reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.6 - Neuromuscular and Other Related Genetic Disease Program (NMP)

Current through Register Vol. 47, No. 3, July 24, 2024
This program provides comprehensive services statewide for
				individuals and families with neuromuscular disorders through outreach clinics
				and statewide, active surveillance for selected neuromuscular disorders.
(1) Provision of comprehensive services. The
			 department shall contract with the department of pediatrics at the University
			 of Iowa to provide neuromuscular health care, case management and education
			 outreach services for individuals and families within Iowa. The contractor
			 shall provide annual reports to the department as specified in the
			 contract.
(2) Clinical services.
			 The services provided may include, but are not limited to: diagnostic
			 evaluations, confirmatory testing, physical therapy, consultation by
			 board-certified neurologists, genetic counseling, medical case management,
			 supportive services and referral to appropriate agencies.
(3) The University of Iowa Hospitals and
			 Clinics under the control of the state board of regents shall not receive
			 indirect costs from state funds appropriated for this program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.7 - Iowa Registry for Congenital and Inherited Disorders (IRCID)

Current through Register Vol. 47, No. 3, July 24, 2024
This program provides active statewide surveillance for
				congenital and inherited disorders. These disorders may include birth defects,
				neuromuscular disorders, metabolic disorders, and all stillbirths. The program
				also may conduct active statewide surveillance of live births without a
				reportable congenital or inherited disorder to serve as controls for
				epidemiological surveys. Surveillance activities for specific congenital and
				inherited disorders will be conducted for the period of time that adequate
				financial support is available.
(1)
Definitions.
a. Birth
			 defects shall be defined as any major structural abnormality or metabolic
			 disorder that may adversely affect a child's health and development. The
			 abnormality or disorder must be diagnosed or its signs and symptoms must be
			 recognized within the first two years of life.
b. Neuromuscular disorders shall be defined
			 as Duchenne, Becker, congenital, distal, Emery-Dreifuss, fascioscapulohumeral,
			 limb-girdle, myotonic, and oculopharyngeal muscular dystrophies.
c. Rescinded IAB 4/3/2013, effective
			 5/8/2013.
d. Stillbirths shall be
			 defined as an unintended fetal death occurring after a gestational period of 20
			 completed weeks or an unintended fetal death of a fetus with a weight of 3 5 0
			 or more grams. Stillbirth is synonymous with fetal death.
e. A reportable congenital or inherited
			 disorder occurring in a miscarriage or pregnancy may be included in the
			 IRCID.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.8 - Iowa's Early Hearing Detection and Intervention Program

Current through Register Vol. 47, No. 3, July 24, 2024
The goal of universal hearing screening of all newborns and
				infants in Iowa is the early detection of hearing loss to allow children and
				their families the earliest possible opportunity to obtain appropriate early
				intervention services. All newborns and infants born in Iowa, except those born
				with a condition that is incompatible with life, shall be screened for hearing
				loss. Early hearing detection and intervention programming and services will be
				provided pursuant to 641-Chapter 3.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.11 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
A congenital and inherited disorders advisory committee (CIDAC
				or advisory committee) is established to assist the center for congenital and
				inherited disorders and the department in the development of programs that
				ensure the availability of and access to quality genetic and genomic health
				care services for all Iowans.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.12 - Duties of the Advisory Committee

Current through Register Vol. 47, No. 3, July 24, 2024
CIDAC shall perform the following duties:
(1) Make recommendations about the design and
			 implementation of the center's programs, including but not limited to:
a. The Iowa newborn screening program,
			 including management of the Iowa newborn screening panel.
(1) The advisory committee shall assist the
			 center for congenital and inherited disorders and the department in designating
			 the conditions to be included in the newborn screening and in regularly
			 evaluating the effectiveness and appropriateness of the newborn
			 screening.
(2) Beginning July 1,
			 2022, the advisory committee shall ensure that all conditions included in the
			 federal recommended uniform screening panel as of January 1, 2022, are included
			 in the newborn screening.
(3)
			 Within 12 months of the addition of a new condition to the federal recommended
			 uniform screening panel, the advisory committee shall consider and make a
			 recommendation to the department regarding inclusion of the new condition in
			 the newborn screening panel, including the current newborn screening capacity
			 to screen for the new condition and the resources necessary to screen for the
			 new condition going forward.
(4) If
			 the advisory committee recommends inclusion of a new condition, the department
			 shall include the new condition in the newborn screening panel within 18 months
			 of receipt of the recommendation;
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.13 - Membership

