Iowa Admin. Code r. 641-10.5

Current through Regsiter Vol. 46, No. 26, June 12, 2024

Rule 641-10.5 - Participant application procedures for IGS program services

(1)Enrollment. After an individual is determined eligible for services and agrees to participate in the IGS program, the following provisions shall apply:

a. A prospective participant must complete the Informed Consent and Release of Medical Information form and submit it to the local program coordinator in order to become enrolled in the program and be considered a program participant. The date on the signed form shall be the participant's enrollment date.

b. Upon enrollment, the participant shall be eligible for services for 12 months beginning from the date of enrollment, subject to restrictions in funding and program coverage as provided in subrules 10.5(2), 10.5(3) and 10.6(1).

(2)Reenrollment.

a. A participant's continued eligibility for IGS program coverage shall be determined annually.

b. The IGS local program coordinator shall reenroll the participant in the program no more than 30 days prior to the end of the 12-month coverage period in accordance with USPSTF guidelines or a physician's recommendation.

c. When a participant reenrolls, the participant must complete, sign and return the consent and release form to the local program coordinator before receiving any further services.

(3)Termination of enrollment. The IGS program shall terminate a participant's enrollment if the participant:

a. Requests termination from the program;

b. No longer meets the criteria set forth in rule 641-10.4 (135);

c. Does not return a signed IGS program consent and release form; or

d. Refuses to receive screening and diagnostic services through an IGS program health care provider.

Iowa Admin. Code r. 641-10.5

ARC 0060C, lAB 4/4/12, effective 5/9/12

Amended by IAB December 15, 2021/Volume XLIV, Number 12, effective 1/19/2022