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Iowa Administrative Code - 01/31/2018

Human Services Department [441] | Agency Listing
Chapter 73 MANAGED CARE | Chapter Listing (Official Version - PDF format)
Rules PDF RTF Waivers
441.73.1 Definitions.
441.73.2 Contracts with a managed care organization.
441.73.3 Enrollment.
441.73.4 Disenrollment process.
441.73.5 Covered services.
441.73.6 Amount, duration and scope of services.
441.73.7 Emergency services.
441.73.8 Access to service.
441.73.9 Incident reporting.
441.73.10 Discharge planning.
441.73.11 Level of care assessment and annual reviews.
441.73.12 Appeal of managed care organization actions.
441.73.13 Appeal to department.
441.73.14 Continuation of benefits.
441.73.15 Grievances.
441.73.16 Written record.
441.73.17 Information concerning procedures relating to the review of managed care organization decisions and actions.
441.73.18 Records and reports.
441.73.19 Audits.
441.73.20 Marketing.
441.73.21 Enrollee education.
441.73.22 Payment to the managed care organization.
441.73.23 Claims payment by the managed care organization.
441.73.24 Quality assurance.
441.73.25 Certifications and program integrity.