reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 176 - Dependent Adult Abuse › Rule 441-176.12 - Dependent Adult Abuse Information Registry

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall create a central abuse registry for
				  dependent adult abuse information. The registry shall collect, maintain, and
				  disseminate dependent adult abuse information as follows:
(1)
Founded reports.
A
				report of dependent adult abuse determined to be founded shall be retained and
				sealed by the registry in accordance with Iowa Code section
				235B.9.
(2)
Unfounded reports.
A
				report of dependent adult abuse determined to be unfounded shall be expunged
				five years from the date it is determined to be unfounded, in accordance with
				Iowa Code section 235B.9(2).
(3)
Rejected intakes.
Reports that are found not to meet the criteria to be accepted for evaluation
				or assessment of abuse shall be kept in the dependent adult reporting and
				evaluation system (DARES) for three years from the date the report of abuse was
				determined to be rejected.
(4)
Assessments.
Reports classified as assessments shall not be
				included in the central registry but shall be maintained in the DARES. The
				central registry shall be notified of the disposition of the assessment report.
a.
Self-denial of critical
				care.
Reports involving abuse as a result of the acts or omissions of
				the dependent adult will be assessments. These reports shall be retained in the
				DARES for five years and then destroyed.
b.
Confirmed, not
				registered.
Reports of dependent adult abuse where physical abuse,
				assault, unreasonable confinement, unreasonable punishment, denial of critical
				care, or personal degradation committed by a caretaker is confirmed but is
				determined to be minor, isolated, and unlikely to reoccur shall be assessments.
				These reports shall be maintained in the DARES for five years and then
				destroyed unless a subsequent report of dependent adult abuse on the same
				caretaker is founded. If a subsequent report on the same caretaker is founded
				within the five-year period, the confirmed, not registered report shall be
				maintained in the DARES for ten years from the date of the subsequent report
				and then sealed.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 176 - Dependent Adult Abuse › Rule 441-176.13 - Multidisciplinary Teams

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Purpose of multidisciplinary teams.
The service area shall
				establish multidisciplinary teams for the purpose of assisting the department
				in assessment, diagnosis, and disposition of reported dependent adult abuse
				cases. The disposition of a case may include the provision for treatment
				recommendations and services.
(2)
Execution of team agreement.
When the team is established, the
				service area manager or designee and all team members shall execute an
				agreement on a form prescribed by the department. The multidisciplinary team
				agreement shall specify:
a. That the team
				shall be consulted solely for the purpose of assisting the department in the
				assessment, diagnosis and treatment of dependent adult abuse cases.
b. That any team member may cause a dependent
				adult abuse case to be reviewed if approved by the department through use of
				the process of requesting dependent adult abuse information specified in rule
				441-176.9(235B).
c. That no team
				members shall redisseminate dependent adult abuse information obtained solely
				through the multidisciplinary team. This shall not preclude redissemination of
				information as authorized by Iowa Code section
				235B.6 when an individual team
				member has received information as a result of another authorized access
				provision of the Iowa Code.
d. That
				the department may consider the recommendation of the team in a specific
				dependent adult abuse case but shall not, in any way, be bound by the
				recommendations.
e. That any
				written report or document produced by the team pertaining to an individual
				case shall be made a part of the file for the case and shall be subject to all
				confidentiality provisions of Iowa Code sections
				235B.6 and
				235B.8 and of 441-Chapter
				176.
f. That any written records
				maintained by the team which identify an individual dependent adult abuse case
				shall be destroyed when the agreement lapses.
g. That consultation team members shall serve
				without compensation.
h. That any
				party to the contract may withdraw with or without cause upon the giving of 30
				days' notice.
i. The date on which
				the agreement will expire.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 176 - Dependent Adult Abuse › Rule 441-176.14 - Request for Correction or Expungement

