reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 71 - Emergency Information System on Pesticides for Use by Health Care Providers During Medical Emergencies › Rule 641-71.3 - Operation of Eis

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Registrants operating their own EIS shall:
a. Provide emergency treatment information to
			 health care providers engaged in the emergency care of a real-time human
			 exposure to a registrant's product(s) upon request 24 hours per day, every day
			 of the year. These services shall identify required inert ingredients, pursuant
			 to Iowa Code section
			 206.12(2)
"c"
(2), even if they are
			 considered trade secret, for the sole purpose of assisting in the medical
			 management of persons exposed to pesticides;
b. Ensure that information response time to
			 provide appropriate pesticide ingredient information, which may be responsible
			 for the medical emergency, to a health care provider or poison control center,
			 as defined in Iowa Code section
			 206.2, does not
			 exceed 15 minutes;
c. Have in
			 operation a toll-free number (800 number, reverse charges number, etc.) which
			 can be accessed anywhere in Iowa;
d. Have qualified responders on duty at all
			 times. A qualified responder who provides the information to the inquiring
			 health care provider shall:
(1) Have a
			 college degree in one of the life sciences or its equivalent and have a minimum
			 of two years' experience in the hazardous chemical (pesticide) field. This
			 experience shall be in the routine handling and working with hazardous
			 substances of the type that would, in the normal course of events, require
			 emergency response; or
(2) Be an
			 individual who is under the direct supervision of an individual who meets the
			 requirements of 71.3(1)
"d"
(1); and
(3) Have comprehensive emergency response and
			 accident mitigation training.
e. Have an adequate contingency plan to
			 continue operation in the event of equipment or power failure;
f. Have facsimile (fax)
			 capabilities;
g. Provide at a
			 minimum:
(1) The immediate health hazards
			 posed by internal or external exposure to a given pesticide,
(2) Risks of fire or explosion of a
			 material,
(3) Immediate precautions
			 to take in the event of an accident or incident,
(4) Preliminary first-aid measures,
			 and
(5) A comprehensive list of
			 compounds in a given product including identification of the inert ingredients
			 only upon request from the health care provider who is treating a real-time
			 human exposure to a registrant's product.
h. Provide to poison control centers, defined
			 in Iowa Code subsection
			 206.2(24),
			 the telephone number(s) to be used to obtain treatment information for a person
			 exposed to a registrant's product.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 72 - Childhood Lead Poisoning Prevention Program › Rule 641-72.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Approvedprogram"
means a program that meets
				the requirements of subrule 72.2(3) and has been approved by the
				department.
"Department"
means the Iowa department of
				public health.
"Local board"
means a county, district, or
				city board of health.
"Local childhood lead poisoning prevention
				program"
means a program in which the services listed in subrule
				72.2(3) are provided by agencies located in a community.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 72 - Childhood Lead Poisoning Prevention Program › Rule 641-72.2 - Approved Programs

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A
			 local board of health representing a geographic area with a population of at
			 least 15,000 is eligible to apply for status as an approved program pursuant to
			 Iowa Code section
			 135.104, which sets
			 forth the eligibility requirements contained in the application.
(2) A local board wishing to apply for status
			 as an approved program shall make application to the Iowa department of public
			 health in the format which will be made available from the Lead Poisoning
			 Prevention Program, Iowa Department of Public Health, Lucas State Office
			 Building, Des Moines, Iowa 50319-0075. All materials submitted as part of the
			 application for status as an approved program are public records.
(3) The program administered by a local board
			 of health or city receiving funding for an approved childhood lead poisoning
			 prevention grant program shall include:
a. A
			 public education program about lead poisoning and dangers of lead poisoning to
			 children.
b. An effective outreach
			 effort to ensure availability of services in the predicted geographic
			 area.
c. A screening program for
			 children, with an emphasis on children less than six years of age.
d. Access to laboratory services for lead
			 analysis.
e. A program of referral
			 of identified children for assessment and treatment.
f An environmental assessment of suspect
			 dwelling units.
g. Surveillance to
			 ensure correction of the identified hazardous settings.
h. A plan of intent to continue the program
			 on a maintenance basis after the grant is discontinued.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 72 - Childhood Lead Poisoning Prevention Program › Rule 641-72.3 - Reallocation of Funding