Current through Register Vol. 47, No. 3, July 24, 2024
The members of the advisory committee shall be appointed by the
				director and shall include persons with relevant expertise and interest
				including parent representatives. Membership will be comprised of
				representatives of professional groups, agencies, legislators, parents,
				consumers, and professional health care providers.
(1) CIDAC membership.
a. Potential regular members are considered
			 from interest groups, consumer organizations, and genetic and genomic health
			 care service providers. Two parent representatives and two consumer
			 representatives shall serve as regular members of CIDAC.
b. The number of regular members shall not be
			 fewer than 15 or more than 25.
c.
			 No more than 30 percent of regular members shall be representatives of or
			 employed by programs that are contractors of the center for congenital and
			 inherited disorders in the Iowa department of public health.
d. Honorary members will be comprised of two
			 legislators, one state senator and one state representative, and others deemed
			 appropriate by the director.
e. Ex
			 officio members are nominated by virtue of their positions held and the
			 organizations they represent and are appointed by the director. These members
			 provide expert information and consultation to CIDAC.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 4 - Center for Congenital and Inherited Disorders › Rule 641-4.14 - Meetings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Meetings of the
			 advisory committee will be held as necessary and at the call of the director or
			 the chairperson. There shall be a minimum of four meetings per year.
(2) All meetings are open to the public in
			 accordance with the open meetings law, Iowa Code chapter 21.
(3) A majority of the total number of regular
			 members (50 percent plus one member) shall constitute a quorum. There must be a
			 quorum of the regular members in attendance at a meeting for action to be
			 taken.
(4) Action can be taken by a
			 vote of the regular members. Ex officio and honorary members are not eligible
			 to vote.
(5) Regular members who
			 represent programs that are contractors of the center for congenital and
			 inherited disorders in the department are expected to refrain from imposing
			 undue influence on regular members and to recuse themselves from voting on
			 issues which directly affect the operation of their programs.
(6) Meeting attendance.
a. Attendance at a meeting is defined as
			 presence at the meeting site in person, through the Iowa communications network
			 (ICN), through webinar or web meeting, or via telephone.
b. Attendance by the regular member or the
			 regular member's designee shall be expected at all meetings.
(1) A designee of similar standing must be
			 able to reasonably fulfill the member's role on the advisory committee in
			 discussions.
(2) Designees are not
			 eligible to vote.
c.
			 Regular members, not designees, must attend at least two meetings per fiscal
			 year to remain in good standing.
d.
			 A regular member who misses more than three meetings in a fiscal year shall be
			 deemed to have submitted a resignation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 5 - Maternal Deaths › Rule 641-5.1 - Reporting of Maternal Deaths

Current through Register Vol. 47, No. 3, July 24, 2024
A maternal death is any death occurring while a woman is
				pregnant or of a woman within one year after delivery. This includes but is not
				limited to deaths resulting from abortions, ectopic pregnancies and all deaths
				during pregnancy, childbirth, puerperium or deaths from complications of
				childbirth. In the event of a maternal death, the certifying physician shall
				indicate that circumstance on the certificate of death.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 5 - Maternal Deaths › Rule 641-5.3 - Reviewing of Maternal Deaths

Current through Register Vol. 47, No. 3, July 24, 2024
Hospitals, physicians, and other licensed health care
				professionals shall provide to the department of public health clinical records
				pertinent to the review of individual maternal deaths. The release of these
				materials is a confidential and privileged communication, and no liability
				shall be attached to the release. Neither the released information nor reports
				generated from that information shall be allowed in any legal proceedings,
				pursuant to Iowa Code section
				135.42. The
				department of public health shall ensure a timely, confidential review of all
				maternal deaths by experts in obstetric medicine and maternal mortality for the
				purpose of reducing morbidity and mortality. At least every three years, the
				department shall issue occasional reports on the causes and contributing
				factors of maternal deaths and recommendations of possible preventive
				strategies based on those reviews.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.2 - Persons Included

Current through Register Vol. 47, No. 3, July 24, 2024
The immunization requirements specified elsewhere in these
				rules apply to all persons enrolled or attempting to enroll in a licensed child
				care center or a public or nonpublic elementary or secondary school in Iowa
				including those who are provided competent private
				instruction.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.3 - Persons Excluded