Current through Register Vol. 47, No. 3, July 24, 2024
The department is responsible for correction or expungement
				  of reports prepared by department staff. The department of inspections and
				  appeals is responsible for correction or expungement of reports prepared by
				  that department's staff and that determination shall be binding on the
				  registry.
(1) When a request for
				correction or expungement pursuant to Iowa Code section
				235B.10 is received, the central
				registry will record all requests and promptly forward the requests to the
				division of health facilities, department of inspections and appeals, when the
				reports were prepared by the department of inspections and appeals. The
				registry will notify the person requesting a correction that the report has
				been sent to the department of inspections and appeals.
(2) Unless the designated department corrects
				the information or findings as requested, the designated department shall
				provide the person with an opportunity for a hearing as provided by 441-Chapter
				7 to correct the information or the findings. The department may defer the
				hearing until the conclusion of a pending district court case relating to the
				information or findings.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.1 - In-home Health-related Care

Current through Register Vol. 47, No. 3, July 24, 2024
In-home health-related care is a program designed to provide
				  nursing care in an individual's own home, as defined in rule
				  441-177.2 (249), to an
				  individual whose physical, developmental, or mental health prevents independent
				  self-care.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Client participation"
has the meaning
				  assigned to it in rule
				  441-177.10
				  (249).
"Nursing care"
includes skilled services and
				  personal care services.
"Own home"
means an individual's house,
				  apartment, or other living arrangement intended for single or family
				  residential use.
"Personal care services"
includes:
1. Services that assist a client with the activities of daily
				  living, such as, but not limited to, helping the client with bathing,
				  toileting, getting in and out of bed, ambulation, hair care, oral hygiene and
				  administering medications that are physician-ordered but ordinarily
				  self-administered.
2. Services that help or retrain the client in necessary
				  skills for daily living.
3. Incidental household services that are essential to the
				  client's health care at home and are necessary to prevent or postpone
				  institutionalization.
"Skilled nursing services"
are services for
				  which an individualized assessment of a patient's clinical condition
				  demonstrates that the specialized judgment, knowledge, and skills of a
				  registered nurse or, when provided by regulation, a licensed practical
				  (vocational) nurse ("skilled care") are necessary.
"Skilled services"
include skilled nursing
				  services or other services that, based on a physician's certification, are
				  required to be performed under the supervision of a physician, nurse
				  practitioner, clinical nurse specialist, or physician assistant.
"Supervising practitioner"
means a
				  physician, nurse practitioner, clinical nurse specialist, or physician
				  assistant qualified to supervise skilled services.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.3 - Service Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Skilled services.
Skilled services must be certified by a
				physician as provided in rule
				441-177.6 (249)
				and must be supervised by a supervising practitioner.
(2)
Personal care services.
Personal care services must be certified by a physician as provided in rule
				441-177.6 (249).
				Personal care services do not require supervision by a supervising
				practitioner.
(3)
Service
				documentation.
a. A service worker
				shall review the service documentation submitted by the client or provider,
				including any requests for supplementation of services.
b. If there are concerns as a result of such
				a review, there will be a change in the service plan.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.5 - Qualifications of Providers of Health Care Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Age.
The provider shall be at least 18 years of age.
(2)
Health assessment.
The
				provider shall obtain certification on Form 470-0672 that the provider is
				physically and emotionally capable of providing assistance to another person
				whose physical, developmental or mental health prevents independent self-care.
a. The certification shall be based on an
				examination performed by:
(1) A physician;
				or
(2) An advanced registered nurse
				practitioner or physician assistant if the nurse practitioner or physician
				assistant is working under the direction of a physician.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.6 - Physician's Certification

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Certification requirements.
A physician must certify on Form
				470-0673:
a. That the skilled services or
				personal care services are required by the person's physical, developmental or
				mental health;
b. The specific
				skilled services or personal care services required, the method of providing
				those services, and the expected duration of services; and
c. That the required skilled services and
				personal care services can be delivered in the individual's own home.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.7 - Service Worker Duties

