reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 50 - Oral Health › Rule 641-50.3 - Dental Director Responsibilities

Current through Register Vol. 47, No. 3, July 24, 2024
The state public health dental director shall provide overall
				leadership of the state oral health program and shall be responsible for the
				following duties:
1. Plan and direct
			 all work activities of the statewide public health dental program.
2. Develop comprehensive initiatives for oral
			 health prevention and improved access to dental care.
3. Evaluate the effectiveness of the
			 statewide public health dental program and of program personnel.
4. Manage the oral health bureau, including
			 direction, supervision, and fiscal management of bureau staff.
5. Represent the department to external
			 stakeholders, including public and private organizations, providers, and the
			 general public.
6. Other related
			 work as required.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 50 - Oral Health › Rule 641-50.4 - Oral Health Bureau Functions

Current through Register Vol. 47, No. 3, July 24, 2024
The bureau shall be responsible for the core public health
				functions of assessment, policy development, and assurance of oral health
				services in Iowa.
(1)
Assessment.
The bureau shall develop and implement an ongoing
			 oral health surveillance system to evaluate and monitor the oral health status
			 of children and other vulnerable population groups in Iowa. Assessment
			 activities may include the following:
a.
			 Assess oral health status and needs so that problems can be identified and
			 addressed.
b. Assess determinants
			 of identified oral health needs, including resources.
c. Assess the fluoridation status of water
			 systems and other sources of fluoride.
d. Identify, investigate, and monitor oral
			 health problems and health hazards.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 50 - Oral Health › Rule 641-50.5 - Funding

Current through Register Vol. 47, No. 3, July 24, 2024
The oral health bureau and the state public health dental
				director shall be funded through federal Title V funds and state matching
				funds, state general funds, department of human services funding, and other
				funds as available.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the dental screening requirement is to improve
				the oral health of Iowa's children. Dental screenings will facilitate early
				detection and referral for treatment of dental disease; reduce the incidence,
				impact, and cost of dental disease; inform parents and guardians of their
				children's dental problems; encourage the establishment of effective oral
				health practices early in life; promote the importance of oral health as an
				integral component of preparation for school and learning; and contribute to
				statewide surveillance of oral health. These rules will enhance the I-Smile
				dental home concepts of prevention, education, care coordination, and treatment
				to provide a critical step in closing the gap in access to dental care for
				underserved children.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.3 - Persons Included

Current through Register Vol. 47, No. 3, July 24, 2024
The dental screening requirements specified in this chapter
				apply to all persons seeking first-time enrollment in kindergarten or ninth
				grade in a public or accredited nonpublic elementary school or high school in
				Iowa.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.4 - Persons Excluded

Current through Register Vol. 47, No. 3, July 24, 2024
Exclusions to these rules are permitted on an individual basis
				for religious and financial hardship reasons. Applicants approved for a
				religious or financial hardship exemption shall submit to the admitting
				official a valid Iowa department of public health certificate of dental
				screening exemption.
(1) Religious
			 exemption. A religious exemption may be granted to an applicant if the dental
			 screening conflicts with a genuine and sincere religious belief.
a. The certificate of dental screening
			 exemption for religious reasons shall attest that the dental screening
			 conflicts with a genuine and sincere religious belief and that the belief is in
			 fact religious and not based merely on philosophical, scientific, moral,
			 personal, or medical opposition to dental screenings.
b. The certificate of dental screening
			 exemption for religious reasons shall be signed and dated by the applicant or,
			 if the applicant is a minor, by the parent or guardian.
c. The certificate of dental screening
			 exemption for religious reasons is valid only when notarized.
d. To be valid, the certificate of dental
			 screening exemption for religious reasons shall be the department certificate
			 or a form approved in writing by the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.5 - Dental Screening Components

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A
			 dental screening is a visual assessment and is noninvasive and
			 nondiagnostic.
(2) Dental
			 instrumentation is not required for a dental screening.
(3) A dental screening can identify obvious
			 or suspected oral health conditions that require or that might require
			 examination by a dentist.
(4) The
			 dental screening shall include the following steps:
a. Visual inspection of the soft tissues,
			 including the lips, cheeks, gums, tongue, floor of mouth, and roof of mouth, to
			 assess infection or injury.
b.
			 Visual inspection of all tooth surfaces to assess tooth decay, white spot
			 lesions, or injury.
c.
			 Documentation of the screening and treatment needs according to
			 51.9(135).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.6 - Dental Screening Providers

