Iowa Admin. Code r. 641-56.6

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

Rule 641-56.6 - Service providers and reimbursement

(1) A service provider must either be certified to provide services under the brain injury services waiver or have a contract with a county to provide services and apply to become certified to provide services under the brain injury services waiver within 90 days of the date that services commence.

(2) The reimbursement rate payable for the cost of a service provided under the cost-share component is the rate payable under the medical assistance program. However, if the service provider does not have a medical assistance program reimbursement rate, the rate shall be the amount payable under the county contract.

(3) All service providers must contract with the department and will be paid retroactively to the date of service eligibility.

(4) Service providers will be responsible for billing and collection of any cost share from an individual as determined by the program administrator within the department.

Iowa Admin. Code r. 641-56.6