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Service plan.
a. In
				consultation with the client's case manager and any supervising health
				practitioner, the service worker shall create a complete service plan for the
				client. The plan must avoid duplication of services and include all of the
				following:
(1) All of the services certified
				by a physician under rule
				441-177.6
				(249).
(2) Payer sources. In-home
				health-related care shall be provided only when other programs cannot meet the
				client's need.
(3) Level of service
				needs.
(4) Service history. If the
				client is being transferred from a medical hospital or long-term care facility,
				the service worker shall also obtain a transfer document describing the
				client's current care plan.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.8 - Supervising Practitioner Duties

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Instruction.
The supervising practitioner shall provide
				instruction specific to each patient and the services each patient is
				receiving, including but not limited to instruction on documentation the worker
				should be creating and instruction on warning signs of which the worker should
				be aware.
(2)
Schedule for
				reviewing documentation.
The supervising practitioner shall set up a
				schedule for reviewing documentation that is specific to the services being
				provided to that particular patient and shall review the documentation
				according to the schedule.
(3)
Medical records.
a. The
				supervising practitioner shall keep appropriate medical records, a copy of the
				service plan, and the physician's certification in the supervising
				practitioner's case file. In addition, the medical records shall include,
				whenever appropriate, transfer forms, physician's orders, progress notes, drug
				administration records, treatment records, and incident reports.
b. The supervising practitioner shall make
				all medical records available to the service worker, the client, and the
				client's legal representative.
c.
				The supervising practitioner shall ensure that, upon termination of the in-home
				care plan, the medical records are transferred to the county office of the
				department of human services or the office of the public health
				nurse.
d. The department of human
				services or the office of the public health nurse shall retain medical records
				transferred to it under paragraph 177.8(3)
"c"
for five years
				or, if an audit is commenced within the five years, until completion of that
				audit. During the period of retention, the department of human services or the
				office of the public health nurse shall make the medical records available to
				the service worker.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.9 - Written Agreements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Independent contractor.
The provider shall be an independent
				contractor and shall not be an agent, employee or servant of the state of Iowa,
				the Iowa department of human services, or any of its employees or
				clients.
(2)
Liability
				coverage.
All professional health care providers shall have adequate
				liability coverage consistent with their responsibilities, since the department
				of human services assumes no responsibility for, or liability for, individuals
				providing care.
(3)
Provider agreement.
a. The
				client and the provider shall enter into an agreement using Form 470-0636 prior
				to the provision of service. Any reduction to the state supplemental assistance
				program shall be applied to the maximum amount paid by the department of human
				services as stated in the provider agreement by using the separate amendment to
				provider agreement form.
b. Written
				instructions for dealing with emergency situations shall be completed by the
				service worker and included in the provider agreement, which shall be
				maintained in the client's home and in the county department of human services
				office. The instructions shall include:
(1)
				The name and telephone number of the client's physician, the nurse, responsible
				family members or other significant persons, and the service worker;
(2) Information as to which hospital to
				utilize; and
(3) Information as to
				which ambulance service or other emergency transportation to utilize.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.10 - Payment

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Payment approved.
Notwithstanding
				42 U.S.C.
				1382(c)(7), after the
				service manager or designee approves the service plan, payment is effective as
				of the later of (1) the date of the application, or (2) the date all
				eligibility requirements are met and qualified health care services are
				provided.
(2)
Client
				participation.
a. Except as provided
				in paragraph 177.10(2)
"b,"
all income remaining after
				excluding the amounts identified in paragraphs 177.4(1)
"f"
and
"g"
will be considered income available for services ("client
				participation") and the in-home health-related care (IHHRC) program shall pay
				only the cost of eligible services that exceeds client participation up to the
				maximum benefit payable.
b. When
				the first month of service is less than a full month, there is no client
				participation for that month. Payment will be made for the actual days of
				service provided according to the agreed-upon rate up to the maximum benefit
				payable.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 177 - In-home Health-related Care › Rule 441-177.11 - Termination