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Elementary school. A
dental screening for elementary school
			 enrollment shall be performed by a licensed dentist, a licensed dental
			 hygienist, a licensed physician, a licensed physician assistant, or a licensed
			 nurse.
(2)
High school.
			 A
dental screening for high school enrollment shall be provided by a
			 licensed dentist or a licensed dental hygienist.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.7 - Time Line for Valid Dental Screening

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Elementary school. To be valid, a minimum
			 of one dental screening shall be performed on an applicant no earlier than
			 three years of age but no later than four months after the enrollment
			 date.
(2) High school. To be valid,
			 a minimum of one dental screening shall be performed on an applicant no earlier
			 than one year prior to the enrollment date and no later than four months after
			 the enrollment date.
(3) A dental
			 screening may also be deemed valid by the department if the department
			 determines that the applicant has substantially complied with the dental
			 screening requirements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.8 - Proof of Dental Screening

Current through Register Vol. 47, No. 3, July 24, 2024
The applicant or, if a minor, the parent or guardian of a child
				enrolled in elementary school or high school shall submit a valid Iowa
				department of public health certificate of dental screening to the admitting
				official of the school district or accredited nonpublic elementary school in
				which the applicant wishes to enroll.
(1) To be valid, the certificate of dental
			 screening shall be the department certificate or a form approved in writing by
			 the department.
a. The Certificate of Dental
			 Screening form is available on the department's Web site at
http://www.idph.state.ia.us/hpcdp/oralhealth.asp
or is available by calling the department at (866)528-4020.
b. The certificate of dental screening shall
			 include all information required by
			 641-51.9
			 (135).
c. The certificate of dental
			 screening may also be deemed valid by the department if the department
			 determines that the information on the certificate substantially complies with
			 the dental screening requirements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.9 - Dental Screening Documentation

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Student information.
A
			 person authorized to perform a dental screening required by this chapter shall
			 record the following student information or ensure that such information is
			 recorded on the certificate of dental screening provided or approved in writing
			 by the department of public health in cooperation with the department of
			 education:
a. Name (first and last);
			 and
b. Birth
			 date.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.10 - Assuring Dental Screening Services

Current through Register Vol. 47, No. 3, July 24, 2024
Each public and accredited nonpublic school, in collaboration
				with the department, shall assure that the parent or guardian of a student
				enrolled in the school has complied with the dental screening requirement.
				Parents or guardians of students who do not have a valid certificate of dental
				screening shall be provided with community dental screening referral resources,
				including contact information for the I-Smile coordinator, the department, or a
				dental society.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.11 - Records

Current through Register Vol. 47, No. 3, July 24, 2024
It shall be the duty of the admitting official of an elementary
				school or a high school to ensure that a valid certificate of dental screening
				or certificate of dental screening exemption is on file for each child
				enrolled.
(1) The admitting official
			 shall ensure that all certificates of dental screening are properly completed
			 according to 51.8(135).
(2) The
			 admitting official shall ensure that all certificates of dental screening
			 exemption are properly completed according to 51.4(1) and 51.4(2).
(3) The admitting official shall keep the
			 certificates of dental screening or certificates of dental screening exemption
			 on file at the school in which the applicant is enrolled and assist the
			 applicant or the applicant's parent or guardian in the transfer of the
			 certificate to another school upon the transfer of the applicant to another
			 school.
(4) The local board of
			 health or its designee, the department of education, and the department or its
			 designee shall have the right to have access to the certificates of dental
			 screening and certificates of dental screening exemption of students enrolled
			 in elementary schools and high schools.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.12 - Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
(1) It shall be the
			 duty of each local board of health or its designee to audit the certificates of
			 dental screening and certificates of dental screening exemption in the schools
			 within the local board's jurisdiction to determine compliance with 2007 Iowa
			 Acts, chapter 146, and 2008 Iowa Acts, Senate File 2111.
(2) By May 31 annually, each local board of
			 health shall furnish the department with evidence for the preceding school year
			 that each child enrolled in any public or accredited nonpublic school within
			 the local board's jurisdiction met the dental screening requirement.
(3) The evidence shall be in the form of a
			 report that includes:
a. Name of school,
			 and
b. Enrollments by grade,
			 and
c. The number of valid
			 certificates of dental screening by grade, and
d. The number of valid certificates for
			 religious exemptions by grade, and
e. The number of valid certificates for
			 financial hardship exemptions by grade.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.13 - Iowa's Dental Screening Database

