Iowa Administrative Code

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…

227.6(1) Advisory council. Each area agency on aging will establish an advisory council. The council shall carry out advisory functions that further the area agency on aging’s mission of developing and coordinating community-based systems of services for all older individuals and…

development and enhancement of comprehensive and coordinated community-based systems of services in each community throughout and specific to each PSA. Each area agency on aging will carry out this responsibility in accordance with 45 CFR 1321 as amended to October 1, 2025. Advoc…

approved by the department. 227.8(1) Multiyear area plan on aging. Each area agency on aging will develop and administer a two-, three-, or four-year area plan on aging specific to each PSA. Each area agency on aging will develop and submit the area plan on aging to the departmen…

programs exist within the area agency on aging’s PSA, the area agency on aging’s policies and procedures, developed in coordination with the relevant Title VI program director(s), as set forth in 45 CFR 1322.13(a) as amended to October 1, 2025, must explain how the area agency on…

228.1(1) The federal Act authorizes grants to states to deliver a range of services through the area agencies on aging that include: a. Supportive services and senior centers (Title III, Part B). b. Nutrition services (Title III, Part C). c. Evidence-based disease prevention and …

make a voluntary, confidential contribution to the cost of the service. No eligible individual or family caregiver will be denied service because the individual or family caregiver will not or cannot contribute to the cost of the service. Area agencies on aging will follow the re…

participants to access programs and services that receive or have received funds under the federal Act. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

may means test for service eligibility. Income from means-tested programs may not be used as a match for federal funds. [ARC 9495C, IAB 8/20/25, effective 10/1/25] These rules are intended to implement Iowa Code chapter 231, subchapter VI. [Filed ARC 9495C (Notice ARC 9375C, IAB …

Americans Act services. 228.2(1) General eligibility. Eligibility requirements for services as set forth in Title III of the federal Act and 45 CFR 1321 as amended to October 1, 2025, are as follows. a. Older individual. An older individual is a person aged 60 or older. b. Caregi…

228.3(1) Authorized services. Supportive services are access services, in-home supportive services, multipurpose senior centers, and legal services as set forth in the federal Act and 45 CFR 1321.85 as amended to October 1, 2025. Specific supportive services that may be offered i…

228.4(1) Authorized services. Nutrition services are home-delivered nutrition, congregate nutrition, nutrition education, nutrition counseling and other nutrition services. 228.4(2) Nutrition project. Nutrition project means congregate and home-delivered meals provided five or mo…

disease prevention and health promotion are provided in accordance with the federal Act and 45 CFR 1321 as amended to October 1, 2025. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

228.6(1) Authorized services. Family caregiver support services include information and service assistance, case management, counseling and training, support groups, respite, supplemental services, and other caregiver services as identified by the department. 228.6(2) Supplementa…

directly provide older adult abuse prevention and awareness activities and coordinate assessment services for older individuals experiencing or at risk for experiencing abuse, neglect, or exploitation. [ARC 9495C, IAB 8/20/25, effective 10/1/25]

unable to provide service to eligible individuals in need of assistance and needs to implement a wait list, the area agency on aging will prioritize service delivery to eligible individuals with greatest social need, eligible individuals with greatest economic need, and those at …

aging will assess, request, and obtain department approval for service wait lists, meal site closures, reduction in the number of meal site and home-delivered nutrition serving days, or opening or relocating nutrition projects prior to implementation in accordance with department…

disability services data reporting. The department will collect and maintain data on all clients served in accordance with Iowa Code section 231.56. 229.1(1) Submission of data. Each DAP shall submit to the department the data regarding each individual the DAP serves. a. DAPs sha…

“Certified volunteer” means a certified volunteer long-term care ombudsman as authorized under Iowa Code section 231.45. A certified volunteer is considered a representative of the office. “Federal Act” means the federal Older Americans Act, 42 U.S.C. §3001 et seq., as amended to…

in a long-term care facility, assisted living program, or elder group home or to medical and social records while in the course of conducting official duties pursuant to Iowa Code section 231.42 or whose work is interfered with during the course of an investigation shall report s…

may impose a monetary civil penalty of not more than $1,500 on an officer, owner, director, or employee of a long-term care facility, assisted living program, or elder group home who intentionally prevents, interferes with, or attempts to impede the duties of the state, ombudsman…

director, or employee of a long-term care facility, assisted living program, or elder group home in writing by certified mail of the intent to impose a civil penalty pursuant to 441—Chapter 16. The notice will include, at a minimum, the following information: 1. The nature of the…

term care facility, assisted living program, or elder group home who is assessed a monetary civil penalty for interference with the official duties of a long-term care ombudsman may appeal the penalty as set forth in 441—Chapter 2506. [ARC 9496C, IAB 8/20/25, effective 10/1/25; E…