Current through Register Vol. 47, No. 3, July 24, 2024
Termination of in-home health-related care shall occur under
				  the following conditions:
(1)
Request.
Upon the request of the client or legal
				representative.
(2)
Care
				unnecessary.
When the client becomes sufficiently able to remain in
				the client's own home with services that can be provided by other sources as
				determined by the service worker.
(3)
Additional care
				necessary.
When the physical or mental condition of the client
				requires more care than can be provided in the client's own home as determined
				by the service worker in consultation with the certifying physician.
(4)
Excessive costs.
When
				the cost of care exceeds the maximum established in subrule
				177.10(3).
(5)
Other
				services utilized.
When the service worker determines that other
				services can be utilized to better meet the client's needs.
(6)
Terms of provider agreement not
				met.
When it has been determined by the service worker that the terms
				of the provider agreement have not been met by the client or the provider, the
				state supplementary assistance payment may be terminated.
(7)
Failing to comply with program
				requirements.
When the recipient is not following the program
				requirements or cooperating with the program objectives including, but not
				limited to, a failure to provide information to program
				representatives.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Department"
means the department of human
				  services.
"Family"
means a family member and the
				  parent or legal guardian of the family member.
"Family member"
means a person less than 18
				  years of age who by educational determination has a moderate, severe, or
				  profound educational handicap or special health care needs or who otherwise
				  meets the definition of developmental disability in the federal Developmental
				  Disabilities Assistance and Bill of Rights Act, as codified in
				  42
				  U.S.C. 15002(8).
"Home"
means the home of the parent or legal
				  guardian of the family member.
"Legal guardian"
means a person appointed by
				  a court to exercise powers over a family member.
"Parent"
means a biological or adoptive
				  parent.
"Supplemental Security Income (SSI)"
means
				  financial assistance provided to individuals pursuant to Title XVI of the
				  federal Social Security Act,
				  42 U.S.C.
				  Sections 1381 to
				  1383c.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.2 - Eligibility Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
A child shall be eligible for the family support subsidy
				  program if funds are available and all of the following requirements are
				  met:
(1) The child meets the
				definition of family member
(2)
				Rescinded lAB 6/27/90, effective 7/1/90.
(3) The child is currently residing in the
				applicant's home, or there is a discharge plan for the child to return home in
				the next 60 calendar days.
(4) The
				family resides in the state of Iowa.
(5) The family's net taxable income for the
				calendar year immediately preceding the date of application did not exceed
				$40,000 unless it can be verified that their estimated taxable income for the
				year in which the application is made will be less than $40,000.
(6) The applicant agrees that, if the child
				receives Medicaid, the subsidy shall only be used for the cost of services that
				are not covered by Medicaid. This subsidy is intended to complement but not
				supplant public assistance or social service benefits that are based on
				economic need and are available to the family through governmental programs or
				other means.
(7) Exclusions. Unless
				a family requests and receives approval from the department for an exception to
				policy according to rule
				441-1.8
				(17A,217), a family is not eligible to receive the family support subsidy if
				any of the following are applicable to the family or the family member for whom
				the application is submitted:
a. The family
				member is a special needs child who was adopted by the family, and the family
				is receiving financial assistance under Iowa Code section
				600.17.
b. Medicaid home- and community-based waiver
				services are provided for the family member, and the family lives in a county
				in which comprehensive family support program services are available.
c. Medicaid home- and community-based waiver
				services are available to the family member under a consumer choices
				option.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.3 - Program Termination

Current through Register Vol. 47, No. 3, July 24, 2024
As of July 1, 2010, the department shall no longer accept new
				  applications or approve pending applications for the family support subsidy
				  program pursuant to Iowa Code section
				  225C.37(3).
				  Family members enrolled in the program as of July 1, 2010, will continue to
				  receive subsidy payments until members meet one of the reasons for termination
				  outlined in subrule 184.8(1).
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.4 - Family Support Services Plan