Current through Register Vol. 47, No. 3, July 24, 2024
On January 1 of each year, the department shall ask each
				approved program to estimate the amount of funds that the approved program has
				been awarded but will not use. The department may reallocate these funds to
				approved programs with demonstrated special needs for childhood lead poisoning
				prevention services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 72 - Childhood Lead Poisoning Prevention Program › Rule 641-72.4 - Appeals

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Any applicant
			 that has timely filed an application and is aggrieved by the decision made
			 pursuant to these rules regarding the applicant's status as an approved program
			 may request a reconsideration of the applicant's proposal by filing a written
			 request for reconsideration with the director of the Iowa department of public
			 health. The request shall be filed within three working days of the date of
			 notification of the decision regarding the applicant's status as an approved
			 program.
(2) A request for
			 reconsideration must be in writing and clearly state the reasons for
			 reconsideration. The director's scope of review for requests shall be limited
			 to a finding that the department erred in following the rules or procedures of
			 the approval process as outlined in these administrative rules.
(3) The department shall refrain from
			 allocating any funds until it has received the decision of the director as to
			 any reconsideration. The review shall be conducted as expeditiously as possible
			 so that all funds can be allocated in a timely fashion.
(4) This procedure shall end the review
			 process at the administrative level.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.1 - Program Explanation

Current through Register Vol. 47, No. 3, July 24, 2024
The Special Supplemental Nutrition Program for Women, Infants,
				and Children (WIC) is a federal program operated pursuant to agreement with the
				states. The purpose of the program is to provide supplemental foods and
				nutrition education to eligible pregnant, postpartum, and breastfeeding women,
				infants, and young children from families with inadequate incomes. The WIC
				program is administered on the federal level by the U.S. Department of
				Agriculture, Food and Nutrition Service (FNS). The Iowa department of public
				health serves as the administering agency for the state of Iowa. The Iowa
				department of public health enters into contracts with selected local agencies
				on an annual basis for the provision of WIC services to eligible
				participants.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.2 - Adoption by Reference

Current through Register Vol. 47, No. 3, July 24, 2024
Federal regulations in 7 CFR Part 246 found at
www.gpo.gov/fdsys/pkg/CFR-2018-title7-vol4/pdf/CFR-2018-title7-vol4-part246.pdf
(effective as of February 13, 1985, as amended through January 1, 2018, and any
				additional amendments), WIC EBT operating rules found at
				www.fns.usda.gov/sites/default/files/wic/WIC-EBT-Operating-Rules-September-2014.pdf
				(effective as of November 2009, as amended through September 2014, and any
				additional amendments), the WIC EBT technical implementation guide found at
				www.fns.usda.gov/sites/default/files/WICEBT-TechnicallmplementationGuide.pdf
				(as amended through September 30, 2012, and any additional amendments), FNS
				Handbook 901 v2 found at fns-prod.azureedge.net/sites/default/files/apd/FNS
				HB901 v2.2 Internet Ready Format.pdf (as amended through January 2017, and any
				additional amendments), and FNS Instruction 113-1 found at
				www.fns.usda.gov/sites/default/files/113-1.pdf (effective as of November 8,
				2005, and any additional amendments) shall be the authority for rules governing
				the Iowa WIC program and are incorporated by reference herein. The Iowa WIC
				Policy and Procedure Manual, which provides procedural guidance in the
				implementation of these regulations to contract agencies administering the WIC
				programs and which contains policies and procedures as approved by the United
				States Department of Agriculture, is incorporated herein by
				reference.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.3 - Availability of Rules and Policy and Procedure Manual

