Iowa Admin. Code r. 641-11.45

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

Rule 641-11.45 - Discontinuation of services

(1) The department shall review eligibility semiannually after enrollment unless one of the following events occurs within the six-month period to end eligibility:

a. The enrolled individual dies;

b. The enrolled individual is determined eligible and enrolled to fully receive medical services through a third-party payer and is able to fully pay the insurance deductibles and copayments;

c. The enrolled individual's annual income increases to an amount above the respective ADAP component's income guidelines;

d. The enrolled individual establishes residency outside the state of Iowa;

e. The enrolled individual does not request drugs over a 90-day period; or

f. The enrolled individual is placed in an institution such as a nursing home, state prison, or jail for more than 30 days.

(2) An applicant must submit renewal documentation on a semiannual basis, accompanied by all information requested by the department.

Iowa Admin. Code r. 641-11.45

ARC 1215C, IAB 12/11/2013, effective 1/15/2014

Amended by IAB February 1, 2017/Volume XXXIX, Number 16, effective 3/8/2017