Current through Register Vol. 47, No. 3, July 24, 2024
Exclusions to these rules are permitted on an individual basis
				for medical and religious reasons pursuant to Iowa Code section
				139A.8. Applicants approved for
				medical or religious exemptions shall submit to the admitting official a valid
				department certificate of immunization exemption.
(1) To be valid, a medical certificate of
			 immunization exemption shall contain, at a minimum, the applicant's last name,
			 first name, and date of birth, the vaccine(s) exempted, and an expiration date
			 (if applicable) and shall bear the signature of a physician, nurse
			 practitioner, or physician assistant. Language included on the medical
			 certificate of immunization exemption referencing rule
			 641-7.3 (139A) cannot be
			 altered. Any edits or alterations to the medical certificate of immunization
			 exemption referencing rule
			 641-7.3 (139A) will invalidate
			 the certificate.
a. A medical exemption may
			 apply to a specific vaccine(s) or all required vaccines. If, in the opinion of
			 the physician, nurse practitioner, or physician assistant issuing the medical
			 exemption, the exemption should be terminated or reviewed at a future date, an
			 expiration date shall be recorded on the certificate of immunization exemption;
			 or
b. A medical exemption may apply
			 when the administration of the required vaccine would violate minimum interval
			 spacing and the exemption shall apply only to an applicant who has not received
			 prior doses of the exempted vaccine. An expiration date, not to exceed 60
			 calendar days, and the name of the vaccine exempted shall be recorded on the
			 medical certificate of exemption.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.4 - Required Immunizations

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Applicants
			 enrolled or attempting to enroll shall have received the following vaccines in
			 accordance with the doses and age requirements below:
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(2)
			 Vaccine doses administered less than or equal to four days before the minimum
			 interval or age shall be counted as valid. Doses administered greater than or
			 equal to five days earlier than the minimum interval or age shall not be
			 counted as valid doses and shall be repeated as appropriate.
(3) For vaccine administration, the minimum
			 age and intervals recommended by the advisory committee on immunization
			 practices shall be followed.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.5 - Required Education

Current through Register Vol. 47, No. 3, July 24, 2024
An institution of higher education with an on-campus residence
				hall or dormitory shall provide vaccination information on meningococcal
				disease to enrolled students on a student health form pursuant to Iowa Code
				section 139A.26. For purposes of this
				rule, student health form(s) means a document(s) prepared by an institution of
				higher education that contains, at a minimum, information on meningococcal
				disease, vaccination information and any recommendations issued by the national
				Centers for Disease Control and Prevention regarding meningococcal disease. The
				student health form(s) shall also include space for the postsecondary student
				to indicate whether or not the postsecondary student has received vaccination
				against meningococcal disease, including, at a minimum, the date of
				vaccination. The student health form(s) shall also include space for the
				postsecondary student to indicate whether or not the postsecondary student has
				received information on meningococcal disease and benefits of vaccine. If a
				traditional student health form is not utilized by the institution of higher
				education, any document(s) containing the above information is
				acceptable.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.6 - Proof of Immunization

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A valid
			 department certificate of immunization shall be submitted by the applicant or,
			 if the applicant is a minor, by the applicant's parent or guardian to the
			 admitting official of the school or licensed child care center in which the
			 applicant wishes to enroll. To be valid, the certificate shall be the
			 certificate of immunization issued by the department, a computer-generated copy
			 from the immunization registry, or a certificate of immunization that has been
			 approved in writing by the department. The certificate shall contain, at a
			 minimum, the applicant's last name, first name, and date of birth, the
			 vaccine(s) administered, the date(s) given, and the signature of a physician, a
			 physician assistant, a nurse, or a certified medical assistant. A faxed copy,
			 photocopy, or electronic copy of the valid certificate is acceptable. The
			 judgment of the adequacy of the applicant's immunization history should be
			 based on records kept by the person signing the certificate of immunization or
			 on that person's personal knowledge of the applicant's immunization history, or
			 comparable immunization records from another person or agency, or an
			 international certificate of vaccination, or the applicant's personal health
			 records. If personal health records are used to make the judgment, the records
			 shall include the vaccine(s) administered and the date given. Persons
			 validating the certificate of immunization are not held responsible for the
			 accuracy of the information used to validate the certificate of immunization if
			 the information is from sources other than their own records or personal
			 knowledge.
(2) Persons wishing to
			 enroll who do not have a valid department certificate of immunization available
			 to submit to the admitting official shall be referred to a physician, a
			 physician assistant, a nurse, or a certified medical assistant to obtain a
			 valid certificate.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.7 - Provisional Enrollment