Current through Register Vol. 47, No. 3, July 24, 2024
Copies of the federal rules and the Iowa WIC Policy and
				Procedure Manual adopted by reference in
				641-73.2 (135) are available
				from: Chief, Bureau of Nutrition and Physical Activity, Iowa Department of
				Public Health, Lucas State Office Building, 321 East 12th Street, Des Moines,
				Iowa 50319-0075; (515)281-7095 or 1-800-532-1579.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.5 - Staffing of Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The competent professional authority
			 (CPA) shall conduct the nutrition interview and shall attest to the applicant's
			 eligibility for services after the certification process is
			 completed.
(2) Contract agencies
			 shall maintain on file documentation of qualifications for any individual
			 employed or under contract as a CPA.
(3) All contract agencies shall employ at
			 least one licensed dietitian to provide services for participants determined to
			 be at high risk. Nutrition educators employed by a contract agency shall be
			 supervised by a licensed dietitian.
(4) Proposed staffing patterns within
			 contract agencies shall be subject to approval from the department following
			 review in accord with established statewide WIC staff patterns.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.6 - Certification of Participants

Current through Register Vol. 47, No. 3, July 24, 2024
The certification process to determine eligibility for WIC
				services, as defined in
				7 CFR
				246.7, shall include the following procedures
				and definitions:
(1)
Application.
Information on identity, address, family incomes,
			 and nutritional risk must be collected in accordance with the Iowa WIC Policy
			 and Procedure Manual.
(2)
Income.
a. The income
			 guidelines used shall be the same as the National School Lunch Program
			 guidelines for reduced price school lunches, which are equal to 185 percent of
			 the current federal poverty guidelines. Definitions of income are mandated by
			 federal regulation and are described in the Iowa WIC Policy and Procedure
			 Manual. Revised dollar figures for the 185 percent poverty level are published
			 annually in the Federal Register and become effective for WIC no later than
			 July 1 following their publication. Copies of the income definitions and
			 monetary guidelines are available from the department.
b. Applicants must provide the contract
			 agency written proof of their income as part of each certification process,
			 pursuant to the Iowa WIC Policy and Procedure Manual.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.7 - Food Delivery

Current through Register Vol. 47, No. 3, July 24, 2024
Food delivery refers to all aspects of the method by which WIC
				participants receive food benefits, including but not limited to the issuing,
				distribution, and processing of personal food instruments redeemable through
				retail food markets and the statewide banking system. Food delivery shall be
				uniform throughout the state as provided for by these rules.
(1)
Responsibilities of WIC
			 participants.
a.
Prompt
			 redemption of food instruments.
A WIC participant must redeem WIC
			 benefits within the validated date of use.
b.
Claiming food instruments and
			 benefits.
Enrolled participants are required to appear in person to
			 claim food instruments and benefits when they have appointments to certify or
			 have face-to-face, scheduled nutrition education contacts. Enrolled
			 participants who complete their nutrition education contacts via a
			 state-approved Internet nutrition education platform are not required to appear
			 in person to claim food instruments and benefits. A proxy may pick up food
			 instruments as described in the Iowa WIC Policy and Procedure Manual.
c.
Adherence to standards for use of
			 the food instrument.
The WIC participant in using the WIC food
			 instrument to obtain the specified foods shall:
(1) At the time of receipt of food benefits
			 in the clinic, electronically sign that food benefits were received.
(2) Swipe the eWIC card at the vendor's ECR
			 and enter the participant's PIN at point of purchase.
(3) Not accept money in exchange for unused
			 food benefits or portions of the food allotment.
(4) Attempt to redeem food benefits only with
			 a WIC-contracted vendor.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.8 - Food Package

Current through Register Vol. 47, No. 3, July 24, 2024
The authorized supplemental foods shall be prescribed for
				participants by a CPA in the contract agency from food packages outlined in
				7 CFR 246.10
				and in accordance with the following:
(1)
Prescription of foods.
Food packages shall maintain a balance between cost and nutrition integrity.
			 There are two components to this balance:
(1)
			 administrative adjustments by the department; and (2) nutrition tailoring by
			 both the department and the CPA in the contract agencies.
a. Administrative adjustments include
			 restrictions in the packaging methods, brands, sizes, types, and forms (but not
			 quantities) of the federally allowable foods in order to establish the approved
			 food list for the state. Administrative adjustments include decisions to
			 eliminate more expensive brands or prohibit more costly food items allowed by
			 regulations. Criteria for considering foods for inclusion in the approved food
			 list are found in 73.8(3).
b.
			 Nutrition tailoring includes changes or substitutions to food types, forms, and
			 quantities in order to prescribe food packages that better meet the nutritional
			 needs of participants. Tailoring is done to reduce quantities of foods based on
			 nutritional needs, to accommodate participant preferences, to accommodate
			 household conditions, such as lack of refrigeration or other special needs and
			 problems of homeless or transient participants, and to recommend or prescribe
			 specific forms of the allowable WIC foods based upon a participant's
			 nutritional needs or goals.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.9 - Education