Current through Register Vol. 47, No. 3, July 24, 2024
The department may develop and maintain a statewide dental
				screening database to ensure that students receive the required dental
				screening and to monitor oral health.
(1) The database may consist of information
			 from the valid certificates of dental screening and certificates of dental
			 screening exemption, including identifying and demographic data.
(2) The database may be updated, at a
			 minimum, annually.
(3) Database
			 reporting shall comply with 51.13(135).
(4) Restricted uses of database. The database
			 information shall not be used to:
a. Market
			 services to students or nonstudents,
b. Assist in bill collection services,
			 or
c. Locate or identify students
			 or nonstudents for any purpose other than those expressly provided in this
			 rule.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.14 - Release of Dental Screening Information

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Between a dentist, dental
			 hygienist, physician, physician assistant, or nurse, and the elementary school
			 or high school that the child attends. A
dentist, dental hygienist,
			 physician, physician assistant, or nurse shall disclose a student's dental
			 screening information, including the student's name, date of birth, name of
			 parent or guardian, demographic information, the month, day and year of the
			 screening, and the screening results and treatment needs to an elementary
			 school or a high school upon written or verbal request from the elementary
			 school or high school. Written or verbal permission from a student or the
			 student's parent or guardian is not required to release this information to an
			 elementary school or a high school.
(2)
Among dentists, dental
			 hygienists, physicians, physician assistants, or nurses.
Dental
			 screening information, including the student's name, date of birth, name of
			 parent or guardian, demographic information, the month, day and year of the
			 screening, and the screening results and treatment needs shall be provided by
			 one dentist, dental hygienist, physician, physician assistant, or nurse to
			 another health care provider without written or verbal permission from the
			 student or the student's parent or guardian.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 51 - Dental Screening › Rule 641-51.15 - Referral Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
Parents or guardians of students who require dental care or
				require urgent dental care shall be referred to the parent's or guardian's
				dentist of choice. Students without a dentist or who have difficulty accessing
				dental care shall be referred to a local I-Smile coordinator or local public
				health agency for assistance with completion of dental care. This assistance
				may include locating dentists, scheduling appointments, and identifying payment
				sources.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the child vision screening program is to improve
				the eye health and vision of Iowa's children. The child vision screening
				program establishes a comprehensive vision evaluation effort to facilitate
				early detection and referral for treatment of visual impairment in order to
				reduce vision impairment in children.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.3 - Persons Included and Persons Excluded

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The parent or guardian of a child who is
			 to be enrolled in a public or accredited nonpublic elementary school shall
			 ensure the child is screened for vision impairment at least once before
			 enrollment in kindergarten and again before enrollment in grade three. The
			 child vision screening requirements specified in this chapter apply to all
			 persons seeking first-time enrollment in kindergarten or third grade in a
			 public or accredited nonpublic elementary school in Iowa.
(2) The child vision screening requirement
			 shall not apply if the child vision screening conflicts with a parent's or
			 guardian's genuine and sincere religious belief.
(3) A child shall not be prohibited from
			 attending school based upon failure of a parent or guardian to ensure the child
			 has received the vision screening required by these rules.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.4 - Child Vision Screening Components

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The requirement for a child vision
			 screening may be satisfied by any of the following:
a. A vision screening or comprehensive eye
			 examination by an ophthalmologist or optometrist.
b. A vision screening conducted at a
			 pediatrician's or family practice physician's office, a free clinic, a child
			 care center, a local public health department, a public or accredited nonpublic
			 school, or a community-based organization or by an advanced registered nurse
			 practitioner or physician assistant.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.5 - Time Line for Valid Vision Screening

