441—87.11(217) Providers eligible to participate.
	87.11(1) Providers must be enrolled with the Iowa Medicaid program, subject to rule 441—79.14(249A), and otherwise qualified to provide family planning services under Medicaid, subject to the limitations related to abortions, as specified above under subrule 87.7(1).
	87.11(2) Process for enrollment. Providers wishing to enroll under the state family planning program must complete the following steps:
	a. 	Must complete enrollment with Iowa Medicaid enterprise.
	b. 	Must complete Form 470-5484, Family Planning Program Provider Attestation, regarding nonprovision of abortions, pursuant to requirements referenced above under subrule 87.7(1).
	c. 	Forms referenced in this subrule must be sent to Iowa Medicaid Enterprise, Provider Enrollment Unit, P.O. Box 36450, Des Moines, Iowa 50315.
[ARC 3199C, IAB 7/19/17, effective 7/1/17]