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Nutrition education for WIC participants.
a. Nutrition education is provided as a
			 benefit to all women and to parents of all children enrolled in the WIC
			 program.
b. A minimum of two
			 nutrition education contacts shall be offered to each woman participant or the
			 parent/guardian of children/infants participating in WIC during each
			 certification period.
c. Nutrition
			 education shall be based on information obtained through the nutrition
			 interview and shall be tailored to the specific nutrition need of the
			 participant.
d. All pregnant women
			 enrolled in WIC shall be offered education on the benefits of
			 breastfeeding.
e. Education in
			 normal nutrition, i.e., education in nutrition for life-cycle stages, shall be
			 provided in accordance with the Iowa WIC Policy and Procedure Manual.
f. Participants who are at high
			 risk, as defined in the Iowa WIC Policy and Procedure Manual, shall receive
			 counseling and a nutrition plan of care developed by a licensed dietitian. The
			 plan of care shall be documented in the participant record and shall include
			 scheduling a minimum of one individual education contact by a licensed
			 dietitian.
g. The department shall
			 make nutrition education materials and resources available at no cost to
			 contract agencies. The department reserves the right to review and approve or
			 disapprove any printed materials or lesson plans developed by contract
			 agencies.
h. To the extent that
			 time and resources are available, nutrition education may be provided to
			 applicants who are not eligible to receive other WIC services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.10 - Health Services

Current through Register Vol. 47, No. 3, July 24, 2024
The WIC program shall serve in the arrangement of ongoing
				health services for its participants. Contract agencies not able to provide
				such health services directly shall enter into written agreements with other
				public health agency(ies) or private physician to ensure availability of health
				services.
(1)
Written
			 agreements.
a.
Contract for
			 services.
Contract agencies shall maintain an annual written,
			 contractual agreement with any health agency performing WIC health assessments,
			 whether for fee or exchange of service.
b.
Memorandum of
			 understanding.
Contract agencies shall maintain a current memorandum
			 of understanding with any health agency designated to provide ongoing health
			 services to WIC participants and with any agency providing referral
			 data.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.11 - Appeals and Fair Hearings-local Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Right of appeal.
a.
Applicant.
An applicant
			 may appeal the denial or rejection of a timely submitted application.
b.
Contract agencies.
The
			 right to appeal shall be granted when, during the course of the contract or
			 agreement period, a local agency is disqualified or any other action which
			 affects participation is taken.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.12 - Right to Appeal-participant

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Right of appeal.
A WIC
			 participant shall have the right to appeal whenever a decision or action of the
			 department or contract agency results in the individual's denial of
			 participation, disqualification, or termination from the WIC program. All
			 hearings shall be conducted in accordance with these rules.
(2)
Notification of appeal rights and
			 right to hearing.
Each WIC program participant shall be notified in
			 writing of the participant's right to appeal at the time of application and at
			 the time of denial of eligibility or termination from the WIC program and at
			 the time a participant receives a notice of a claim being established for
			 repayment of improperly issued benefits. Appeal and hearing notices shall also
			 be written, posted, and immediately available at contract agencies to explain
			 the method by which a hearing is requested, and that the participant may
			 present arguments at the hearing either personally or through a representative
			 such as a relative, friend, legal counsel, or other spokesperson.
(3)
Request for hearing.
A
			 request for hearing by an individual or the individual's parent, guardian, or
			 other representative must be made in writing or verbally. The request for
			 hearing shall be made to the contract agency within 60 days from the date the
			 individual receives notice of the decision or action that is the subject of
			 appeal.
(4)
Denial or
			 dismissal of request.
The request for hearing shall not be denied or
			 dismissed unless:
a. The request is not
			 received within the required time frame;
b. The request is withdrawn in writing by the
			 appellant or a representative of the appellant; or
c. The appellant has been denied
			 participation by a previous hearing and cannot provide evidence that
			 circumstances relevant to WIC program eligibility have changed in such a way as
			 to justify a hearing.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.13 - Right to Appeal-vendor