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Kindergarten.
To be
			 valid, a minimum of one child vision screening shall be performed on a child no
			 earlier than one year prior to the date of the child's enrollment in
			 kindergarten and no later than six months after the date of the child's
			 enrollment in kindergarten.
(2)
Grade three.
To be valid, a minimum of one child vision
			 screening shall be performed on a child no earlier than one year prior to the
			 date of the child's enrollment in the third grade and no later than six months
			 after the date of the child's enrollment in the third grade.
(3)
Substantial compliance.
A child vision screening may also be deemed valid by the department if the
			 department determines the child has substantially complied with the child
			 vision screening requirements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.6 - Proof of Child Vision Screening

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The parent or guardian of a child
			 enrolled in kindergarten or third grade shall ensure that evidence of a child
			 vision screening is submitted to the school district or accredited nonpublic
			 elementary school in which the child is enrolled either electronically through
			 IRIS pursuant to subrule 52.6(2) or in hard copy or electronic form pursuant to
			 subrule 52.6(3).
(2) If the child's
			 vision screening results were electronically submitted to IRIS, the parent or
			 guardian may notify the school district or accredited nonpublic elementary
			 school of such submission to satisfy the requirement for evidence of a child
			 vision screening.
(3) If evidence
			 of the child vision screening is not electronically submitted to IRIS, the
			 parent or guardian shall provide evidence of the child vision screening in hard
			 copy or electronic form directly to the school. Hard copy or electronic
			 evidence of the vision screening shall include the child's first name, last
			 name, date of birth and ZIP code; evidence of the vision screening including
			 the date of screening, left eye results, right eye results, vision screening
			 result of "pass" or "fail," and designation of "yes" or "no" for referral made;
			 and the name of the provider who performed the vision screening.
(4) Submission of a faxed copy, photocopy, or
			 electronic copy of the child vision screening results is acceptable.
(5) If a parent or guardian chooses for a
			 child to receive a comprehensive eye examination completed by an
			 ophthalmologist or optometrist in lieu of a vision screening, the parent or
			 guardian may submit a completed student vision card to satisfy the requirement
			 of this rule.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.7 - Child Vision Screening Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A person authorized to perform a child
			 vision screening required by this chapter shall report results of the child
			 vision screening to the department.
a. An
			 ophthalmologist or optometrist shall report the hard-copy results to the parent
			 or guardian to be forwarded to the department via the school or shall report
			 the results via IRIS if available.
b. A pediatrician's or family practice
			 physician's office, a free clinic, a child care center, a local public health
			 department, a public or accredited nonpublic school, or a community-based
			 organization or an ARNP or physician assistant shall report the hard-copy
			 results to the parent or guardian to be forwarded to the department via the
			 school or shall report the results via IRIS if available.
c. Results from an online vision screening
			 administered from the Internet shall be generated in a hard-copy report to the
			 parent or guardian to be forwarded to the department via the school or the
			 results shall be reported via IRIS if available.
d. The results of photoscreening vision
			 screening, including those performed by Iowa KidSight, shall be reported by
			 hard copy to the parent or guardian to be forwarded to the department via the
			 school or shall be reported via IRIS if available.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.8 - School Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 Each public and accredited nonpublic elementary school, in collaboration with
			 the department, shall provide the parents or guardians of students enrolled in
			 the school with vision screening referral resources prior to enrollment or
			 during the enrollment period.
(2)
			 Each public and accredited nonpublic elementary school shall provide to parents
			 or guardians of students for whom evidence of a child vision screening is not
			 submitted community eye health referral resources, including but not limited to
			 contact information for the local public health department, maternal and child
			 health agency, Iowa KidSight, Prevent Blindness Iowa, the department, or an
			 optometric or ophthalmology society.
(3) Each public and accredited nonpublic
			 elementary school shall arrange for the following to be forwarded to the
			 department:
a. Evidence of child vision
			 screening or comprehensive eye examination results provided by parents or
			 guardians;
b. A list of students
			 whose parents or guardians indicate that the students' results were reported
			 through IRIS; and
c. Any other
			 evidence of vision screening or comprehensive eye examination provided to the
			 school.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.9 - Iowa's Child Vision Screening Database Module and Follow-up

