Iowa Admin. Code r. 641-11.89

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

Rule 641-11.89 - [Effective until 1/1/2025] 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 household 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 within 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. 641-11.89

ARC 0755C, IAB 5/29/2013, effective 7/3/2013