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Right of appeal.
The right of appeal shall be granted when a
			 vendor's application to participate is denied. The right to appeal shall also
			 be granted when, during the course of the contract or agreement period, a
			 vendor is disqualified or any other action which affects participation is
			 taken. For participating vendors, a minimum of 15 days' advance notice will be
			 given before the effective date of the action. The right to appeal shall not be
			 granted in the following circumstances:
a.
			 When a vendor's contract expires.
b. When the department makes a determination
			 regarding participant access.
c.
			 When a vendor is disqualified from the WIC program as a result of a
			 Supplemental Nutrition Assistance Program (SNAP) disqualification.
d. When there are disputes regarding food
			 instrument or cash-value benefit payments and vendor claims (other than the
			 opportunity to justify or correct a vendor overcharge or other error, as
			 permitted by
			 7CFR
			 246.12(k)(3)) .
e. The denial of authorization, if the
			 department vendor authorization is subject to the procurement procedures
			 applicable to the department.
f.
			 When a vendor does not agree with the validity or appropriateness of the
			 department's vendor selection and limiting criteria, the department's peer
			 group criteria, the department's above-50-percent vendor criteria, and the
			 department's prohibition of incentive items and the department's denial of an
			 above-50-percent vendor's request to provide an incentive item to customers
			 pursuant to
			 7 CFR
			 246.12(h)(8).
g. Determination of the following by the
			 department:
(1) Whether or not a vendor had an
			 effective policy and program in effect to prevent trafficking and that the
			 ownership of the vendor was not aware of, did not approve of, and was not
			 involved in the conduct of the violation,
(2) To include or exclude an infant formula,
			 manufacturer, wholesaler, distributor, or retailer from the approved-formula
			 list required pursuant to
			 7 CFR
			 246.12(g)(ll),
(3) Whether to notify a vendor in writing
			 when an investigation reveals an initial violation to impose a sanction,
			 pursuant to
			 7 CFR
			 246.12(1)(3).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.14 - State Monitoring of Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall review contract agency operations through
				use of reports and documents submitted, state-generated data processing
				reports, and on-site visits for evaluation and technical assistance.
(1)
On-site visits.
Department staff shall visit contract agencies whenever necessary, to review
			 operations and ensure compliance with state and federal regulations.
(2)
Request for written
			 reports.
The department may request written progress reports from
			 contract agencies within specified times.
(3)
Qualifications of department
			 reviewers.
At minimum, one of the persons from the department
			 responsible for reviewing a contract agency shall be a licensed
			 dietitian.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.15 - Migrant Services

Current through Register Vol. 47, No. 3, July 24, 2024
To meet the WIC needs of migrant workers within the state, a
				contract or work agreement shall be maintained with at least one contract
				migrant service agency within the state to provide or assist in the provision
				of service to this population.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.16 - Civil Rights

Current through Register Vol. 47, No. 3, July 24, 2024
The Iowa WIC program shall operate in compliance with state and
				federal regulations to ensure the rights of all individuals under the WIC
				program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.17 - Audits

Current through Register Vol. 47, No. 3, July 24, 2024
Each contract agency shall ensure an audit of the WIC program
				within the agency at least every two years, to be conducted by a private
				certified public accountant or in accord with applicable Office of Management
				and Budget Circulars: A-128, Audits of State and Local Governments, and A-133,
				Audits of Institutions of Higher Education and Other Nonprofit Institutions.
				Each audit shall cover all unaudited periods through the end of the previous
				grant year. The department's audit guide shall be followed to ensure an audit
				that meets federal and state requirements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.18 - Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
Completion of grant applications, budgets, expenditure reports
				and written responses to the department's monitoring for the WIC program shall
				be conducted by contract agencies in compliance with the formats and procedures
				outlined by the department in the Iowa WIC Policy and Procedure Manual, as
				specified in the contract entered into by the department and the contract
				agency.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.20 - Data Processing