230.6(1) Application. Any individual may apply to the office to become a certified volunteer. a. Application forms. Application forms may be accessed on the department’s website. b. Submission of forms. Each applicant shall complete an application and submit it to the office at t…

230.7(1) The office may provide advocacy and assistance to eligible recipients, or the families or legal representatives of such eligible recipients, of long-term services and supports provided through the Medicaid program who are receiving services in a long-term care facility o…

Code chapter 231E and establishes standards and procedures for the state office of public guardian and local offices of public guardian. It also establishes the qualifications of consumers eligible for services. [ARC 9497C, IAB 8/20/25, effective 10/1/25]

shall apply to records obtained by public guardians in the course of their duties. 231.10(1) Unless otherwise provided by rule or law, records and information of the state office of public guardian are governed by 441—Chapter 2505. 231.10(2) Records and information obtained as pa…

termination or limitation of a local office’s duties under circumstances including: 1. Public guardianship services are no longer needed or do not benefit the protected person or client; 2. The protected person’s or client’s assets allow for hiring a paid guardianship or conserva…

231.12(1) The state office and a local office shall be entitled to reasonable compensation for their public guardianship services as determined by using the following criteria: a. Such compensation shall not exceed actual costs. b. Collection of fees may be adjusted or waived bas…

231.13(1) An application for services will be denied when it is determined by the state office that: a. The application is incomplete; b. The individual is not a resident of Iowa; c. The individual is not aged 18 or older (or at least 17 and 6 months of age for appointment of a g…

231.14(1) Each local office shall develop a complaint procedure for the internal investigation and resolution of complaints. The complaint procedure shall be made available on the local office’s website. The local office will provide a copy of the complaint procedure to each prot…

chapter 231E or 633 unless the context indicates otherwise. The following definitions also apply to this chapter: “Evaluation” means a comprehensive, in-depth evaluation to identify an individual’s current situation, ability to function, strengths, problems, and care needs in the…

an accredited four-year college or university or shall have an equivalent combination of education and full- time equivalent work experience working with older adults, people with disabilities, or people overcoming social, economic, psychological or health problems. All guardian …

Guardianship Association Standards of Practice adopted in 2000, and revised in 2022, and as amended to October 1, 2025, as a statement of the best practices and the highest quality of practice for persons serving as guardians or conservators. The adoption of standards of practice…

than 40 protected persons per full-time equivalent guardian case manager at any one time. In the state office’s sole discretion, the state office or a local office may exceed staffing ratios only under the following circumstances: 1. A priority situation exists as defined in subr…

office serving a protected person or client has any personal or departmental interest that is or may be perceived as self-serving or adverse to the position or best interest of the protected person or client. When assigning the state office or a local office, all reasonable effor…

appointments to only those necessary. The state office or a local office will not accept an appointment based upon a voluntary petition unless that appointment is as a successor guardian or conservator and the court has, after notice and hearing, found by clear and convincing evi…

representative payee. 231.8(1) Any person may submit an application for services on behalf of an individual believed to be in need of public guardianship services. Applications are available on the department’s website. Incomplete applications will not be considered. Communicatio…

231.9(1) The state office or a local office will establish a case record for each protected person or client the state office or a local office is appointed to serve. At a minimum, the case record must contain demographic information, including: a. Copies of the evaluations, medi…

DIVISION II CRISIS RESPONSE SERVICES 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 providers of crisis response services. [ARC 1660C, IAB 10/15/14, effecti…

24.2(1) Performance benchmark. The organization has written policy direction for the organization and each service being accredited. 24.2(2) Performance indicators. a. The organization has a policies and procedures manual with policy guidelines and administrative procedures for a…

“Action plan” means a written plan developed for discharge in collaboration with the individual receiving crisis response services to identify the problem, prevention strategies, and management tools for future crises. “Crisis assessment” means a face-to-face clinical interview t…