CHAPTER 22
HEALTH CARE FACILITY AUDITS
[Rules in 481—Chapter 22 transferred to 481—Chapter 31, 8/26/87]
481—22.1(10A) Audit occurrence. The department audits financial records of intermediate care facilities, residential care facilities, and intermediate care facilities for the intellectually disabled on a rotating basis or upon request of the department of human services (DHS). Audits are intended to ensure compliance with the following Iowa Administrative Code chapters:
	1.	441—Chapter 52, Payment, specifically subrule 52.1(3).
	2.	441—Chapter 54, Facility Participation, specifically rule 441—54.5(249) and subrule 54.8(2).
	3.	441—Chapter 81, Nursing Facilities, specifically subrule 81.4(3), rule 441—81.10(249A) and subrule 81.14(2).
	4.	441—Chapter 82, Intermediate Care Facilities for Persons With an Intellectual Disability, specifically subrules 82.9(3) and 82.17(2).
If a rule not listed is used in an audit, the auditor will notify the facility.
The department acts as an agent for DHS when conducting the above audits.
[ARC 0766C, IAB 5/29/13, effective 7/3/13]
481—22.2(10A) Confidentiality. All information compiled during an audit is confidential according to Iowa Code sections 10A.105 and 217.30. All inquiries to release information which is confidential under Iowa Code section 217.30 must be addressed to the DHS.
	22.2(1) Information may be added to an audit file by the subject of the audit when the subject notifies the Audits Unit, Department of Inspections and Appeals, Lucas State Office Building, Des Moines, Iowa 50319.
	22.2(2) At the conclusion of the audit, when material is returned to DHS, DHS rules regarding fair information practices prevail.
[ARC 6518C, IAB 9/7/22, effective 10/12/22]
These rules are intended to implement Iowa Code sections 10A.302 and 22.11.
[Filed 1/6/88, Notices 8/12/87, 12/2/87—published 1/27/88, effective 3/2/88]
[Filed 1/5/89, Notice 11/30/88—published 1/25/89, effective 3/1/89]
[Filed ARC 0766C (Notice ARC 0601C, IAB 2/6/13), IAB 5/29/13, effective 7/3/13]
[Filed ARC 6518C (Notice ARC 6412C, IAB 7/13/22), IAB 9/7/22, effective 10/12/22]