Iowa Administrative Code

included in determining the state supplementary assistance payment must have applied for or be receiving all other benefits, including supplemental security income or the family investment program, for which the person may be eligible. The person must cooperate in the eligibility…

source other than a nonfederal governmental entity will be considered as income, and the payment will be used to reduce the state supplementary assistance payment. [ARC 9305C, IAB 5/28/25, effective 8/1/25]

51.4(1) Licensed facility. Payment for residential care can only be made when the facility in which the applicant or recipient is residing is currently licensed by the department of inspections, appeals, and licensing pursuant to laws governing health care facilities. 51.4(2) Phy…

51.5(1) Income. Income of a dependent relative must be less than the amount established by the department based on assistance standards as provided in rule 441—52.1(249). When the dependent’s income is from earnings, an exemption of $65 will be allowed to cover work expense. 51.5…

Iowa. [ARC 9305C, IAB 5/28/25, effective 8/1/25]

eligibility requirements are specific to the supplement for Medicare and Medicaid eligibles: 51.7(1) Medicaid eligibility. The recipient must be eligible for and receiving full medical assistance benefits under Iowa Code chapter 249A without regard to eligibility based on receipt…

room and board or providing family-life home care, the amount established by the department based on assistance standards as provided in rule 441—52.1(249) will be deducted to cover the cost, and the remaining amount will be treated as earned income. [ARC 9305C, IAB 5/28/25, effe…

51.9(1) As a condition of eligibility, applicants or recipients of state supplementary assistance must furnish their social security account numbers or proof of application for the numbers if they have not been issued or are not known and provide their numbers upon receipt. 51.9(…

monthly basis to recipients of state supplementary assistance in determining financial need and the amount of assistance granted. Current assistance standards will be published on the department’s website. Assistance standards will be adjusted annually to reflect cost-of-living a…

supplementary assistance program must enter into a contract with the department and agree to the provisions set forth in a contract in a form prescribed by the department. The effective date of the contract shall be the first of the month that the form is signed by the administra…

residing in the facility that contains the following: 1. Contract between the facility and the resident on a form prescribed by the department. 2. Physician’s statement certifying that the resident does not require nursing services. 3. Proof of expenditures from resident’s “perso…

made at the maximum per diem rate in 441—subrule 52.1(3). 54.3(1) Failure to maintain records. Failure to adequately maintain fiscal records, including census records, medical charts, ledgers, journals, tax returns, canceled checks, source documents, invoices, and audit reports b…

residents those goods and services required by the terms of the license issued by the department of inspections, appeals, and licensing in accordance with Iowa Code chapter 135C and rules promulgated thereto set forth in 481—Chapter 57 and requirements of the department set forth…

it shall establish and maintain a system of accounting for expenditures from the resident’s personal needs funds. The personal needs funds shall be deposited in a single checking account, not commingled with trust funds from any other facility, nor commingled with facility operat…

changes level of care, or is discharged from the facility, the facility shall notify the department on a form prescribed by the department. This rule is intended to implement Iowa Code section 249.12. [ARC 9307C, IAB 5/28/25, effective 8/1/25]

facility shall submit a billing form to the department following the month in which service was provided. This rule is intended to implement Iowa Code section 249.12. [ARC 9307C, IAB 5/28/25, effective 8/1/25] [Filed 6/25/76, Notice 5/17/76—published 7/12/76, effective 8/16/76] […

“Benefits” means Supplemental Security Income (SSI) for the aged, blind, and disabled (a federal cash assistance program under Title XVI of the Social Security Act as amended to August 1, 2024) and any federally administered state supplementary assistance payments that are determ…

assistance payments, a county agency must meet the following requirements: 57.2(1) Agreement. The county agency shall enter into a written agreement with the department of health and human services on a form prescribed by the department. 57.2(2) Authorization. The county agency s…

57.3(1) The county agency shall submit the information requested on a form prescribed by the department to the Social Security Administration at the address given on the form: a. Before the date the agency first participates in the program, and b. Subsequently when changes in the…

“Community action agency” or “eligible entity” means any organization that was officially recognized as a community action agency under the provisions of Section 673(1) of the CSBG Act and Iowa Code sections 216A.91 and 216A.93. “CSBG” means community services block grant program…

of the state is not, or ceases to be, served by a community action agency and the governor decides to serve such area, the department will adhere to the requirements in Section 676A of the CSBG Act, U.S. Department of Health and Human Services statutory guidance, and other federa…

the designation of or reduce the share of CSBG funds allocated to an eligible entity if the department determines that an eligible entity fails to comply with the terms of an agreement, or the Iowa CSBG State Plan as amended to August 1, 2026, to provide CSBG services or to meet …

58.12(1) Eligible entities shall adopt client grievance procedures to address CSBG client complaints. The grievance procedures must be approved by the department. The procedures shall be used for all clients to file a complaint for nonappealable items. If complaints are unable to…