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Applicants may
			 be granted provisional enrollment pursuant to Iowa Code section
			 139A.8. A valid department
			 provisional certificate of immunization shall be submitted by the applicant or,
			 if the applicant is a minor, by the applicant's parent or guardian to the
			 admitting official of the school or licensed child care center in which the
			 applicant wishes to enroll. To qualify for provisional enrollment, applicants
			 shall have received at least one dose of each of the required vaccines orbe a
			 transfer student from another school system. A transfer student is an applicant
			 seeking enrollment from one United States elementary or secondary school into
			 another. To be valid, the certificate shall be the certificate of immunization
			 issued by the department, a computer-generated copy from the immunization
			 registry, or a certificate of immunization that has been approved in writing by
			 the department. The certificate shall contain, at a minimum, the applicant's
			 last name, first name, and date of birth, the vaccine(s) administered, the
			 date(s) given, the remaining vaccine(s) required, the reason that the applicant
			 qualifies for provisional enrollment, and the signature of a physician, a
			 physician assistant, a nurse, ora certified medical assistant. Persons
			 validating the provisional certificate of immunization are not held responsible
			 for the accuracy of the information used to validate the provisional
			 certificate of immunization if the information is from sources other than their
			 own records or personal knowledge. Persons signing the provisional certificate
			 of immunization shall certify that they have informed the applicant or, if the
			 applicant is a minor, the applicant's parent or guardian of the provisional
			 enrollment requirements.
a. Any applicant
			 seeking provisional enrollment who does not have a valid department provisional
			 certificate of immunization to submit to the admitting official shall be
			 referred to a physician, a physician assistant, a nurse, or a certified medical
			 assistant to obtain a valid certificate.
b. Reserved.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.8 - Records and Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
(1) It shall be the
			 duty of the admitting official of a licensed child care center or elementary or
			 secondary school to ensure that the admitting official has a valid department
			 certificate of immunization, certificate of immunization exemption, or
			 provisional certificate of immunization on file for each student by the first
			 day of attendance.
a. The admitting official
			 shall keep the certificates on file in the school or licensed child care center
			 in which the student is enrolled and assist the student or parent or guardian
			 in the transfer of the certificate to another school or licensed child care
			 center upon the transfer of the student to another school or licensed child
			 care center.
b. Unless otherwise
			 requested by the applicant, or parent or guardian, the admitting official shall
			 retain the department certificate of immunization, or certificate of
			 immunization exemption, or provisional certificate of immunization for three
			 years commencing upon the transfer or graduation of the applicant, or the
			 school may choose to provide the permanent immunization record to the student
			 at time of graduation. Included with the immunization record a letter should
			 state that this is an important document that will be needed by the student for
			 college or employment and should be permanently retained.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.9 - Compliance

Current through Register Vol. 47, No. 3, July 24, 2024
Applicants not presenting proper evidence of immunization or
				exemption are not entitled to enrollment in a licensed child care center or
				elementary or secondary school under the provisions of Iowa Code section
				139A.8. It shall be the duty of the admitting official to deny enrollment to
				any applicant who does not submit proper evidence of immunization and to
				exclude a provisionally enrolled applicant in accordance with this
				chapter.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 7 - Immunization and Immunization Education: Persons Attending Elementary or Secondary Schools, Licensed Child Care Centers or Institutions of Higher Education › Rule 641-7.10 - Statewide Registry

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Statewide registry.
The department shall maintain a statewide
			 immunization and health screening registry.
(2)
Purpose and permitted uses of
			 registry.
a. The registry shall
			 contain immunization and health screening information, including identifying
			 and demographic data, to allow enrolled users to maintain and access a database
			 of immunization and health screening histories for purposes of ensuring
			 patients are fully immunized and screened.
b. The registry may be used to track
			 inventory or utilization of pharmaceutical agents identified by the department
			 to prepare for or respond to an emergency event.
c. Enrolled users shall not use information
			 obtained from the registry to market services to patients or nonpatients, to
			 assist in bill collection services, or to locate or identify patients or
			 nonpatients for any purpose other than those expressly provided in this
			 rule.
d. The registry shall contain
			 health screening data, including screening results and follow-up
			 information.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 8 - Iowa Care for Yourself (IA CFY) Program › Rule 641-8.2 - Components of the Iowa Care for Yourself (IA CFY) Program