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				The applicant shall agree that the subsidy will be used to meet the special
				needs identified in the plan or other special needs of the child and
				family.
(2) Families shall retain
				the greatest possible flexibility in determining use of the subsidy, except a
				parent or legal guardian who receives family investment program benefits shall
				not use the subsidy to meet the basic needs of the family as defined in
				441-subrule 41.28(2) or the special needs as defined in 441-subrule 41.28(3).
				In addition, if the child receives Medicaid, the subsidy shall only be used for
				the cost of services which are not covered by Medicaid.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.6 - Amount of Subsidy Payment

Current through Register Vol. 47, No. 3, July 24, 2024
Families approved for payment shall receive an ongoing
				  monthly payment that is determined annually by the department based on the
				  federal cost-of-living adjustment (COLA).
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.7 - Redetermination of Eligibility

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall send a verification packet, which shall
				  include instructions and necessary forms for verification of continuing
				  eligibility, to all recipients of subsidy payments at least 30 calendar days
				  prior to the deadline date for annual redetermination of eligibility. The
				  completed verification materials shall be submitted annually to the department.
				  If the signed verification of continuing eligibility is not received by the
				  department by the last working day of the renewal month, the family's subsidy
				  shall be terminated.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.8 - Termination of Subsidy Payments

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				The family support subsidy shall terminate at the end of the month in which any
				of the following occur and a notice shall be sent which states the reason for
				the termination:
a. The family member
				dies.
b. The family no longer meets
				one or more of the eligibility criteria outlined in rule
				441-184.2(225C).
c. The parent or
				legal guardian has failed to provide information required for redetermination
				of eligibility as outlined in rule
				441-184.7 (225C).
d. No funds appropriated for this purpose are
				available.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.9 - Appeals

Current through Register Vol. 47, No. 3, July 24, 2024
The parent or legal guardian of the child may appeal a denial
				  of an application or termination of the subsidy payment pursuant to 441-Chapter
				  7. Exception: When the parent or guardian appeals the termination of benefits
				  for a child who has attained the age of 18 or who will attain the age of 18
				  during the appeal, subsidy payments shall not be paid during the appeal after
				  the child has turned 18. If there is a final decision in favor of the parent or
				  legal guardian, subsidy payments shall be made consistent with the
				  ruling.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.21 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Comprehensive family support"
means the
				  array of services and supports that assist families who are caring for a family
				  member with a disability. Services and supports include, but are not limited
				  to, programs, services, parent-to-parent support, assistive devices, and
				  various adaptations that allow children with disabilities to participate more
				  fully in family and community life.
"Family"
means a group of interdependent
				  persons living in the same household. A family may consist of an individual
				  with a disability and any of the following:
1. The individual's parent.
2. The individual's sibling.
3. The individual's grandparent, aunt, or uncle.
4. The individual's legal custodian.
5. A person who is providing short-term foster care to the
				  individual subject to a case permanency plan that provides for reunification
				  between the individual and the individual's parent.
"Family"
does not include a person who is
				  employed to provide services to an individual with a disability in an
				  out-of-home setting, including but not limited to a hospital, nursing facility,
				  personal care home, board and care home, group foster care home, or other
				  institutional setting.
"Individual with a disability"
means a
				  person who is less than 22 years of age and meets the definition of
				  developmental disability in 42 U.S.C. & §15002.
"Services and support"
means services or
				  other assistance intended to enable an individual with a disability to control
				  the individual's environment, to remain living with the individual's family, to
				  function more independently, and to integrate into the individual's community.
				  Services and support may include, but are not limited to, funding for:
1. Purchase of equipment, respite care, supplies, or
				  assistive technology; and
2. Payment of other costs attributable to the individual's
				  disability that are identified by the individual's family.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.22 - Eligibility

Current through Register Vol. 47, No. 3, July 24, 2024
Eligibility for the children at home program is limited to
				  families who meet all the following conditions:
(1) The family resides in the state of
				Iowa.
(2) The family includes an
				individual with a disability.
(3)
				The family expresses an intent for the individual with a disability to remain
				living in the family's home.
(4)
				The family's net taxable income in the most recently completed tax year is less
				than $60,000.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.23 - Application

