HF 2339 (LSB 5777HV (3) 83)

HOUSE FILE 2339

BY  COMMITTEE ON HUMAN RESOURCES

(SUCCESSOR TO HF 2065)

A BILL FOR

An Act relating to reimbursement for administrative costs under the medical assistance home and community-based services waiver for intellectual disabilities.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAL ASSISTANCE WAIVER SERVICES FOR PERSONS WITH INTELLECTUAL DISABILITIES —— REIMBURSEMENT OF ADMINISTRATIVE COSTS.
   1.  The department of human services shall adopt rules to provide that administrative costs shall not exceed eighteen percent of program costs for services under the medical assistance home and community-based services waiver for intellectual disabilities. The rules shall provide that administrative costs for such waiver are comprised of those costs incurred in the general management and administrative functions of the program, as defined by administrative rules adopted for intermediate care facilities for individuals with mental retardation, and shall be based on generally accepted accounting principles.
   2.  The department may adopt emergency rules under section 17A.4, subsection 3, and section 17A.5, subsection 2, paragraph “b”, to implement the provisions of this section and the rules shall be effective immediately upon filing unless a later date is specified in the rules. Any rules adopted in accordance with this section shall also be published as a notice of intended action as provided in section 17A.4.
EXPLANATION
   This bill directs the department of human services to adopt rules to provide that administrative costs shall not exceed 18 percent of program costs under the medical assistance home and community-based services waiver for intellectual disabilities. Administrative costs are costs incurred in the general management and administrative functions of the program as defined by rules for intermediate care facilities for individuals with mental retardation, and based on generally accepted accounting principles. The bill also authorizes the department to adopt emergency rules to implement the bill. Currently, administrative costs for these programs are capped at 20 percent of direct costs.