641—201.5 (135,75GA,ch158) Service area/geographic access.
	 201.5(1) An organized delivery system shall establish its own service area subject to approval by the department. The department shall approve only service areas where the county was used as the basic building block.
	 201.5(2) The ODS’s plan of operation shall address the capability of the ODS to serve an enrollee residing anywhere in the service area.
	 201.5(3) ODSs shall cover emergency care to enrollees who are traveling outside the ODS’s service area. The ODS may impose copayments or deductibles for such care to the extent permitted by the enrollee’s policy and may require the enrollee to return to the service area for continuing treatment as soon as the enrollee’s condition reasonably permits such travel.
	 201.5(4) An ODS shall provide geographic access to its enrollees within its service area as follows:
	  a.   	 Primary care shall be available within 30 minutes’ travel time.
	  b.   	 Primary inpatient hospital care shall be available within 60 minutes’ travel time. Inpatient hospital services at a secondary or tertiary level may be made available at a referral center exceeding the 60-minute limit and may be located outside the service area.
	  c.   	 The above requirements do not require that care be provided within the state of Iowa.
	 201.5(5) A licensed ODS wishing to expand its service area shall seek approval from the department for the expansion. The ODS shall submit evidence that the requirements of subrules 201.5(1) through 201.5(4) can be met for the additional counties.