Text: HF00135 Text: HF00137 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. Section 514I.5, subsection 8, paragraph e, Code
1 2 2003, is amended by adding the following new subparagraphs:
1 3 NEW SUBPARAGRAPH. (15) Care coordination. For the
1 4 purposes of this subparagraph, "care coordination" means
1 5 coordinating the provision of services to children and
1 6 families to ensure that the children receive health care
1 7 services by promoting the coordination of social supports and
1 8 medical services across organizations and providers. Care
1 9 coordination may include but is not limited to educating
1 10 families about the services provided under the family's health
1 11 insurance coverage plan; assisting families in selecting
1 12 providers; assisting families with scheduling of health care
1 13 appointments, transportation to attend health care
1 14 appointments, and translation during health care appointments;
1 15 and assisting families in accessing community support
1 16 services.
1 17 NEW SUBPARAGRAPH. (16) Dental services, including the
1 18 coverage of partial dentures and dentures, with an annual
1 19 coverage maximum of one thousand five hundred dollars.
1 20 NEW SUBPARAGRAPH. (17) Mental health and substance abuse
1 21 benefits, including coverage of Axis I and Axis II diagnoses
1 22 as specified in the diagnostic and statistical manual of
1 23 mental disorders; coverage of the full continuum of
1 24 evaluation, treatment, and services; provision of adequate
1 25 provider panels; use of admission, discharge, continued stay,
1 26 and placement criteria specific to children and adolescents;
1 27 and the use of Iowa juvenile placement criteria for substance
1 28 abuse services.
1 29 NEW SUBPARAGRAPH. (18) Medically necessary nutrition
1 30 services provided by a licensed dietician based upon a
1 31 physician referral.
1 32 NEW SUBPARAGRAPH. (19) Occupational therapy services
1 33 provided by a licensed occupational therapist.
1 34 NEW SUBPARAGRAPH. (20) Case management for children with
1 35 special health care needs. For the purposes of this
2 1 subparagraph, "case management" means services intended to
2 2 coordinate various clinical services to ensure the best
2 3 clinical outcomes, and "children with special health care
2 4 needs" means children who have or are at increased risk for a
2 5 chronic physical, developmental, behavioral, or emotional
2 6 condition and who also require health and related services of
2 7 a type or amount beyond that required by children generally.
2 8 EXPLANATION
2 9 This bill adds benefits to the health program benefit
2 10 package of the healthy and well kids in Iowa program including
2 11 care coordination, dental services, mental health and
2 12 substance abuse benefits, institution services, occupational
2 13 therapy services, and case management for children with
2 14 special health care needs.
2 15 LSB 2115HH 80
2 16 pf/pj/5
Text: HF00135 Text: HF00137 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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