Iowa Admin. Code r. 441-82.18

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

Rule 441-82.18 - Out-of-state facilities

Payment will be made for care in out-of-state intermediate care facilities for the mentally retarded. Out-of-state facilities shall abide by the same policies as in-state facilities with the following exceptions:

(1) Out-of-state providers will be reimbursed at the same intermediate care facility rate they are receiving for their state of residence.

(2) Out-of-state facilities shall not submit financial and statistical reports as required in rule 441-81.6 (249A).

(3) Payment for periods when residents are absent for visitation or hospitalization will be made to out-of-state facilities at 80 percent of the rate paid to the facility by the Iowa Medicaid program. Out-of-state facilities with 15 or fewer beds shall be reimbursed at 95 percent of the rate paid to the facility by the Iowa Medicaid program.

This rule is intended to implement Iowa Code section 249A.12.

Iowa Admin. Code r. 441-82.18