Current through Register Vol. 47, No. 3, July 24, 2024
A family may apply on an application developed by an entity
				  contracted by the department. The application shall be submitted to the
				  department or to a local children at home contractor for assistance. The local
				  children at home contractor shall determine eligibility for services in
				  accordance with the provisions of this division.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.24 - Contractor Selection and Duties

Current through Register Vol. 47, No. 3, July 24, 2024
Whenever possible, the department shall contract with local
				  agencies to implement the children at home program.
(1)
Selection.
Contractors
				shall be selected through competitive bidding and a demonstrated ability to
				provide disability-related services and supports.
(2)
Duties.
The local
				children at home contractor shall agree to perform the following activities:
a. Provide a single entry point for
				applicants to learn about and connect with a variety of needed services and
				supports.
b. Assist families in
				identifying and applying for services they believe will help meet the needs of
				their family.
c. Develop and
				disseminate a brochure describing the services available.
d. Provide services and support in a timely
				manner
e. Inform families of
				emergency access to needed services and support, as needed.
f.Survey parents annually to determine how
				the program is helping parents meet the needs of individuals with disabilities
				and include the survey results in the annual report to the
				department.
g. Submit quarterly and
				annual reports to the department. The reports shall contain:
(1) A summary of the number of applications
				and services provided;
(2) An
				unduplicated count of children and families served; and
(3) Any other items listed in the contract
				with the department.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.25 - Direct Assistance

Current through Register Vol. 47, No. 3, July 24, 2024
Each local children at home contractor shall develop
				  procedures for providing direct financial assistance for supports and services
				  that cannot be funded through other programs or means. Local policies shall be
				  submitted to and approved by the department.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 184 - Individual and Family Direct Support › Rule 441-184.26 - Appeals

Current through Register Vol. 47, No. 3, July 24, 2024
A process is available to appeal the department's or the
				  local children at home contractor's decisions involving families that apply for
				  the children at home program and are denied services and support under the
				  program. Families, contractors, and the department shall follow the appeal
				  procedures outlined in 441-Chapter 7.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the aftercare services program is to provide
				  services and supports to youth who are transitioning from foster care, the Iowa
				  state training school, or a court-ordered Iowa juvenile detention center to
				  adulthood. The primary goal of the program is for youth to move toward
				  self-sufficiency and to recognize and accept their personal responsibility for
				  the transition from adolescence to adulthood.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.2 - Aftercare Services Program Eligibility Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
To be eligible for aftercare services, a youth must meet the
				  following requirements:
(1)
Residence.
The youth must be a resident of Iowa.
(2)
Age.
The youth must be
				at least 17 years of age but less than 23 years of age. Program supports and
				services vary by age.
(3)
Out-of-home placement experience.
a.
Preservices.
The youth
				must meet eligibility requirements for preservices as described below:
(1) The youth is at least 17 years of age;
				and
(2) The youth is placed in
				foster care, the Iowa state training school, or a court-ordered Iowa juvenile
				detention center; was adopted from foster care after reaching 16 years of age;
				or entered a subsidized guardianship arrangement from foster care after
				reaching 16 years of age; and
(3)
				The youth has access to funding for preservices provided in contract that has
				not been fully expended for the contract year.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.3 - Services and Supports Provided