Current through Register Vol. 47, No. 3, July 24, 2024
The department may develop and maintain a statewide child
				vision screening database module in IRIS to collect and maintain child vision
				screening results, to ensure students receive the required vision screening,
				and to monitor eye health.
(1) The
			 database module shall consist of vision screening information, including
			 identifying and demographic data.
(2) Database module reporting shall comply
			 with rule
			 641-52.7
			 (135).
(3) Restricted uses of
			 database module. The database module information shall not be used to:
a. Market services to students or
			 nonstudents;
b. Assist in bill
			 collection services; or
c. Locate
			 or identify students or nonstudents for any purpose other than those expressly
			 provided in this rule.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 52 - Vision Screening › Rule 641-52.10 - Referral Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) If
			 a vision screening identifies a potential vision impairment in a child, the
			 person who performed the vision screening shall, if the person is not an
			 ophthalmologist or optometrist, refer the child to an ophthalmologist or
			 optometrist for a comprehensive eye examination.
(2) Persons performing vision screenings
			 shall contact parents or guardians of children identified as having potential
			 vision impairment based on the results of a vision screening required pursuant
			 to this chapter or a comprehensive eye examination required pursuant to subrule
			 52.10(1) in order to provide information on obtaining necessary vision
			 correction.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 54 - Concussion or Other Brain Injury Return-to-play Protocol › Rule 641-54.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter describes the return-to-play protocol for
				concussion or other brain injury to be adopted by July 1, 2019, by the board of
				directors of each school district and the authorities in charge of each
				accredited nonpublic school with enrolled students who participate in an
				extracurricular interscholastic activity in grades seven through twelve.
				Concussions are a type of brain injury that can range from mild to severe and
				can disrupt the way the brain normally works. Concussions can occur in an
				organized or unorganized sport or recreational activity and can result from a
				fall or from players colliding with each other, with the ground, or with
				obstacles. Concussions can occur with or without loss of consciousness, but the
				vast majority of concussions occur without loss of
				consciousness.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 54 - Concussion or Other Brain Injury Return-to-play Protocol › Rule 641-54.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply.
"Asymptomatic "
means the student is no longer
				showing signs, symptoms, or behaviors consistent with a concussion or other
				brain injury.
"Contest"
means an interscholastic athletic
				game or competition.
"Extracurricular interscholastic activity"
means any dance or cheerleading activity or extracurricular interscholastic
				activity, contest, or practice governed by the Iowa High School Athletic
				Association or the Iowa Girls High School Athletic Union that is a contact or
				limited contact activity as identified by the American Academy of
				Pediatrics.
"Licensed health care provider"
means a
				physician, physician assistant, chiropractor, advanced registered nurse
				practitioner, nurse, physical therapist, or athletic trainer licensed by a
				board designated under Iowa Code section
				147.13.
"Medical clearance "
means written clearance
				from a licensed health care provider releasing the student following a
				concussion or other brain injury to return to or commence participation in any
				extracurricular interscholastic activity.
"Rest"
means a recovery state at which
				physical and cognitive activities are reduced or removed with the intent to
				eliminate the signs, symptoms, or behaviors of brain injury.
"Return-to-learn plan "
means the plan
				developed by personnel of a school district or accredited nonpublic school
				based on guidance developed as required under Iowa Code section
				280.13C(6)
"b "
to provide adjustments or accommodations as the student
				returns to the classroom.
"Return-to-play"
means the gradual, step-wise
				approach to returning a student to participation in any extracurricular
				interscholastic activity following a concussion or other brain
				injury.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 54 - Concussion or Other Brain Injury Return-to-play Protocol › Rule 641-54.3 - Return-to-play Protocol

