Iowa Admin. Code r. 441-80.6

Current through Register Vol. 47, No. 11, December 11, 2024

Rule 441-80.6 - Payment to provider-exception

Payments for medical services may be made only to the provider of the services except as provided below:

(1)Medical assistance corrective payments. Payment may be made to the client or county relief agency in accordance with 441-Chapter 75.

(2)Assignment. Payment may be made in accordance with an assignment to a county for medical services received while the recipient was receiving interim assistance or while an appeal of a denial of medical assistance was pending.

(3)Business agent of provider. Payment may be made to a business agent that furnishes statements and receives payments in the name of the provider if the agent's compensation is:

a. Related to the cost of processing the billing.

b. Not related on a percentage or other basis to the amount that is billed or collected.

c. Not dependent upon the collection of the payment.

Iowa Admin. Code r. 441-80.6

Amended by IAB February 8, 2023/Volume XLV, Number 16, effective 4/1/2023