Iowa Administrative Code

of an accrued or accruing debt due and owing to the department as provided in rule 441—89.2(249F) pursuant to Iowa Code section 249F.3(1). [ARC 9313C, IAB 5/28/25, effective 8/1/25]

the department, the department may enter an order pursuant to Iowa Code section 249F.3(3) and 249F.3(4). [ARC 9313C, IAB 5/28/25, effective 8/1/25]

department, the department will certify the matter for hearing to the district court pursuant to Iowa Code section 249F.4. [ARC 9313C, IAB 5/28/25, effective 8/1/25]

motion regarding the determination of a debt at any time prior to entry of an administrative order. [ARC 9313C, IAB 5/28/25, effective 8/1/25]

249F.5(1). The department’s order shall be presented, ex parte, to the district court for review and approval. [ARC 9313C, IAB 5/28/25, effective 8/1/25]

9.1(1) The purpose of this chapter is to facilitate public access to open records. It also seeks to facilitate department determinations with respect to the handling of confidential records and the implementation of the fair information practices Act. The department is committed …

disclosed without the consent of the subject. To the extent allowed by law, the department may also use and disclose confidential information without the consent of the subject or the subject’s representative. 9.10(1) Routine use. To the extent allowed by law, the following are c…

9.11(1) Open records. Department records are open for public inspection and copying unless otherwise provided by rule or law. 9.11(2) Confidential records. Iowa Code chapters governing the operations of the department establish the confidential nature of many department records. …

effective 7/1/26.

will follow all special policies and procedures for using and disclosing protected health information as outlined in 45 CFR Part 164 as amended through December 31, 2023, including the minimum necessary standard, uses and disclosures for premium rating and related purposes, verif…

9.14(1) Adults. When the subject is an adult, including an emancipated minor, the subject’s rights under this rule may also be exercised by the subject’s legal or personal representative, except as provided in subrule 9.14(3). 9.14(2) Minors. Within the limits of subrule 9.14(3),…

9.3(1) Location of record. A request for access to a record should be directed to the Records Officer, 321 East 12th Street, Des Moines, Iowa 50319. If a request for access to a record is misdirected, department personnel will promptly forward the request to the department’s reco…

provisions of law, the lawful custodian may disclose certain confidential records to one or more members of the public. Other provisions of law authorize or require the custodian to release specified confidential records under certain circumstances or to particular persons. In re…

from examinations. The custodian may treat a record as a confidential record and withhold it from examination only to the extent that the custodian is authorized by Iowa Code section 22.7, another applicable provision of law, or a court order, to refuse to disclose that record to…

records. 9.6(1) All programs. Except as otherwise provided by law, a subject may file a request with the custodian to review, and to have a written statement of additions, dissents, or objections entered into, a record containing personally identifiable information pertaining to …

permitted by any applicable provision of law, the subject of a confidential record may have a copy of the portion of that record concerning the subject disclosed to a third party. A request for such a disclosure must be in writing and must identify the particular record or record…

information about that person, the department shall notify the person of how the information will be used, which entities outside the department might routinely be provided this information, which parts of the requested information are required and which are optional, and the con…

health information standards as outlined in 45 CFR §164.524 as amended to February 6, 2014. If the department does not maintain the protected health information that is the topic of the subject’s request for access, and the department knows where the requested information is main…

“Adult” means a person 18 years of age or older on the first day of the month in which service begins. “Applicant” means a person who has applied for an HCBS waiver or habilitation program. “Case management” means the categories of case management: targeted case management (TCM) …

TCM and the defined targeted population. 90.2(1) Eligibility for targeted case management. A person who meets all of the following criteria will be eligible for TCM: a. The person is eligible for Medicaid or is conditionally eligible under 441—Chapter 75; b. The person is a membe…

90.3(1) TCM shall be terminated only when: a. The member does not meet eligibility criteria under rule 441—90.2(249A); b. The member has achieved all goals and objectives of the service; c. The member has no ongoing need for TCM; d. The member is receiving TCM based on eligibilit…

all populations covered by case management. 90.4(1) Covered services. The following shall be included in FFS case management services provided to members. a. Assessment. Initial assessments and regular reassessments must be completed for each member to determine the need for medi…

populations covered by case management. Any effort to restrict the rights of a member, or the member’s preferences or goals must be justified by a specific individualized assessed safety need and documented in the person-centered service plan. For more information, refer to the P…

all populations covered by case management. The case management billing manual for case management contact documentation and billing requirements available on the department’s website and as amended to July 1, 2026, contains more information. [ARC 0319D, IAB 5/27/26, effective 7/…

90.7(1) This rule applies to all categories of case management and all populations covered by case management. Major or minor incidents shall be reported according to the case management incident reporting manual available on the department’s website and as amended to July 1, 202…

“Applicant” means a person applying for a Medicare drug subsidy through the department and includes a responsible person or authorized representative acting for an applicant, except for the purposes of subrule 91.2(2). “Application” or “Medicare drug subsidy application” means th…