Current through Register Vol. 47, No. 3, July 24, 2024
The following return-to-play step-wise process shall begin when
				the student who has been removed from participation in any extracurricular
				interscholastic activity governed by the Iowa High School Athletic Association
				or the Iowa Girls High School Athletic Union is no longer showing signs,
				symptoms, or behaviors consistent with a concussion or other brain injury for a
				minimum of 24 hours and has received written medical clearance from a licensed
				health care provider to return to or commence such participation.
(1)
Return-to-play process.
Each step shall take a minimum of 24 hours.
a. If the student shows signs, symptoms, or
			 behaviors consistent with a concussion or other brain injury at any step of the
			 return-to-play protocol, the student must stop the activity and the student's
			 licensed health care provider and parent or guardian shall be
			 contacted.
b. If the student shows
			 signs, symptoms, or behaviors consistent with a concussion or other brain
			 injury during this process, an additional 24-hour period of rest shall take
			 place. After the 24-hour period of rest, the student shall drop back to the
			 previous level when the student showed no signs, symptoms, or behaviors
			 consistent with a concussion or other brain injury and begin the progression
			 again.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of this chapter, the following definitions
				shall apply:
"Appointed members "
means members of the
				advisory council on brain injuries who have been appointed by the governor's
				office.
"Brain injury"
means a brain injury as defined
				in Iowa Code section
				135.22.
"Chairperson "
means the chairperson of the
				advisory council on brain injuries, who has been elected by the majority of the
				council's members.
"Council"
means the advisory council on brain
				injuries.
"Department"
means the Iowa department of
				public health.
"Ex officio members "
means designated state
				agency staff who are statutory members of the advisory council on brain
				injuries.
"Person from the public "
means a person or
				agency who does not have an affiliation with the advisory council on brain
				injuries but who has knowledge or skills beneficial to the council for specific
				task forces or projects.
"Service partners "
means representatives of
				organizations who partner with the Iowa department of public health or the
				advisory council on brain injuries to carry out activities related to the
				mission of the council.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.2 - Mission of Council

Current through Register Vol. 47, No. 3, July 24, 2024
The council's mission is to represent individuals with brain
				injury, their families, and all Iowans through advocacy, education, training,
				rehabilitation, research and prevention. By means of these efforts, the council
				brings about awareness to others and serves as a source of hope and healing to
				survivors of brain injury. The council will accomplish this mission through the
				following activities:
1. Studying the
			 needs of individuals with brain injury and their families.
2. Making recommendations regarding the
			 planning, development, and administration of a comprehensive statewide service
			 delivery system.
3. Promoting and
			 implementing injury prevention strategies.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.3 - Council Established

Current through Register Vol. 47, No. 3, July 24, 2024
The advisory council on brain injuries, part of the Iowa
				department of public health, is established pursuant to Iowa Code section
				135.22A.
(1) The council shall consist of a minimum of
			 nine appointed members in addition to the ex officio members.
a. The following persons or their designees
			 shall serve as ex officio, nonvoting members of the council:
(1) The director of public health.
(2) The director of human services and any
			 division administrators of the department of human services so assigned by the
			 director.
(3) The director of the
			 department of education.
(4) The
			 chief of the special education bureau of the department of education.
(5) The administrator of the division of
			 vocational rehabilitation services of the department of education.
(6) The director of the department for the
			 blind.
(7) The commissioner of
			 insurance.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.4 - Officers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Officers of the
			 council shall be a chairperson, vice-chairperson and immediate past
			 chairperson.
a. The officers shall be elected
			 at the first meeting of each fiscal year.
b. Vacancy in the office of chairperson shall
			 be filled by elevation of the vice-chairperson.
c. Vacancy in the office of vice-chairperson
			 shall be filled by election at the next meeting after the vacancy
			 occurs.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.5 - Duties of the Council

Current through Register Vol. 47, No. 3, July 24, 2024
The council shall perform the following duties:
(1) Promote meetings and programs for the
			 discussion of methods to reduce the debilitating effects of brain injuries, and
			 disseminate information in cooperation with any other department, agency, or
			 entity on the prevention, evaluation, care, treatment, and rehabilitation of
			 persons affected by brain injuries.
(2) Study and review current prevention,
			 evaluation, care, treatment, and rehabilitation technologies and recommend
			 appropriate preparation, training, retraining, and distribution of personnel
			 and resources in the provision of services to persons with brain injuries
			 through private and public residential facilities, day programs, and other
			 specialized services.
(3)
			 Participate in developing and disseminating criteria and standards which may be
			 required for future funding or licensing of facilities, day programs, and other
			 specialized services for persons with brain injuries in Iowa.
(4) Make recommendations to the governor for
			 developing and administering a state plan to provide services for persons with
			 brain injuries in Iowa.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.6 - Meetings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The council
			 shall meet at least quarterly. The annual meeting schedule shall be established
			 by the beginning of the fiscal year.
(2) Notice of routine meetings and agenda
			 will be made available to the members a minimum of five working days prior to
			 the meeting.
(3) Meetings may be
			 scheduled as business requires, but notice must be given to members at least
			 five working days prior to the meeting.
(4) All meetings will be held in facilities
			 accessible to and functional for people with physical disabilities.
(5) Notification for reasonable
			 accommodations should be made to department staff at least three working days
			 prior to the meeting.
(6) All
			 meetings are open to the public in accordance with the open meetings law, Iowa
			 Code chapter 21.
(7) Cameras and
			 recording devices may be used at open meetings, provided they do not obstruct
			 the meeting. The presiding officer may request a person using such a device to
			 discontinue its use if it is obstructing the meeting.
(8) The presiding officer may exclude any
			 person from the meeting for repeated behavior that disrupts or obstructs the
			 meeting.
(9) The operation of
			 council meetings will be governed by the following rules of procedure:
a. A simple majority of the appointed members
			 shall constitute a quorum. Motions may not be made without a quorum.
b. When a quorum is present, a motion is
			 carried by affirmative vote of two-thirds of appointed members
			 present.
c. Time for public comment
			 will be made during each council meeting.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.7 - Minutes

