Section 641.11.45. Discontinuation of services.

         11.45(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 MAGI 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.

         11.45(2) An applicant must submit renewal documentation on a semiannual basis, accompanied by all information requested by the department.

[ARC 1215C, IAB 12/11/13, effective 1/15/14]