Iowa Admin. Code r. 441-87.9

Current through Register Vol. 47, No. 6, September 18, 2024

Rule 441-87.9 - Payment of covered services

Payment for family planning services covered under this chapter, including services authorized but not provided by a participating family planning provider, shall be made only to participating family planning providers on a fee schedule determined by the department. Family planning services program funds distributed in accordance with this rule shall not be used for direct or indirect costs, including but not limited to administrative costs or expenses, overhead, employee salaries, rent, and telephone and other utility costs, related to providing abortions as specified in subrule 87.7(1).

(1)Fee schedule. The fee schedule shall include the amount of payment for each service and any limits on the service (e.g., a routine Pap smear is payable once annually).

(2)Third-party payments. This program is the payer of last resort for services covered in this chapter. Any third-party payment received by the family planning agency or other provider of services plus any payments under this program cannot exceed the fee schedule allowance.

(3)Supplementation. Payment made under this program shall be considered payment in full.

Iowa Admin. Code r. 441-87.9

ARC 7544B, lAB 2/11/09, effective 1/20/09

Adopted by IAB July 19, 2017/Volume XL, Number 2, effective 7/1/2017

Amended by IAB October 11, 2017/Volume XL, Number 8, effective 11/15/2017