Current through Register Vol. 47, No. 3, July 24, 2024
The advisory council shall keep minutes of all its meetings
				showing the date, time, place, members present, members absent, and the general
				topics discussed.
(1) The minutes
			 shall reflect the actions agreed upon by the members for topics requiring the
			 members' input or consensus.
(2) If
			 a meeting is convened within a 24-hour time period to discuss emergent issues,
			 the minutes shall reflect the emergent nature of the meeting.
(3) If a meeting is conducted via telephone,
			 the minutes shall reflect the reason for the use of this method of
			 meeting.
(4) The minutes shall be
			 available at the council staff office for inspection Monday through Friday from
			 8:30 a.m. to 4:30 p.m.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.8 - Task Forces

Current through Register Vol. 47, No. 3, July 24, 2024
The chairperson of the council may establish task forces as
				needed to carry out the business of the council.
(1) The council will have two standing task
			 forces: the executive task force and the state plan task force.
a. The executive task force shall be made up
			 of the council chairperson, vice-chairperson, immediate past chairperson and
			 chairperson of the state plan task force.
b. The state plan task force shall be made up
			 of members appointed by the chairperson.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 55 - Advisory Council on Brain Injuries › Rule 641-55.9 - Expenses of Advisory Council Members

Current through Register Vol. 47, No. 3, July 24, 2024
The following may be considered necessary expenses for
				reimbursement of advisory council members when the expenses are incurred on
				behalf of advisory council business and are subject to established state
				reimbursement rates:
1. Reimbursement
			 for travel in a private car.
2.
			 Actual lodging and meal expenses, including sales tax on lodging and
			 meals.
3. Actual expenses of public
			 transportation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For purposes of this chapter, the following definitions
				apply:
"Assessment"
means the review of the
				consumer's current functioning with regard to the consumer's situation, needs,
				strengths, abilities, desires and goals.
"Brain injury services waiver"
means the
				state's medical assistance home- and community-based services waiver for
				persons with brain injury.
"Consumer "
means an individual who has
				applied for and been found eligible to participate in the waiver-eligible
				component or the cost-share component of the brain injury services
				program.
"Cost share "
means the portion an individual
				is responsible to pay for services received by the individual.
"Countable income, "
when determining initial
				and ongoing eligibility for the brain injury services program, means all earned
				and unearned income, unless specifically exempted in 441-subrule
				86.2(2).
"Department"
means the Iowa department of
				public health.
"Family size, "
for purposes of establishing
				initial and ongoing eligibility under the brain injury services program, means
				all persons living together who are children and who are parents of those
				children as defined in 441-subrule 86.2(3).
"Program administrator"
means the division of
				behavioral health and professional licensure within the department of public
				health.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.2 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the brain injury services program is to provide
				services, service funding, or other support for persons with a brain injury
				under one of the program components established pursuant to Iowa Code section
				135.22B.
				The overall purpose of this chapter is to establish administrative rules in
				accordance with Iowa Code section
				135.22B
				relative to the financial eligibility requirements for services under the
				waiver-eligible and cost-share components of the brain injury services
				program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.3 - Waiver-eligible Component