Current through Register Vol. 47, No. 3, July 24, 2024
The aftercare services program shall provide the following
				  services and supports to eligible youth:
(1)
Preservices.
Informational and trust-building activities may be provided to a youth placed
				out of home, as described in paragraph 187.2(3)
"a,"
who is
				expected to participate in aftercare services at 18 years of age or older. The
				administrator may provide funds as described in paragraph
				187.3(4)
"a."
However, funds provided to the youth in
				preservices will be deducted from available start-up funds in the youth's first
				year of participation in core services.
(2)
Core services.
Case
				management services shall be offered to youth, as described in paragraph
				187.2(3)
"b,"
at a safe and convenient location. Activities
				shall include, but not be limited to, all of the following:
a. Development of an individual
				self-sufficiency plan, based on an assessment of the youth's strengths and
				needs. Each core services participant shall have a plan to identify:
(1) The youth's goals for achieving
				self-sufficiency;
(2) The target
				date for reaching the goals; and
(3) The tasks, responsible parties, time
				frames, and desired outcomes needed to reach the goals.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.4 - Termination of Aftercare Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A youth may be
				discharged from the aftercare services program for any of the following
				reasons:
a. The youth fails to follow
				individual self-sufficiency plan components and expectations as determined by
				the program administrator or designee.
b. The youth fails to meet regularly with the
				self-sufficiency advocate without good cause as determined by the program
				administrator or designee.
c. The
				youth voluntarily withdraws from the program.
d. The youth is no longer a resident of
				Iowa.
e. The youth has entered a
				residential services program and has resided there for 60 days. Residential
				services program means a program where housing and support services are
				provided, including but not limited to homeless shelters or transitional living
				programs.
f. The youth reaches 23
				years of age.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.5 - Waiting List

Current through Register Vol. 47, No. 3, July 24, 2024
The program administrator or designee shall create a waiting
				  list when all funds for the aftercare services program are committed for the
				  fiscal year. Names shall be entered on the waiting list on a first-come,
				  first-served basis once the youth is determined eligible. Due to funding, it
				  may be necessary to create more than one waiting list.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.6 - Administration

Current through Register Vol. 47, No. 3, July 24, 2024
The department may contract with another state agency or a
				  private organization to perform the administrative and case management
				  functions necessary to administer the aftercare services program. Agencies and
				  organizations providing services or supports shall meet the standards in rules
				  441-108.2(238) through
				  441-108.6
				  (238).
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.10 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the PAL program component is to provide
				  financial support to youth who are eligible for the aftercare services program.
				  Youth receiving a PAL stipend are not eligible to receive aftercare services
				  program vendor payments as specified in subrule 187.3(3).
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.11 - Pal Program Component Eligibility Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
A monthly stipend may be provided to a youth who meets the
				  aftercare services program eligibility requirements in Division I of this
				  chapter and the criteria in subrule 187.11(1) or 187.11(2).
(1)
Foster care experience.
The youth:
a. Was in foster care paid for by
				the state under Iowa Code section
				234.35
				on the youth's eighteenth birthday; and
b. Exited foster care after having been in
				any combination of foster care, the Iowa state training school, or a
				court-ordered Iowa juvenile detention center in at least 6 of the last 12
				months before the youth left placement; and
c. Is ineligible for voluntary foster care
				placement under 441-Chapter 202.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.12 - Payment

Current through Register Vol. 47, No. 3, July 24, 2024
The program administrator or designee shall issue payment to
				  each participant according to the following guidelines:
(1)
Need.
The amount of the
				PAL stipend shall be based on the needs of the youth as documented in the
				youth's self-sufficiency plan. Eligibility and the stipend amount shall be
				based on the best estimate of the youth's income, as determined at least
				quarterly.
a. All earned and unearned income
				received by the youth during the 30 days before the determination shall be used
				to project future income.
(1) If the 30-day
				period is not indicative of future income, income from a longer period or
				verification of anticipated income from the income source may be used to
				project future income.
(2)
				Nonrecurring lump-sum payments are excluded as income. Nonrecurring lump-sum
				payments include but are not limited to one-time payments received for such
				things as income tax refunds, rebates, credits, refunds of security deposits on
				rental property or utilities, and retroactive payments for past months'
				benefits such as social security, unemployment insurance, or public
				assistance.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.13 - Termination of Stipend