Current through Register Vol. 47, No. 3, July 24, 2024
The IA CFY program shall include the following key
				components:
(1) Program and fiscal
			 management shall be conducted by ensuring strategic planning, implementation,
			 coordination, integration, and evaluation of all programmatic activities and
			 administrative systems, as well as the development of key communication
			 channels and oversight mechanisms to aid in these processes. Program management
			 shall ensure that infrastructure adequately supports service
			 delivery.
(2) Service delivery of
			 specific and appropriate clinical procedures to detect breast and cervical
			 abnormalities and cardiovascular disease or stroke risk factors for individuals
			 enrolled in the IA CFY program shall be directly provided or provided through
			 contractual arrangements.
a. The IA CFY
			 program shall cover breast and cervical cancer screening and diagnostic
			 services including, but not limited to, the following when those services are
			 provided by a participating health care provider whose facility has a
			 cooperative agreement with the Iowa department of public health's IA CFY
			 program. Payment shall be based on Medicare Part B participating-provider rates
			 as released annually at the beginning of each calendar year.
(1) Physical examinations that include two
			 blood pressure measurements in addition to one or more of the following
			 screening services: CBE, pelvic examination, or Pap test;
(2) Height and weight measurements, when
			 provided in conjunction with one or more of the screening services listed in
			 subparagraph 8.2(2)
"a"
(1) above;
(3) Mammography (screening and
			 diagnostic);
(4) Breast ultrasound,
			 when used as an adjunct to mammography;
(5) Fine-needle aspiration of breast
			 cysts;
(6) Breast biopsies,
			 excisional and nonexcisional (physician charges only; hospital charges are not
			 covered);
(7) Colposcopy of the
			 cervix, with or without biopsy;
(8)
			 Surgical consultations for diagnosis of breast and cervical cancer;
(9) Pathology charges for breast and cervical
			 biopsies;
(10) Anesthesia for
			 program-approved CPT and ICD-10 codes (health care provider charges only;
			 hospital charges and supplies are not covered).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 8 - Iowa Care for Yourself (IA CFY) Program › Rule 641-8.3 - Participant Eligibility Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
An applicant for the IA CFY program must satisfy the criteria
				outlined in this rule. If an applicant does not meet these criteria, the
				applicant shall be provided information by contracted county board of health
				designated agency staff regarding Iowa health and wellness, health insurance
				marketplace, free care, or sliding-fee clinics available in the area in which
				the applicant lives.
(1)
Age.
An applicant for the IA CFY program must satisfy one of
			 these criteria to participate in the IA CFY program.
a. If the applicant is 50 through 64 years of
			 age, the program's priority population, the applicant may receive annual breast
			 and cervical (if appropriate) cancer screening.
b. If the applicant is 40 through 64 years of
			 age, the applicant may receive cardiovascular risk factor screening in addition
			 to breast and cervical cancer screening services.
c. If the applicant is 40 through 49 years of
			 age, the applicant may receive annual breast and cervical (if appropriate)
			 cancer screening.
d. If the
			 applicant is under 40 years of age and symptomatic for breast cancer, the
			 applicant may receive breast and cervical cancer screening services based upon
			 funding availability. Exception: This categorized group is not eligible for
			 cardiovascular services under this program.
e. If the applicant is 65 years of age and
			 older and the applicant does not have Medicare Part B coverage, the applicant
			 may be eligible to receive annual breast and cervical (if appropriate) cancer
			 screening. Exception: This categorized group is not eligible for cardiovascular
			 services under this program.
f. If
			 the applicant is 21 through 39 years of age and asymptomatic for breast cancer,
			 the applicant may receive an office visit for a cervical cancer screening
			 according to IA CFY protocol. If the applicant is determined to be at high risk
			 for developing breast cancer using a risk assessment model that relies on
			 family history, the applicant may receive breast services, including a
			 mammogram and an MRI, in accordance with IA CFY protocols. Exception: This
			 categorized group is not eligible for cardiovascular services under this
			 program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 8 - Iowa Care for Yourself (IA CFY) Program › Rule 641-8.4 - Participant Application Procedures for Ia Cfy Program Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Enrollment.
After an individual is determined eligible for
			 services:
a. The individual must complete,
			 sign, and return a consent and release form to the IA CFY program. The date on
			 the signed form shall be the participant's enrollment date.
b. Upon enrollment, the participant must
			 select an IA CFY program health care facility.
c. The individual is eligible for services
			 for 12 months from the enrollment date, subject to restrictions in program
			 coverage as provided in rule
			 641-8.5 (135).
d. If a participant is unable to access a
			 particular health care provider due to unavailability of appointments or if a
			 participant requests to change to another health care provider, designated
			 agency staff shall assist the participant in choosing another IA CFY program
			 health care provider who is available.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 8 - Iowa Care for Yourself (IA CFY) Program › Rule 641-8.5 - Priority for Program Expenditures

