Iowa Admin. Code r. 641-122.5
Current through Regsiter Vol. 46, No. 26, June 12, 2024
Rule 641-122.5 - Transplant recipients and donors Funding is available to transplant recipients, donors, and a single caretaker for the reimbursement of out-of-pocket expenses not covered by insurance.
(1)Eligibility criteria. To be eligible for a grant, an applicant (or the applicant's legal representative) must be a U.S. citizen and a resident of the state of Iowa or be a living organ donor to a resident of Iowa who: a. Has undergone a transplant surgery, orb. Is in need of dental clearance in order to be placed on a transplant list as maintained by the United Network for Organ Sharing (UNOS), orc. Has been tested as a potential donor and been rejected. (2)Grant application. The department shall make the grant application form available on the department's Web site. Awards shall be made on a reimbursement basis to Iowa resident donors and donor recipients. The total amount of grant funds awarded to an applicant shall be based on the number of applicants and the availability of funds. Awarded grant funds will be made payable to the applicant.(3)Application process.a. The applicant shall complete the application, as provided by the department, in its entirety and forward the application to the applicant's transplant social worker for review, comment and approval.b. The transplant social worker shall review the information and documentation provided by the applicant and attest to their accuracy.c. The completed application shall be mailed to the address provided on the application. Applications that are incomplete or illegible shall be returned via U.S. mail to the applicant or to the attention of transplant social workers for completion. Original receipts shall be submitted with the application.d. Grant application documentation shall be retained by the applicant and the transplant social workers for a minimum of five years.(4)Eligible expenses. The department may reimburse applicants for the following expenses. A more comprehensive list of items eligible for reimbursement is located in the Guidelines - Category 3 document at http://idph.iowa.gov/anatomical-gift. a. Dental expenses required for placement of the recipient on a transplant list and expenses directly related to the transplant, to include:(1) Initial routine exam.(4) Up to $1,500 of remaining expenses.b. Prescription medication (maximum of $2,000).c. Lodging (rate determined by the department).d. Airfare (coach) for donor and caretaker for a maximum of two people at a rate determined by the department.e. Expenses immediately preceding and immediately following transplant surgery until the recipient and living organ donor are medically released by the hospital.f. Disposable, short-term cleaning and daily life items, such as paper towels, paper plates, tin foil, toilet paper, etc.h. Mileage at current rate of state reimbursement.i. Child care when both parents undergo surgery related to a single organ transplant.(5)Ineligible expenses. The department may not reimburse for the following. b. Alcohol or nonfood items, such as gum, breath mints, candy, etc.c. Delivery fees and charges, Internet access, or garage rental.d. In-domicile meals, food, or lodging.e. Medication not directly associated with the transplant or medication taken prior to the transplant.f. Medication and supplies available over the counter, such as blood pressure cuffs, gauze, bandages, scales, support hose, etc.g. Credit card fees, check processing fees, and nonrefundable security deposits.h. Lodging and meals for visitors.j. Nondisposable or long-term cleaning and daily life expenses, such as vacuum, broom, towels, bedding, etc.k. Personal items, such as shampoo, lotion, toothbrush, toothpaste, personal hygiene items, or clothing, etc.l. Labels, stamps, envelopes, notebooks, etc.m. Follow-up visit meals, lodging, etc.n. Expenses covered by primary, secondary, or tertiary insurance.(6)Review process.a. The department shall review grant applications and supporting documentation on a first-come, first-served basis.b. Grant reimbursement limits and eligibility shall be determined by the department.c. Grant applications and payments are not considered public records pursuant to Iowa Code section 22.7(2). These rules are intended to implement Iowa Code section 142C.15.
Iowa Admin. Code r. 641-122.5
Adopted by IAB October 12, 2016/Volume XXXIX, Number 08, effective 11/16/2016