Current through Register Vol. 47, No. 3, July 24, 2024
All contract agencies shall comply with the instructions
				outlined in the Iowa WIC Policy and Procedure Manual for use of the automated
				data processing system in provision of WIC food instruments and monitoring of
				WIC services. No contract agency is exempted from adherence to any portion of
				these instructions.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.21 - Outreach

Current through Register Vol. 47, No. 3, July 24, 2024
Outreach efforts within the Iowa WIC program shall be directed
				toward extension of services to the neediest Iowans of high priority by reason
				of their WIC status (see
				7 CFR
				246.1(d)(3)) . The
				department and contract agencies shall share responsibility for the conduct of
				outreach efforts.
(1)
Contract
			 agency responsibilities.
Contract agencies shall conduct any or all of
			 the following outreach activities annually:
a.
			 Distribute WIC brochures to numerous community organizations and
			 offices.
b. Complete outreach
			 activities as specified in the local agency contract.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.22 - Caseload Management

Current through Register Vol. 47, No. 3, July 24, 2024
The statewide caseload (number of participants) shall be
				managed by the department in accord with funding limitations and federal
				regulations or directives. The federally established priority categories of
				participant shall be followed when limitation of services is necessary in
				accord with
				7 CFR
				246.7(d)(3). In addition the
				following rules shall apply:
(1) A
			 contract agency shall maintain a waiting list only when the department
			 determines that sufficient funds are not available to meet demand.
(2) When a waiting list has been authorized,
			 contract agencies shall certify applicants of potential highest priority first
			 (e.g., women and infants) and potential lower priority second (children).
			 Within these priority groups, applicants shall be offered certification
			 appointments in the order of placement on the list.
(3) When insufficient funds are available to
			 serve all priority categories, the department shall provide instructions to
			 contract agencies regarding which priority categories may continue to be
			 certified.
(4) When necessitated by
			 federal funding restrictions, the department reserves the right to terminate or
			 temporarily suspend benefits for categories of participants prior to the end of
			 their certification period. Each participant shall be advised in writing 15
			 days before the effective date of the reasons for the action and of the right
			 to a fair hearing.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.23 - Grant Application Procedures for Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
Private, nonprofit or public agencies wishing to provide WIC
				services may be required to file a letter of intent to make application to the
				department no later than April 1 of the competitive year. Applications shall be
				to administer WIC services for a specified project period, as defined in the
				request for proposal, with an annual continuation application. The contract
				period shall be from October 1 to September 30 annually. All materials
				submitted as part of the grant application are considered public records in
				accordance with Iowa Code chapter 22, after a notice of award is made by the
				department. Notification of the availability of funds and grant application
				procedures will be provided in accordance with the department rules found in
				641-Chapter 176.
Contract agencies are selected on the basis of the grant
				applications submitted to the department. The department will consider only
				applications from private, nonprofit or public agencies. Copies of review
				criteria are available from: Chief, Bureau of Nutrition and Physical Activity,
				Iowa Department of Public Health, Lucas State Office Building, Des Moines, Iowa
				50319-0075; (515)281-7095 or 1-800-532-1579.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.24 - Participant Rights

Current through Register Vol. 47, No. 3, July 24, 2024
The WIC program shall be open to all eligible persons
				regardless of race, color, sex, creed, age, mental/physical handicap or
				national origin. The USDA Nondiscrimination Statement can be found on the
				following USDA website:
				www.fns.usda.gov/sites/default/files/cr/Nondiscrimination-Statement.pdf
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.25 - Confidentiality

Current through Register Vol. 47, No. 3, July 24, 2024
The department and local agencies shall protect the
				confidentiality of participant, applicant, and vendor information in accordance
				with 7 CFR Part 246.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 73 - Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) › Rule 641-73.26 - Wic Online Ordering Project

