Iowa Admin. Code r. 61-9.83

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

Rule 61-9.83 - [Effective until 12/18/2024] Computation of sexual abuse examination payments

(1)Payment for examination. The department shall make payment for sexual abuse examinations, as appropriate, for services including, but not limited to:

a. Examiner's fee:

(1) To collect the patient's medical history;

(2) To conduct a physical examination;

(3) To collect laboratory specimens;

(4) To test for sexually transmitted diseases.

b. Treatment for the prevention of sexually transmitted disease.

c. Examination facility, including:

(1) Emergency room, clinic room or office room fee;

(2) Pelvic tray and medically required supplies;

(3) Additional facility or equipment fees which the department determines to be reasonable.

d. Laboratory collection and processing of specimens for: criminal evidence; sexually transmitted disease; and pregnancy testing.

(2)Provider payment. The department will pay up to $300 for the examination facility and up to $200 for examiner fees. Any charges in excess of these amounts will require additional documentation from the provider. The department shall set reasonable payment limits for treatment, including prescription drugs, for the prevention of sexually transmitted diseases and for laboratory collection and processing of specimens. The crime victim assistance program will pay only those charges determined by the department to be reasonable and fair.

(3)Examination kits available at no cost. The Iowa department of public safety division of criminal investigation makes sexual abuse examination kits available to health care providers at no cost.

Iowa Admin. Code r. 61-9.83

Amended by IAB July 31, 2019/Volume XLII, Number 3, effective 9/4/2019