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In the event the IA CFY program director
			 determines there are inadequate funds to meet program needs, either
			 attributable to a reduction in federal funding from the CDC or to a projected
			 enrollment of individuals in excess of anticipated enrollment, the program
			 director may restrict new applicants' participation in the IA CFY program as
			 follows:
a. First priority shall be given to
			 individuals 50 through 64 years of age.
b. Second priority shall be given to
			 individuals under 50 years of age who are symptomatic.
c. Third priority shall be given to
			 individuals 40 through 49 years of age who are asymptomatic.
d. Fourth priority shall be given to
			 individuals 65 years of age and older who do not have Medicare Part B
			 coverage.
e. Fifth priority shall
			 be given to individuals 21 through 39 years of age.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 8 - Iowa Care for Yourself (IA CFY) Program › Rule 641-8.6 - Right to Appeal

Current through Register Vol. 47, No. 3, July 24, 2024
If an individual disagrees with or is dissatisfied with program
				eligibility, the covered-service determination, or the decision of the program,
				the individual has the right to appeal the decision or action.
(1) The appeal shall be in writing and shall
			 be submitted, within ten working days of the decision or action, to the
			 designated agency personnel with whom the individual has been
			 working.
(2) The designated agency
			 staff shall contact a state IA CFY program staff person and shall provide the
			 information regarding the appeal to the staff person.
(3) State IA CFY program staff shall confer
			 with the bureau chief supervising the IA CFY program and provide a decision to
			 the designated agency staff within five business days. A decision made by state
			 IA CFY program staff shall be delivered by telephone, if possible, to the
			 individual making the appeal and shall be followed by a written notification of
			 the decision. The decision of state IA CFY program staff shall be considered a
			 final agency decision in accordance with Iowa Code chapter 17A.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 8 - Iowa Care for Yourself (IA CFY) Program › Rule 641-8.7 - Verification for the Breast or Cervical Cancer Treatment (BCCT) Option of Medicaid

Current through Register Vol. 47, No. 3, July 24, 2024
The Iowa department of public health and the Iowa department of
				human services have coordinated to develop procedures for individuals to access
				Medicaid coverage for treatment of breast or cervical cancer or precancerous
				conditions.
(1) Before referring an
			 individual to the individual's county of residence's local office of the
			 department of human services, a contracted county board of health designated
			 agency staff member shall document the following regarding the individual:
a. The individual was enrolled in the IA CFY
			 program when diagnosed; has had at least one of the screening services (Pap
			 test, screening mammogram, CBE or MRI) or diagnostic procedures paid for by the
			 IA CFY program or with funds from family planning centers, community health
			 centers, or nonprofit organizations; and must be in need of treatment for
			 breast or cervical cancer or precancerous conditions; or
b. The individual was enrolled in NBCCEDP and
			 has moved to Iowa. To be considered enrolled in NBCCEDP, the individual must
			 meet the Iowa program age guidelines; have had at least one of the basic
			 screening services (Pap test, screening mammogram, CBE or MRI) or a diagnostic
			 procedure paid for by the NBCCEDP or with funds from family planning centers,
			 community health centers, or nonprofit organizations; and be in need of
			 treatment for breast or cervical cancer or precancerous conditions;
			 and
c. The individual has
			 creditable coverage circumstances or has no creditable coverage for breast or
			 cervical cancer treatment.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.1 - Scope

Current through Register Vol. 47, No. 3, July 24, 2024
The scope of this chapter is to describe the standards for
				outpatient diabetes self-management education programs and the procedures
				programs must follow for certification by the Iowa department of public health
				that will allow for third-party reimbursement.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.3 - Powers and Duties