Current through Register Vol. 47, No. 3, July 24, 2024
The PAL stipend shall be terminated according to rule
				  441-187.4 (234) in
				  addition to when any of the following conditions apply:
(1) The youth fails to meet work or education
				eligibility requirements for 30 consecutive days without good cause as
				determined by the program administrator or designee.
(2) The youth fails to maintain satisfactory
				progress as defined by the education or training program in which the youth is
				enrolled. A youth who is not making satisfactory progress may stay in the PAL
				program component by choosing the work option.
(3) The youth chooses to live in a
				nonapproved living arrangement.
(4)
				The youth's budget demonstrates lack of need for the PAL stipend.
(5) The youth voluntarily withdraws from the
				PAL program component.
(6) The
				youth misrepresents income. A PAL stipend shall not be reinstated for at least
				30 days if the stipend was terminated due to the youth's misrepresentation of
				income.
(7) There are insufficient
				funds to continue the stipend.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.14 - Waiting List

Current through Register Vol. 47, No. 3, July 24, 2024
The program administrator or designee shall create a waiting
				  list when all funds for the PAL program component are committed for the fiscal
				  year. Names shall be entered on the waiting list on a first-come, first-served
				  basis once the youth is determined eligible.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XV - Individual and Family Support and Protective Services › Chapter 187 - Aftercare Services Program › Rule 441-187.15 - Administration

Current through Register Vol. 47, No. 3, July 24, 2024
The department may contract with another state agency or a
				  private organization to perform the administrative and case management
				  functions necessary to administer the PAL program component. Agencies providing
				  support or services shall meet the standards in rules
				  441-108.2
				  (238) through
				  441-108.6
				  (238).
Iowa Administrative Code › Agency 441 - Human Services Department › Title XVI - Alternative Living › Chapter 200 - Adoption Services › Rule 441-200.2 - Release of Custody Services

Current through Register Vol. 47, No. 3, July 24, 2024
This rule applies to all terminations filed under Iowa Code
				  chapter 600A. The parents shall be offered a minimum of three hours of
				  counseling by a person authorized to provide counseling in accordance with
				  441-paragraph 108.9(2)
"f."
Iowa Administrative Code › Agency 441 - Human Services Department › Title XVI - Alternative Living › Chapter 200 - Adoption Services › Rule 441-200.2 - Application

Current through Register Vol. 47, No. 3, July 24, 2024
Persons wishing to apply to adopt a child through the
				  department shall complete an Application for Adoption form. An application for
				  adoption shall only be accepted for children who are under the guardianship of
				  the department.
(1)
Limitations.
The department and its contractor shall accept
				only applications for adoption of a special needs child. The department shall
				refer adoption applications for children without special needs to private
				child-placing agencies. Exceptions to this rule may be made for:
a. Relatives of a child under the
				guardianship of the department; or
b. Foster parents with whom the child has a
				significant relationship.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XVI - Alternative Living › Chapter 200 - Adoption Services › Rule 441-200.3 - Application

Current through Register Vol. 47, No. 3, July 24, 2024
Persons wishing to apply to adopt a child through the
				  department shall complete an Application for Adoption form. An application for
				  adoption shall only be accepted for children who are under the guardianship of
				  the department.
(1)
Limitations.
The department and its recruitment and retention
				contractor shall accept only applications for adoption of a special needs
				child. Applications for adoption of a child without special needs shall be
				referred to private child-placing agencies. Exceptions to this rule may be made
				for:
a. Relatives of a child under the
				guardianship of the department; or
b. Foster parents with whom the child has a
				significant relationship.
Iowa Administrative Code › Agency 441 - Human Services Department › Title XVI - Alternative Living › Chapter 200 - Adoption Services › Rule 441-200.4 - Termination of Parental Rights

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall not place a child in an approved
				  adoptive home until parental rights of the child's birth parents have been
				  terminated and guardianship assigned to the department. This would not apply to
				  families and children participating in tribal customary adoption. If one or
				  both birth parents are deceased, the worker shall provide the court with
				  verification of the birth parents' death and the death shall be stated in the
				  guardianship order. When the termination of parental rights is appealed by a
				  birth parent, an adoptive placement may be made if the adoptive parents sign an
				  adoptive placement agreement that includes an acknowledgment of the conditions
				  of the placement should termination be overturned. However, the adoption may
				  not be finalized until the appeal is withdrawn or a final decision regarding
				  the appeal is reached and a procedendo issued.