Iowa Admin. Code r. 441-85.45

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

Rule 441-85.45 - Responsibilities of nursing facility

(1)Medical record requirements. The facility shall obtain a PRO determination that the person requires psychiatric care when a person applying or eligible for Medicaid enters the facility, returns from an acute care hospital stay longer than 10 days, or enters the facility after 30 consecutive days of visitation. Periodic PRO determinations of the need for continuing care are also required.

(2)Fiscal records.

a. A Case Activity Report, Form 470-0042, shall be submitted to the department whenever a Medicaid applicant or recipient enters the facility, changes level of care, is hospitalized, leaves for visitation, or is discharged from the facility.

b. The facility shall bill after each calendar month for the previous month's services.

Iowa Admin. Code r. 441-85.45