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall be responsible for taking the following
				actions:
(1) Develop minimum standards
			 for certification aligned with the National Standards for Diabetes
			 Self-Management Education and Support published by the ADA and the
			 ADCES/AADE.
(2) Annually review and
			 update the standards as needed, and provide revised standards to programs and
			 others.
(3) Develop certification
			 packages.
a. Certification packages shall be
			 provided on request to programs and to the general public.
b. The package shall contain certification
			 procedures, rules, and standardized forms.
c. The certification package is available
			 from the Bureau of Chronic Disease Prevention and Management, Division of
			 Health Promotion and Chronic Disease Prevention, Iowa Department of Public
			 Health, Lucas State Office Building, 321 East 12th Street, Des Moines, Iowa
			 50319-0075.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.4 - Application Procedures for American Diabetes Association-recognized and Association of Diabetes Care and Education Specialists/american Association of Diabetes Educators-accredited Programs

Current through Register Vol. 47, No. 3, July 24, 2024
When a program is recognized by the ADA or accredited by the
				ADCES/AADE, the program shall apply for certification by submitting the
				following to the department:
(1) A copy
			 of the Certificate of Recognition provided by the ADA or the Certificate of
			 Accreditation provided by the ADCES/AADE.
(2) The name, address and telephone number
			 for the program.
(3) The name and
			 email address of the program coordinator and the names of the program
			 physician, primary and supporting instructors, and advisory committee
			 members.
(4) Copies of current
			 licenses for all Iowa-licensed professionals named in 9.4(3).
(5) The name and a copy of both the Iowa
			 licenses and continuing education hours of any pharmacist who serves as program
			 staff. A pharmacist shall be a primary or supporting instructor or advisory
			 committee member and shall meet the education requirements in 9.8(6), 9.8(7) or
			 9.8(8).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.5 - Renewal Procedures for American Diabetes Association-recognized and Association of Diabetes Care and Education Specialists/american Association of Diabetes Educators-accredited Programs

Current through Register Vol. 47, No. 3, July 24, 2024
Programs shall renew their certification every four years, at
				least 30 days prior to the expiration date. To apply for renewal of
				certification, the ADA-recognized program or the ADCES/AADE-accredited program
				shall submit the following to the department:
(1) A copy of the new ADA Certificate of
			 Recognition or ADCES/AADE Certificate of Accreditation.
(2) The name, address and telephone number
			 for the program.
(3) The name and
			 email address of the program coordinator and the names of the program
			 physician, primary and supporting instructors, and advisory committee
			 members.
(4) Copies of current
			 licenses for all Iowa-licensed professionals named in 9.5(3).
(5) The name and a copy of both the Iowa
			 licenses and continuing education hours of any pharmacist who serves as program
			 staff. A pharmacist shall be a primary or supporting instructor or advisory
			 committee member and shall meet the continuing education requirements in
			 9.9(7).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.7 - Diabetes Program Management for Programs Not Recognized by the American Diabetes Association or Accredited by the Association of Diabetes Care and Education Specialists/american Association of Diabetes Educators

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Pertinent
			 information related to the recent medical history, physical examination, and
			 test results performed by the participant's health care provider shall be
			 provided when the participant is referred to the program. Program staff shall
			 remain in contact with the participant's health care provider and shall make
			 recommendations relative to the medical care and treatment of the participant's
			 diabetes when appropriate.
(2) When
			 the participant completes the program, arrangements shall be made by program
			 staff for optimal follow-up care.
(3) Program staff members shall take an
			 active role in the care of the participant's diabetes during the course of the
			 program to optimize diabetes control. The program staff shall be prepared to
			 make necessary recommendations to the referring health care provider in the
			 participant's diabetes management which may include the following:
a. Changes in the insulin regimen.
b. Changes in the medications.
c. Changes in the food plan.
d. Changes in exercise.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.8 - Program Staff for Programs Not Recognized by the American Diabetes Association or Accredited by the Association of Diabetes Care and Education Specialists/american Association of Diabetes Educators

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A program
			 coordinator and a program physician shall be designated.
a. The program coordinator shall provide
			 direction and supervision of the program, including, but not limited to,
			 planning, arranging implementation, and assuring quality. If the program
			 coordinator is an instructor, the program coordinator shall be a health care
			 professional and meet the requirements for primary or supporting
			 instructor.
b. The program
			 physician shall provide medical direction for the program. The program
			 physician shall maintain contact with the participant's attending physician and
			 shall make recommendations relative to the medical care and treatment of the
			 participant's diabetes where appropriate.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.9 - Renewal Application Procedures for Programs Not Recognized by the American Diabetes Association or Accredited by the Association of Diabetes Care and Education Specialists/american Association of Diabetes Educators

