Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 88 - Volunteer Health Care Provider Program › Rule 641-88.5 - Covered Health Care Services

Current through Register Vol. 47, No. 3, July 24, 2024
An individual volunteer health care provider holding a current
				protection agreement with the VHCPP shall be afforded the protection of an
				employee of the state under Iowa Code chapter 669, and a protected clinic
				holding a current protection agreement with the VHCPP shall be afforded
				protection as an agency of the state under Iowa Code chapter 669, only for
				claims for injury alleged to have been proximately caused by an individual
				volunteer health care provider's provision of covered health care services or
				solely on the basis of the individual volunteer health care provider's
				participation in the sponsor entity or protected clinic.
(1) Covered health care services are only
			 those that are:
a. Identified in the
			 protection agreement with the VHCPP;
b. In compliance with these rules;
c. Provided by or under the direct
			 supervision of the individual volunteer health care provider;
d. Health care services of:
(1) Advanced registered nurse practitioners
			 for: well-child examinations; annual adult examinations; diagnosis and
			 treatment of acute and chronic conditions; health education; health
			 maintenance; immunizations; and minor surgical procedures. Certified registered
			 nurse anesthetists may provide anesthesia services for major surgical
			 procedures only if the following conditions are satisfied:
1. The surgery is performed in a hospital as
			 defined in Iowa Code section
			 135B.1(3)  or
			 an outpatient surgical facility;
2.
			 The hospital or outpatient surgical facility at which the surgery is performed
			 has executed a sponsor entity agreement;
3. The physician performing the surgery
			 provides or assures the provision of adequate presurgical and postsurgical
			 care, including any follow-up necessary to address postoperative complications;
			 and
4. The physician performing the
			 surgery is an individual specialty health care provider or part of a group of
			 specialty health care providers which has registered with the department as a
			 specialty health care provider office.
(2) Audiologists for: testing, measurement
			 and evaluation related to hearing and hearing disorders and associated
			 communication disorders for the purpose of nonmedically identifying,
			 preventing, modifying or remediating such disorders and conditions including
			 the determination and use of appropriate amplification; patient
			 instruction/counseling; patient habilitation/rehabilitation; and
			 referrals.
(3) Bachelor social
			 workers for: psychosocial assessment and intervention through direct contact
			 with clients; referral to other qualified resources for assistance; performance
			 of social histories; problem identification; establishment of goals and
			 monitoring of progress; interviewing techniques; counseling; social work
			 administration; supervision; evaluation; interdisciplinary consultation and
			 collaboration.
(4) Chiropractors
			 for: examinations; diagnosis and treatment; health education; and health
			 maintenance.
(5) Dental assistants
			 for: intraoral services; extraoral services; infection control; radiography;
			 and removal of plaque or stain by toothbrush, floss, or rubber cup coronal
			 polish.
(6) Dental hygienists for:
			 assessments and screenings; health education; health maintenance; and
			 preventive services (cleaning, X-rays, sealants, fluoride treatments, fluoride
			 varnish).
(7) Dentists for: dental
			 examinations; diagnosis and treatment of acute and chronic conditions; health
			 education; health maintenance; and minor surgical procedures.
(8) Emergency medical care providers for:
			 airway/ventilation/oxygenation; assisted medications -patient's;
			 cardiovascular/circulation; immobilization; IV initiation/maintenance/fluids;
			 and medication administration - routes.
(9) Independent social workers for:
			 psychosocial assessment, diagnosis, and treatment; performance of psychosocial
			 histories; problem identification; evaluation of symptoms and behavior;
			 assessment of psychosocial and behavioral strengths and weaknesses and effects
			 of the environment on behavior; psychosocial therapy; differential treatment
			 planning; and interdisciplinary consultation.
(10) Licensed practical nurses for:
			 supportive or restorative care.
(11) Marital and family therapists for:
			 marital and family therapy; and application of counseling techniques in the
			 assessment and resolution of emotional conditions.
(12) Master social workers for: psychosocial
			 assessment, diagnosis, and treatment; performance of psychosocial histories;
			 problem identification; evaluation of symptoms and behavior; assessment of
			 psychosocial and behavioral strengths and weaknesses and effects of the
			 environment on behavior; psychosocial therapy; differential treatment planning;
			 and interdisciplinary consultation.
(13) Mental health counselors for: mental
			 health counseling; and counseling services involving assessment, referral and
			 consultation.
(14) Occupational
			 therapists for: evaluation and treatment of problems interfering with
			 functional performance in persons impaired by physical illness or injury,
			 emotional disorder, congenital or developmental disability or the aging
			 process.
(15) Optometrists for:
			 examinations; diagnosis and treatment of the human eye and adnexa; health
			 education; and health maintenance.
(16) Pharmacists for: drug dispensing;
			 patient counseling; health screenings and education; and
			 immunizations.
(17) Physical
			 therapists for: interpretation of performance, tests, and measurements;
			 evaluation and treatment of human capabilities and impairments; use of physical
			 agents, therapeutic exercises, and rehabilitative procedures to prevent,
			 correct, minimize, or alleviate a physical impairment; establishment and
			 modification of physical therapy program; treatment planning; and patient
			 instruction/education.
(18)
			 Physicians and physician assistants for: well-child examinations; annual adult
			 examinations; diagnosis and treatment of acute and chronic conditions; health
			 education; health maintenance; immunizations; and minor surgical procedures.
			 Physicians may perform major surgical procedures only if the following
			 conditions are satisfied:
1. The surgery is
			 performed in a hospital as defined in Iowa Code section
			 135B.1(3)  or
			 an outpatient surgical facility;
2.
			 The hospital or outpatient surgical facility at which the surgery is performed
			 has executed a sponsor entity agreement;
3. The physician provides or assures the
			 provision of adequate presurgical and postsurgical care, including any
			 follow-up necessary to address postoperative complications; and
4. The physician performing the surgery is an
			 individual specialty health care provider or part of a group of specialty
			 health care providers which has registered with the department as a specialty
			 health care provider office.
(19) Podiatrists for: examinations; diagnosis
			 and treatment; health education; health maintenance; and minor surgical
			 procedures.
(20) Psychologists for:
			 counseling and the use of psychological remedial measures with persons with
			 adjustment or emotional problems.
(21) Registered nurses for: well-child
			 examinations; annual adult examinations; treatment of acute and chronic
			 conditions; health education; health maintenance; and immunizations.
(22) Respiratory therapists for: diagnostic
			 and therapeutic use of administration of medical gases, aerosols, and
			 humidification, not including general anesthesia; pharmacologic agents relating
			 to respiratory care procedures; bronchopulmonary hygiene; specific diagnostic
			 and testing techniques employed in the medical management of patients to assist
			 in diagnosis, monitoring, treatment, and research of cardiopulmonary
			 abnormalities; and pulmonary function testing.
(23) Speech pathologists for: testing,
			 measurement and evaluation related to the development and disorders of speech,
			 fluency, voice or language for the purpose of nonmedically preventing,
			 ameliorating, modifying or remediating such disorders and conditions; patient
			 instruction/counseling; patient habilitation/rehabilitation; and
			 referrals.