Iowa Administrative Code › Agency 441 - Human Services Department › Title XIV - Grant/contract/payment Administration › Chapter 152 - Foster Care Contracting › Rule 441-152.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Affiliates"
means persons having an overt
				  or covert relationship such that any one of them directly or indirectly
				  controls or has the power to control another.
"Authorized representative,"
within the
				  context of rule 441-152.3 (234), means that
				  person appointed to carry out audit procedures, including an assigned auditor,
				  fiscal consultant, or agent contracted for a specific audit or audit
				  procedure.
"Bureau of service contract support"
means
				  the division of fiscal management bureau that is responsible for administering
				  performance-based contracts.
"Child"
means a person under 18 years of age
				  or a person 18, 19, or 20 years of age who meets the criteria in Iowa Code
				  section 234.1.
"Claim"
means each record the department
				  receives that tells the amount of requested payment and the service rendered by
				  a provider to a child and family.
"Client"
means a child who has been found to
				  be eligible for foster care services through the department of human
				  services.
"Confidence level"
means the probability
				  that an overpayment or underpayment rate determined from a random sample of
				  charges is less than or equal to the rate that exists in the universe from
				  which the sample was drawn.
"Contract"
means a formal written agreement
				  between the department of human services and a provider of foster care
				  services.
"Contract monitor"
means a department
				  employee who is assigned to assist in developing, monitoring, and evaluating a
				  contract and to provide related technical assistance.
"Department"
means the Iowa department of
				  human services and includes the local offices of the department.
"Extrapolation"
means using sample data
				  meeting the confidence level requirement to estimate the total dollars of
				  overpayment or underpayment.
"Family,"
for purposes of child welfare
				  service delivery, shall include the following:
1. The natural or adoptive parents,
				stepparents, domestic partner of the natural or adoptive parent, and children
				who reside in the same household.
2. A child who lives with an adult related to
				the child within the fourth degree of consanguinity and the adult relatives
				within the fourth degree of consanguinity in the child's household who are
				responsible for the child's supervision. Relatives within the fourth degree of
				consanguinity include: full or half siblings, aunts, uncles, great-aunts,
				great-uncles, nieces, great-nieces, nephews, great-nephews, grandparents,
				great-grandparents, great-great-grandparents, and first cousins.
3. A child who lives alone or who resides
				with a person or persons not legally responsible for the child's support.
"Fiscal record"
means a tangible and legible
				  history that documents the criteria established for financial and statistical
				  records as set forth in subrule 152.2(5).
"Grant"
means an award of funds to develop
				  specific programs or achieve specific outcomes.
"Juvenile court officer"
means a person
				  appointed as a juvenile court officer or chief juvenile court officer under
				  Iowa Code chapter 602.
"Non-prime programming time"
means any
				  period of the day other than prime programming time and sleeping time.
"Overpayment"
means any payment or portion
				  of a payment made to a provider that is incorrect according to the laws and
				  rules applicable to foster care services and results in a payment greater than
				  that to which the provider is entitled.
"Prime programming time"
means any period of
				  the day when special attention, supervision, or treatment is necessary (for
				  example, upon awakening of the clients in the morning until their departure for
				  school, during meals, after school, during transition between activities,
				  evenings and bedtime, and on nonschool days such as weekends, holidays, and
				  school vacations).
"Probation"
means a specified period of
				  conditional participation in the provision of foster care services.
"Provider"
means the entity that has
				  executed a contract with the department to provide services.
"Random sample"
means a systematic (or every
				  "nth" unit) sample for which each item in the universe has an equal probability
				  of being selected.
"Referral worker"
means the department
				  worker or juvenile court officer who refers the case to a provider and who is
				  responsible for carrying out the follow-up activities of determining client
				  eligibility and ensuring that the service authorization is completed.
"Service authorization"
means the process of
				  determining service necessity and the level of care and number of units of
				  service to be provided to a child.
"Service record"
means an individual,
				  tangible, and legible file that records service-related activities set forth in
				  subrule 152.2(4).
"Site"
means each licensed location of the
				  foster care provider.
"Sleeping time"
means any period of the day
				  during which clients are normally sleeping.
"Suspension of payments"
means the
				  withholding of all payments due a provider until resolution of the matter in
				  dispute between the provider and the department.
"Underpayment"
means any payment or portion
				  of a payment not made to a provider for services delivered to eligible
				  recipients according to the laws and rules applicable to the foster care
				  services program and to which the provider is entitled.
"Unit of service"
means one day for group
				  care and child welfare emergency services shelter.
"Universe"
means all items (claims)
				  submitted by a specific provider for payment during a specific period, from
				  which a random sample will be drawn.
"Withholding of payments"
means a reduction
				  or adjustment of the amounts paid to a provider on pending and subsequently
				  submitted claims for purposes of offsetting overpayments previously made to the
				  provider.