91.2(1) Application filing. Any person may apply for the Medicare drug subsidy through the department in accordance with 441—Chapter 76. 91.2(2) Identifiable application and signature. a. An identifiable application is an application that contains: (1) The legible name and addres…

drug subsidy pursuant to Section 1860D-14 of the Social Security Act and implement federal regulations at 20 CFR Section 418 as amended to August 1, 2024. 91.3(1) Cooperation. An applicant must cooperate with the department in the application process. Cooperation may include prov…

Part 423 as amended to August 1, 2024. [ARC 9314C, IAB 5/28/25, effective 8/1/25]

91.5(1) Responsibility to report changes. A Medicare drug subsidy applicant or recipient shall report to the department in a timely manner any changes in the following circumstances: a. Care of dependents. b. Household composition. c. Household income. d. Household resources. e. …

circumstances indicate, but in no instance will the period between reinvestigations exceed 12 months. 91.6(1) Application requested. When requested to do so by the department, the recipient shall complete the Medicare drug subsidy application as part of the reinvestigation proces…

the department pursuant to 441—Chapter 7. [ARC 9314C, IAB 5/28/25, effective 8/1/25] These rules are intended to implement Iowa Code sections 217.6 and 249A.4 and Section 1935(a) of the Social Security Act (42 U.S.C. Section 1396u-5). [Filed emergency 6/17/05—published 7/6/05, ef…

93.10(1) Written notification to participants. a. Notice of meetings, assignments, and issues. PROMISE JOBS shall notify participants in writing of all scheduled meetings, of FIA activity and work-site assignments, and of any participation issues as described in rule 441—93.13(23…

d. Verification of employment hours. Participants must provide verification of employment hours as described in subrule 93.10(2). e. Failure to provide verification. Failure to provide verification of work hours after receiving a written reminder letter will result in an LBP. f. …

or a provider receives an expense payment for transportation or other supportive expenses that is greater than allowed under these rules or receives a duplicate payment of an expense payment, an overpayment is considered to have occurred and recovery is required. There are two ca…

93.4(9) Reinstatement. When a participant who has signed an FIA loses FIP eligibility and has not become exempt from PROMISE JOBS at the time of FIP reapplication, the contents of the original FIA and the participant’s responsibility for carrying out the steps of that FIA may be …

readiness skills training may be required to either make up the missed portion of the sessions or to retake the entire week of training based on practical worker judgment and participant need. e. Supportive payments allowed. Child care assistance and transportation payments shall…

entitled to appeal and to be granted a hearing over disputes regarding: (1) services being received; (2) services that have been requested and denied, reduced, canceled, or inadequately provided; and (3) overpayments of PROMISE JOBS expense payments. 93.15(1) Informal resolution …

93.16(1) Resolution process for a first LBP. For participants who choose a first LBP, the notice of decision shall inform the participant of the action needed to reconsider the LBP as described in 441—subparagraph 41.24(8)“d”(1). a. The notice of decision establishing a first LBP…

provide a grievance procedure to address and resolve public complaints regarding the displacement of regular workers with program participants in a work experience placement. 93.17(1) The procedure shall provide that: a. Complaints must be filed in writing and received by the PRO…

program known as PROMISE JOBS. 93.2(1) Availability of service. PROMISE JOBS services shall include but are not limited to those listed in paragraph 93.4(4)“b.” a. The program shall be available statewide. If the department determines that sufficient funds are not available to of…

93.3(1) Registration for PROMISE JOBS. Unless the department determines a person is exempt as specified in 441—subrule 41.24(2), an application for FIP assistance constitutes a registration for the PROMISE JOBS program and acceptance of the requirement to enter into an FIA for al…

eligibility requirement for the FIP as specified in rule 441—41.24(239B). 93.4(1) Development. An initial FIA shall be developed during the orientation and assessment process through discussion between the FIA-responsible person and the PROMISE JOBS worker. For the FIA to be cons…

or participant family that furnishes a basis for the PROMISE JOBS worker to determine: (1) family members’ employability and educational potential, so that participants can make well-informed choices; and (2) the services that will be needed for the family to achieve self-suffici…

job readiness skills training and other activities that prepare a participant to search for or obtain employment, individual and structured job search, unplanned job opportunities, substance use disorder treatment, mental health treatment, and other rehabilitation activities. The…

self-employment, on-the-job training, work experience placement, and unpaid community service. The participant and the PROMISE JOBS worker shall incorporate into the FIA employment activities that are appropriate for the work history, skill level, and life circumstances of the pa…

course of study that enables a participant to complete high school, improves a participant’s ability to read and speak English, or prepares a participant for a specific professional or vocational area of employment. Though employment leading to economic self-sufficiency is the ev…

93.9(1) Parenting skills training. a. Parents aged 20 or older. For parents who are aged 20 or older when the FIA is signed, activities that strengthen the participant’s ability to be a better parent can be considered approvable training under PROMISE JOBS and may be included in …

“Assigned support arrearages” means support arrearages for which all rights have been and will remain assigned to the state of Iowa. “Designated provider” means any project approved in whole or in part by child support services and approved by the department to assist parents in …