commission.

the policies and procedures in the department’s general rule on exceptions to policy at 441—1.8(17A,217). These rules are intended to implement Iowa Code chapter 225C.

2504.3(2) The agency will evaluate the petition in accordance with Iowa Code section 17A.9A. The agency may request additional information from the petitioner or any person as part of its evaluation of the petition. 7—paragraphs 2504.3(2)“a” and “b” are not adopted. [ARC 0300D, I…

“Client” means a person who has applied for or received services or assistance from the agency. “Disclosure” means the same as defined in 45 CFR §160.103 as amended to June 25, 2024. “Health care operations,” for covered entities in the agency, means the same as defined in 45 CFR…

from examination. 2505.5(4) The agency shall also allow individuals to request restrictions on the use or disclosure of PHI and alternative means of confidential communication, consistent with 45 CFR §164.522 as amended to July 1, 2026. The agency will maintain written procedures…

2505.7(1) The agency shall include provisions for disclosures of confidential information consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any applicable state or federal law as amended to July 1, 2026, including: a. Emergency exceptions…

identifiable information collected by the agency varies by the type of record. This rule describes personally identifiable information collected, maintained, and retrieved by the agency by personal identifiers in record systems and the legal authority for the collection of that i…

2506.10(3) Medicaid member appeals. Notwithstanding subrule 2506.10(1), for Medicaid member appeals, the agency and the presiding officer acting on behalf of the agency: a. May respond to a series of individual requests for hearing by conducting a single group hearing; b. May con…

[ARC 0300D, IAB 5/27/26, effective 7/1/26]

2506.12(1) Filing and service electronically. Except as provided in subrule 2506.4(6), every pleading, motion, document, or other paper that is filed or served shall be executed electronically whenever possible. Filing or service by a nonelectronic method can only be upon a showi…

2506.18(1) Medicaid appeal withdrawals. For Medicaid member appeals, the agency must record the individual’s statement and telephonic signature for telephonic hearing withdrawals. For telephonic, online and other electronic withdrawals, the agency must send the affected person wr…

“Enrollee” means any applicant for or recipient of benefits or services provided by a program administered by the agency or on the agency’s behalf. “Good cause,” for purposes of this chapter, has the same meaning as “good cause” for setting aside a default judgment under Iowa Rul…

2506.20(3) Representation. Parties have the right to participate or to be represented in all hearings or prehearing conferences related to their case. Partnerships, corporations, limited-liability companies, and associations may be represented by any member, officer, director, or…

2506.27(1) Appeal by party. a. Unless otherwise prohibited by law, any adversely affected party may appeal a proposed decision to the agency within 30 days after the decision is issued. b. A managed care organization (MCO) appealing a proposed decision reversing an adverse benefi…

2506.3(1) In computing any time period specified in this chapter, the period: a. Excludes the day of the event that triggers the period; b. Includes every day of the time period (including Saturdays, Sundays, and holidays on which the agency is closed); and c. Includes the last d…

2506.32(1) Medical assistance. In cases involving the determination of medical assistance, the contested case hearing shall be held within a time frame such that the final administrative action is timely pursuant to 42 CFR §431.244(f) as amended to December 8, 2021. 2506.32(2) Co…

2506.33(1) Expedited review criteria. An appellant to a medical assistance appeal may, at any time, file with the agency a request for expedited review of the appeal. Expedited review shall be granted pursuant to 42 CFR §438.410 as amended to August 1, 2024, for an MCO appeal or …

determined through a SNAP administrative disqualification hearing; through a court conviction; or through individual signs and returns a form prescribed by the agency, which may result in a period of ineligibility for the program, a claim for overpayment of benefits, or both in a…

2506.35(1) Programs for which no federal or state law applies. For all assistance programs for which there is no contravening federal or state law, benefits or services shall not be suspended, reduced, restricted, or discontinued, nor shall a license, registration, certification,…

2506.4(3) When a contested case hearing will be granted. A person will be granted a contested case hearing if the party-in-interest fulfills all the following requirements: a. The party-in-interest is entitled to a contested case hearing; b. The party-in-interest has an ongoing, …

2506.5(2) Contents. The notice of hearing must state: a. The time, place, and nature of the hearing; b. The legal authority and jurisdiction under which the hearing is to be held; c. The particular sections of the statutes and rules involved; d. The procedural rules governing con…

2506.6(1) If an ALJ is not assigned, any party that wants an ALJ employed by DIAL to serve as the presiding officer must file a request. The deadline for that request is 20 days after service of a notice of hearing that identifies someone other than an ALJ as the presiding office…

“Admission” means the acceptance of an individual for receipt of services at a state mental health institute or the Woodward state resource center on either a voluntary or involuntary basis. “Adult” means an individual who is 18 years of age or older. “Facility” means a mental he…

individual’s financial and third-party coverage information to ensure the state is the payor of last resort. Third-party coverage does not include payment by an administrative services organization as defined in Iowa Code section 225A.1. This rule is intended to implement Iowa Co…

mental health institute or resource center or who has any complaint concerning the individual’s treatment at a mental health institute or resource center may file a grievance. A grievance will be filed using the individual grievance form. The individual’s parent, family, guardian…

28.4(1) Use of still or video cameras or voice recorders by anyone other than an authorized employee, individual, parent, guardian, or legal representative to photograph or record an individual will be allowed only with the prior authorization of the superintendent or the superin…

28.5(1) Releases to the news media will be the responsibility of the superintendent. Authority for dissemination and release of information may be designated to other employees at the discretion of the superintendent. 28.5(2) Interviews of individuals by the news media or other o…