The following lists include expenses that are either eligible or ineligible for reimbursement from the noncontracted/court-ordered services fund and are intended to be exhaustive. Billings for services not listed below shall not be paid except as provided in subrule 70.303(3).
70.303(1)Reimbursable expenses. The expenses for which reimbursement shall be made include: a. Transportation expenses, including those incurred in transporting a child to or from a place designated by the court, including mileage, lodging, and meals.b. Medical cost sharing for payment of deductibles or coinsurance when Medicaid or private insurance is then available to pay the remainder of the cost.c. The expense of care or treatment ordered by the court whenever the child is placed by the court with someone other than the parents or whenever the child is given a physical or mental examination or treatment under order of the court, including treatment referenced under a consent decree. Care and treatment expenses for which no other provision for payment is made by law that shall be reimbursable include: (1) Individual services for the child separate from a family's treatment plan.(2) Diagnosis and evaluation on an outpatient basis unless the diagnosis and evaluation are provided by a person or agency with a contract with the judicial branch for that service for which the child is eligible.(3) An evaluation of a child in a residential facility.(4) Inpatient (hospital) evaluation of a child previous to disposition.(5) Medical treatment for a child when the medical treatment is court-ordered, except when the child is in a detention facility.(6) Drug treatment, testing, testing supplies, and care for a child.(7) In-home supervision and monitoring, including global positioning system monitoring, and alternatives to shelter care unless a person or agency has a contract with the judicial branch to provide the service for which the child is eligible.(8) One-to-one supervision of a child not in a detention facility unless the service is provided by a person or agency with a contract with the judicial branch for that service for which the child is eligible.(9) Physical or mental examinations ordered pursuant to Iowa Code section 232.49, except those set forth in paragraph 70.303(2)(b) or those eligible for payment pursuant to Iowa Code chapter 249A.d. Expenses for educational testing or programs related to a high school equivalency test (HiSET) or equivalent or for credit hours when the expenses are not required to be paid by the state.e. Expenses for a child meant to serve as a diversionary tool for children at risk of further involvement with the juvenile justice system, which may include: (1) Drug treatment, testing, testing supplies, and care for a child.(2) Educational programming used as a deterrent for at-risk and delinquent children, unless the service is provided by a person or agency with a contract with the judicial branch for that service for which the child is eligible.(3) In-home supervision and monitoring, including global positioning system monitoring, and alternatives to shelter care, unless a person or agency has a contract with the judicial branch to provide the service for which the child is eligible. 70.303(2)Expenses not eligible for reimbursement. Expenses that are excluded from reimbursement from noncontracted/court-ordered service funds because another source is available to pay for the service include: a. Foster care and shelter care. See Iowa Code section 234.35.b. All charges for which the county is obligated by statute to pay including:(1) Care and treatment of patients by any state mental health institute. See Iowa Code section 230.20(5).(2) Care and treatment of patients by either of the state resource centers or by any other facility established under Iowa Code chapter 222. See Iowa Code section 222.60.(3) Care and treatment of patients by the psychiatric hospital in Iowa City. See Iowa Code ch. 225.(4) Care and treatment of persons at the alcoholic treatment center in Oakdale or any other facility as provided in Iowa Code chapter 125. See Iowa Code section 125.44.(5) Clothing and medical or other service provided to persons at the Iowa Braille and Sight Saving School, the Iowa School for the Deaf, or the University of Iowa Stead Family Children's Hospital for which the county becomes obligated to pay pursuant to Iowa Code sections 263.12, 269.2, and 270.4.(6) Expenses for detention in a facility used for detention. See Iowa Code section 232.142.(7) Care and treatment of persons placed in a county hospital, county care facility, a health care facility as defined in Iowa Code section 135C.1(8), or any other public or private facility in lieu of admission or commitment to a state mental health institute, state resource center, or other facility established pursuant to Iowa Code chapter 222. See Iowa Code section 222.50.(8) Child abuse photos and X rays. See Iowa Code section 232.77.(9) Any expenses set forth in Iowa Administrative Code subrule 441-151.22(1) that qualify for payment pursuant to Iowa Code chapter 249A.(10) Expense of a child sexual abuse examination. See Iowa Code section 915.41.(11) Expense of child daycare. See Iowa Code section 234.6.(12) Expense of in-home treatment services. See Iowa Admin. Code chs. 441-78-79, 83.(13) Expense of homemaker-home health aide services. See Iowa Admin. Code ch. 641-80.(14) Expenses for all educational testing or programming required to be paid by the state, except for children who attend an on-campus school in an out-of-state facility and who are not weighted as special education students. See Iowa Code ch. 256.(15) Expenses, except for the allowable medical cost sharing, for all court-ordered counseling and treatment for adults, including individual, marital, mental health, substance use disorder, and group therapy. Payment source is private insurance, Medicare, Medicaid, or other resources consistent with Medicaid and social services eligibility and Iowa Code chapter 249A.(16) Expenses, except for the allowable medical cost sharing, for psychiatric medical institutions for children (PMIC). Payment source is private insurance, Medicare, Medicaid, or other resources consistent with Medicaid and social services eligibility and Iowa Code chapter 249A.70.303(3)Services not listed. If a court orders a service not currently listed in subrule 70.303(1), the chief juvenile court officer or approved administrator shall review the order and shall consult with state court administration. If reimbursement for the service expense is not in conflict with current law and meets the criteria for payment by noncontracted/court-ordered service funding, the chief juvenile court officer or approved administrator shall authorize reimbursement to the provider.70.303(4)Appeals. If services are court-ordered, children who have been adversely affected by decisions made by the juvenile court and their parents or guardians may appeal through procedures established pursuant to Iowa Code section 232.133.Iowa. R. Juv. Ct. Serv. Direct. Prog. 70.303
Court Order December 2, 2022, effective 7/1/2023; court order January 26, 2024, effective 1/26/2024.