Iowa Admin. Code r. 641-157.4

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

Rule 641-157.4 - Cost of evaluation and treatment

(1)Screening and evaluation. The program shall charge no more than $125 for the cost of screening and evaluation. The individual or the individual's insurance provider shall be responsible for the costs of the screening and evaluation.

(2)Treatment. Qualifying programs shall consider a person admitted to the program pursuant to Iowa Code section 321J.3 who does not possess sufficient income or estate to make payment of the costs of the treatment in whole or in part to be a state patient and eligible for state-funded treatment as provided in Iowa Code section 125.44. Qualifying programs shall utilize a sliding fee schedule approved by the department to determine cost of treatment. There is no prohibition on any individual from paying in whole the cost of treatment.

(3)Reimbursement. Programs shall be able to seek reimbursement of the cost of screening, evaluation and treatment from an individual's insurance company, firm or corporation bound to pay, or from Medicaid for an individual who is eligible or enrolled in Medicaid.

Iowa Admin. Code r. 641-157.4