Iowa Administrative Code - 02/18/2026

Human Services Department [441] | Agency Listing
Chapter 81 NURSING FACILITIES | Chapter Listing (Official Version - PDF format)
Rules PDF RTF Waivers
441.81.1 Definitions.
441.81.2 Initial approval for nursing facility care.
441.81.3 Arrangements with residents.
441.81.4 Discharge and transfer.
441.81.5 Financial and statistical report and determination of payment rate.
441.81.6 Continued review.
441.81.7 Records.
441.81.8 Payment procedures.
441.81.9 Billing procedures.
441.81.10 Closing of facility.
441.81.11 Conditions of participation for nursing facilities.
441.81.12 Audits.
441.81.13 Nurse aide requirements and training and testing programs.
441.81.14 Sanctions.
441.81.15 Out-of-state facilities.
441.81.16 Outpatient services.
441.81.17 Rates for Medicaid eligibles.
441.81.18 State-funded personal needs supplement.
441.81.19 Enforcement of compliance.
441.81.20 Appeal of a determination of noncompliance.
441.81.21 Civil money penalties—when penalty is collected.
441.81.22 Civil money penalties—settlement authority.
441.81.23 Civil money penalties—deduction of penalty from amount owed.
441.81.24 Use of penalties collected by the department.