August 1, 2026, and the Iowa CSBG Policies and Procedures Manual as amended to August 1, 2026, are incorporated by reference as part of these rules. If any rule in this chapter conflicts with federal law or rules, federal law or rules shall prevail. [ARC 0496D, IAB 8/19/26, effec…

to states and local communities, working through a network of community action agencies and other neighborhood-based organizations, for the reduction of poverty, the revitalization of low-income communities, and the empowerment of low-income families and individuals in rural and …

used: 58.3(1) To support the following activities that are designed to assist low-income families and individuals: a. Removing obstacles and solving problems that block the achievement of self-sufficiency; b. Securing and retaining meaningful employment; c. Attaining an adequate …

58.4(1) Iowa apportionment. There are appropriated to the department from the fund created by Iowa Code section 8.41(1) funds to implement the CSBG as described in the CSBG Act. 58.4(2) Distribution of funds. CSBG funds received according to subrule 58.4(1) will be allocated to t…

receive and administer CSBG funds are as follows. 58.5(1) Organization. The organization must meet the definition of a “community action agency” as defined in these rules. 58.5(2) Board composition. A recognized community action agency shall be governed by a board of directors co…

plan for the purpose of applying for CSBG funds. Community action plans must be outcome-based and antipoverty-focused and tie directly to the eligible entity’s community assessment. 58.6(1) Timing. Eligible entities shall be informed in writing by the department of the due date f…

58.7(1) Compliance review. All activities proposed in the community action plan will be reviewed by the department for: a. Compliance with the specific purposes and uses of funds outlined in rules 441—58.2(216A,PL97-35) and 441—58.3(216A,PL97-35); b. Inclusion of assurances that …

costs: 58.8(1) Any partisan or nonpartisan political activity or any political activity associated with a candidate, or faction group, in an election for public or party office; any activity to provide voters or prospective voters with transportation to the polls or similar assis…

shall be performed by a certified public accountant and in accordance with generally accepted auditing standards. Audit procedures shall conform to 2 CFR Chapter I, Office of Management and Budget Governmentwide Guidance for Grants and Agreements as amended to August 1, 2026, and…

definitions apply: “Assurance 16” means a provision of 42 U.S.C. Sections 8621 through 8630 as amended to August 1, 2026, that provides low-income home energy assistance program (LIHEAP) subrecipients the option of spending no more than 5 percent of their LIHEAP funds on services…

process and procedures approved by the department for nonappealable actions. The following appeal and hearing procedures shall be used: 59.10(1) An applicant may initiate an appeal: a. If an application is denied. b. If an application is not acted upon within the required time fr…

criteria for the program are incorporated by reference as part of these rules. If any rule in this chapter conflicts with federal law or rule, federal law or rule shall prevail. [ARC 0497D, IAB 8/19/26, effective 10/1/26] These rules are intended to implement Iowa Code chapter 21…

59.2(1) Households with incomes at or below the annually determined federal poverty guidelines, but not to exceed 150 percent of the guidelines, or an amount equal to 60 percent of the state median income for the state, according to DHHS, that are published annually in the Federa…

59.3(1) The department shall administer the LIHEAP program by contracting with LAAs that meet program and fiscal guidelines as required by federal law. 59.3(2) Each LAA will conduct outreach activities to ensure that eligible households are made aware of the program. In addition …

between October 1, or the first working day of October, and April 30, or the last working day of April, or as defined in the manual. [ARC 0497D, IAB 8/19/26, effective 10/1/26]

59.5(1) Types of payments. The following types of energy assistance payments may be made: a. Payments may be made to suppliers on behalf of eligible households. The client’s assistance shall remain as a credit on the client account until the program assistance is expended or the …

be determined based on the household’s circumstances at the time of approval. If a household moves, a household of one passes away, or a household moves to a different service territory, etc., after applying for the program, the process outlined in the manual is to be followed. […

file with the LAA before payments may be made to the vendor. If a fuel supplier does not sign a vendor agreement, a direct payment may be made to the eligible applicant. In cases where a vendor has not complied with all provisions of the vendor agreement, the state may approve di…

59.8(1) Eligibility. To be eligible for crisis assistance, a household must file an application, meet the income guidelines of LIHEAP, and meet the definition of “energy crisis.” 59.8(2) Evaluation. Each crisis application will be evaluated individually by the LAA, which shall de…

and enable households to reduce their home energy needs, and thereby reduce their need for energy assistance, shall be provided as Assurance 16 activities as outlined in the manual. [ARC 0497D, IAB 8/19/26, effective 10/1/26]

6.1(1) Definition. For purposes of this chapter, “a waiver ” means action by the department that suspends, in whole or in part, the requirements or provisions of a rule as applied to an identified person on the basis of the particular circumstances of that person. 6.1(2) Scope. T…

441—6.1(17A,217) must meet the requirements specified therein and must substantially conform to the following form: BEFORE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES Petition by (name of petitioner) for the waiver of (insert rule citation) relating to (insert the subject matter)…

60.1(1) Immigration status. A refugee is a person whose immigration status is one of the following statuses as issued by the United States Immigration and Naturalization Service: a. Granted asylum under Section 208 of the Immigration and Nationality Act as amended to August 1, 20…

60.10(1) Duplication of assistance. A refugee whose needs are included in a refugee cash assistance grant will not concurrently receive a grant under any other public assistance program administered by the department. Neither will a recipient concurrently receive a grant from a p…