Iowa Admin. Code r. 441-82.8
Current through Register Vol. 47, No. 11, December 11, 2024
For clients not enrolled with a managed care organization, certification of need for continued stay shall be made according to procedures established by the Iowa Medicaid QIO unit. For all clients enrolled with a managed care organization, the managed care organization shall review the Medicaid client's need for continued care in an ICF/ID at least annually. The managed care organization must submit documentation to the Iowa Medicaid QIO unit for all reviews that indicate a change in the client's level of care. The Iowa Medicaid QIO unit shall make a final determination for any reviews that indicate a change in the level of care.
This rule is intended to implement Iowa Code section 249A.12.
Iowa Admin. Code r. 441-82.8