Current through Register Vol. 47, No. 3, July 24, 2024
Every four years, programs shall provide the following
				information to the department at least 30 days prior to the expiration
				date.
(1) Name, address and telephone
			 number of the program, program physician and program coordinator; email address
			 of the program coordinator; and names of instructional staff and advisory
			 committee members and copies of current licenses for all Iowa-licensed
			 professionals.
(2) Identification
			 of the target population, an estimate of program caseload, and the number of
			 participants served in the certification period.
(3) A description of goals and objectives,
			 participant referral mechanism, and means of coordinating between the
			 community, physicians, and program staff.
(4) A description of the program evaluation
			 process.
(5) A description of any
			 changes from the previous application.
(6) A list of new program staff by name,
			 license number or registration number, and position with the program. New staff
			 who will serve as primary instructors shall submit documentation of their
			 training in diabetes as addressed in 9.8(6). New staff serving as supporting
			 instructors shall submit documentation of their training as addressed in
			 9.8(7).
(7) Documentation of
			 continuing education hours accrued since the previous application for current
			 staff and new staff.
a. All primary
			 instructors shall complete a minimum of 24 hours of continuing education in
			 diabetes, diabetes management, or diabetes education within the past four
			 years.
b. All supporting
			 instructors shall complete a minimum of 12 hours of continuing education in
			 diabetes, diabetes management, or diabetes education within the past four
			 years.
c. The four professionals
			 required in 9.8(2) to be on the advisory committee shall complete a minimum of
			 seven hours of continuing education in diabetes within the past four
			 years.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.10 - Annual Report

Current through Register Vol. 47, No. 3, July 24, 2024
Summary data shall be completed annually by each program and
				sent to the department at a time determined by the department. The data shall
				include but not be limited to the number of times the program was presented,
				the number of outpatients that participated, and a summarized description of
				program participants including type of diabetes, age, race and
				sex.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.11 - Enforcement

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department
			 may amiually or more frequently conduct on-site visits of certified
			 programs.
(2) The department shall
			 furnish a written report of each visit to the program coordinator
(3) Programs determined by the department to
			 no longer meet the minimum standards for certification shall be given 30 days
			 following receipt of the department's notification of deficiencies to submit a
			 plan of correction.
(4)
			 Notification of cancellation shall be provided to the Iowa insurance division
			 of the Iowa department of commerce and the public.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.12 - Complaints

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department
			 shall accept complaints of alleged problems relating to certified outpatient
			 diabetes self-management programs. The information shall state in a reasonably
			 specific manner the basis of the complaints and be presented in writing, in
			 person or by telephone to: Bureau of Chronic Disease Prevention and Management,
			 Division of Health Promotion and Chronic Disease Prevention, Iowa Department of
			 Public Health, Lucas State Office Building, 321 East 12th Street, Des Moines,
			 Iowa 50319-0075; (515)281-5616.
(2)
			 The department shall, within 20 working days of the receipt of the complaint,
			 contact the program coordinator for initial evaluation of the specific matters
			 alleged in the complaint. The program shall receive a written report of the
			 results of department activities relating to the complaint investigation. The
			 complainant shall be promptly informed of the results of the investigation or
			 any action taken by the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 9 - Outpatient Diabetes Education Programs › Rule 641-9.13 - Appeal Process

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Denial.
Programs shall receive written notice by certified
			 mail, return receipt requested, setting forth the reason(s) for denial. The
			 denial shall become effective 30 days after receipt by the aggrieved party
			 unless the grievant within that 30-day period gives written notice to the
			 department requesting a hearing in which case the notice shall be deemed to be
			 suspended.
(2)
Revocation.
Programs shall receive written notice by certified
			 mail, return receipt requested, setting forth the reason(s) for revocation. The
			 revocation shall become effective 30 days after receipt by the aggrieved party
			 unless the grievant within that 30-day period gives written notice to the
			 department requesting a hearing in which case the notice shall be deemed to be
			 suspended.
(3)
Contested
			 case.
Upon receipt of an appeal that meets contested case status, the
			 appeal shall be forwarded within five working days to the department of
			 inspections and appeals pursuant to the rule adopted by that agency regarding
			 the transmission of contested cases. The information upon which the adverse
			 action is based and any additional information which may be provided by the
			 aggrieved party shall also be provided to the department of inspections and
			 appeals.