Iowa Administrative Rules (Last Updated: December 07, 2016) |
Department 441. Human Services Department |
Chapter 73. MANAGED CARE |
Section 441.73.1. Definitions. |
Section 441.73.2. Contracts with a managed care organization. |
Section 441.73.3. Enrollment. |
Section 441.73.4. Disenrollment process. |
Section 441.73.5. Covered services. |
Section 441.73.6. Amount, duration and scope of services. |
Section 441.73.7. Emergency services. |
Section 441.73.8. Access to service. |
Section 441.73.9. Incident reporting. |
Section 441.73.10. Discharge planning. |
Section 441.73.11. Level of care assessment and annual reviews. |
Section 441.73.12. Appeal of managed care organization actions. |
Section 441.73.13. Appeal to department. |
Section 441.73.14. Continuation of benefits. |
Section 441.73.15. Grievances. |
Section 441.73.16. Written record. |
Section 441.73.17. Information concerning procedures relating to the review of managed care organization decisions and actions. |
Section 441.73.18. Records and reports. |
Section 441.73.19. Audits. |
Section 441.73.20. Marketing. |
Section 441.73.21. Enrollee education. |
Section 441.73.22. Payment to the managed care organization. |
Section 441.73.23. Claims payment by the managed care organization. |
Section 441.73.24. Quality assurance. |
Section 441.73.25. Certifications and program integrity. |