Current through Register Vol. 47, No. 3, July 24, 2024
Persons eligible for the brain injury services waiver and on
				the waiting list for the waiver are eligible for the waiver-eligible component.
				The brain injury services program may provide funding for the nonfederal share
				of the cost of services if the appropriation for the medical assistance program
				does not have sufficient funding designated to do so.
(1) Provision of funding under this component
			 is not an entitlement and is subject to funding availability.
(2) A person who receives support under the
			 waiver-eligible component of the brain injury services program is not eligible
			 to receive support under the cost-share component of the program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.4 - Cost-share Component

Current through Register Vol. 47, No. 3, July 24, 2024
Persons determined ineligible for the brain injury services
				waiver, due to fiscal or functional criteria, or persons who are eligible for
				the waiver but for whom funding was not authorized or available to provide
				waiver eligibility are eligible for the cost-share component of the brain
				injury services program.
(1) An
			 individual must meet all of the following requirements:
a. The individual is aged one month through
			 64 years.
b. The individual has a
			 diagnosed brain injury as defined in Iowa Code section
			 135.22.
c. The individual is a resident of Iowa and
			 either a United States citizen or a qualified alien as defined in 8 U.S.C.
			 Section 1641.
d. The individual
			 must meet the cost-share component's financial eligibility requirements and be
			 willing to pay a cost share for the cost-share component.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.5 - Application Process

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
			 applicant must authorize the department of human services to provide the
			 applicant's brain injury services waiver application materials to the brain
			 injury services program.
(2) The
			 department of human services will provide the department the application
			 materials, which shall include but are not limited to the waiver application
			 and any denial letter, financial assessment, and functional assessment
			 regarding the person in an agreed-upon format.
(3) The department will determine eligibility
			 within 45 days of receipt of complete application materials.
a. After determining if the applicant's
			 service needs fit within the scope of the brain injury services program, the
			 department shall inform the discharge planner or case manager on behalf of the
			 applicant or the applicant's legal representative of the applicant's
			 eligibility.
b. The case manager
			 shall establish an interdisciplinary team for each consumer and, with the team,
			 identify the consumer's plan based on the consumer's needs and desires as well
			 as the availability and appropriateness of services. The case manager shall
			 notify the department of the service plan.
c. The date of eligibility for applicants
			 deemed eligible for the cost-share component will be the date when both the
			 service eligibility and financial eligibility assessments have been
			 completed.
d. Notification of
			 eligibility shall be mailed or given to the applicant or the applicant's legal
			 representative within seven days of the date eligibility determination is
			 completed.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.6 - Service Providers and Reimbursement

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A service provider must either be
			 certified to provide services under the brain injury services waiver or have a
			 contract with a county to provide services and apply to become certified to
			 provide services under the brain injury services waiver within 90 days of the
			 date that services commence.
(2)
			 The reimbursement rate payable for the cost of a service provided under the
			 cost-share component is the rate payable under the medical assistance program.
			 However, if the service provider does not have a medical assistance program
			 reimbursement rate, the rate shall be the amount payable under the county
			 contract.
(3) All service providers
			 must contract with the department and will be paid retroactively to the date of
			 service eligibility.
(4) Service
			 providers will be responsible for billing and collection of any cost share from
			 an individual as determined by the program administrator within the
			 department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.7 - Available Services/service Plan

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Services available shall be consistent
			 with the services offered through the Medicaid home-and community-based
			 services waiver.
(2) Service plans
			 must reflect use of all services, including non-cost-shared services, to ensure
			 that no duplication of services occurs.
(3) All service plans must be submitted,
			 either electronically or in hard-copy format, to the program administrator for
			 approval prior to implementation.
(4) Any change to the service plan must be
			 approved by the program administrator.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.8 - Redetermination

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A complete
			 financial redetermination of continuing eligibility for the brain injury
			 services program shall be completed annually by the department, after
			 consultation with the case manager and the interdisciplinary team.
(2) A redetermination of continuing
			 eligibility shall also be made when a change in financial or functional
			 circumstances occurs that affects eligibility.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 56 - Brain Injury Services Program › Rule 641-56.9 - Appeal Rights

Current through Register Vol. 47, No. 3, July 24, 2024
Appeal rights for any individual denied funding under either
				the waiver-eligible or the cost-share component of the program are as defined
				in
				641-176.8 (135,17A) with
				the following exception: An appeal must be submitted within 45 days of receipt
				of notification of an adverse decision.