Current through Register Vol. 47, No. 3, July 24, 2024
Notwithstanding any conflicting provision of law to the
				contrary, a participant, vendor, or contract agency may participate in the WIC
				online ordering project, provided that such participation conforms to the terms
				and conditions of the Iowa WIC Policy and Procedure Manual as modified to
				incorporate the WIC online ordering project.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.1 - Program Explanation

Current through Register Vol. 47, No. 3, July 24, 2024
The Iowa department of public health is a designated agency to
				operate the family planning program pursuant to an agreement with the federal
				government. Congress authorized grants to assist in the establishment and
				operation of family planning projects which offer a broad range of acceptable
				and effective family planning methods, including natural family planning,
				infertility services and services to adolescents. The majority of the funding
				available is from the Title X, family planning services grant, administered by
				the United States Department of Health and Human Services (DHHS).
The purpose of the program is to promote the health of persons
				of reproductive age and families by providing access to family planning and
				reproductive health promotion services.
The department, bureau of family health, enters into contracts
				with selected private and public agencies within the department family planning
				service area for the provision of family planning services. A description of
				the department family planning service area can be obtained from the Chief,
				Bureau of Family Health, Department of Public Health, Lucas State Office
				Building, Des Moines, Iowa 50319-0075.
The maternal and child health (MCH) advisory coimcil assists in
				the development of the state plan for MCH, including children with special
				health care needs and family planning. The advisory council assists with the
				assessment of need, prioritization of services, establishment of objectives,
				and encouragement of public support for MCH and family planning programs. In
				addition, the advisory council advises the director regarding health and
				nutrition services for women and children, supports the development of special
				projects and conferences and advocates for health and nutrition services for
				women and children. The director appoints the council membership. Membership
				shall include parents of and service providers for children with special health
				care needs. Council membership shall also include the chairs, or designees, of
				the department's advisory committee for perinatal guidelines and the birth
				defects advisory committee to ensure coordination of each committee's
				respective issues and priorities. The chair of the family services grantee
				committee or the designee of the chair may serve as an ex officio member of the
				council.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.2 - Adoption by Reference

Current through Register Vol. 47, No. 3, July 24, 2024
Federal regulations found at 42 CFR Subpart A, Part 59, and the
				Program Guidelines for Project Grants for Family Planning Services shall be the
				regulations governing the Iowa family planning program and are incorporated by
				reference herein.
Copies of the federal regulations adopted by reference are
				available from the Chief, Bureau of Family Health, Department of Public Health,
				Lucas State Office Building, Des Moines, Iowa 50319-0075.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.4 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Applicant"
means a private nonprofit or
				public agency that seeks a contract with the department to provide family
				planning services and receives funds from the department for that
				purpose.
"Client"
means an individual who receives
				family planning services through a contract agency.
"Contract agency or contractor "
means a
				private nonprofit or public agency within the department family planning
				service area that has a contract with the department to provide family planning
				services and receives funds from the department for that purpose.
"Department"
means the Iowa department of
				public health.
"DHHS"
means the United States Department of
				Health and Human Services.
"DIA "
means the Iowa department of
				inspections and appeals.
"Director "
means the director of the Iowa
				department of public health.
"Family "
means a group of two or more persons
				related by birth, marriage, or adoption or residing together. A pregnant woman
				is considered as two individuals when calculating the number of individuals in
				the family. If a pregnant woman is expecting multiple births, the family size
				is increased by the number expected in the multiple birth.
"Family planning "
means the promotion of
				reproductive and family health by the prevention of and planning for pregnancy,
				and reproductive health education.
"Health education "
means services provided by
				a health professional to include teaching about normal anatomy and physiology,
				contraception, risk assessment, safety and injury prevention, signs or symptoms
				indicating need for medical care, and other anticipatory guidance
				topics.
"Healthprofessional"
means an individual who
				is licensed to provide health care or social services within their scope of
				practice.
"Health services"
means services provided by
				family planning contract agencies.
"Medicaid"
means the Medicaid program
				authorized by Title XIX of the Social Security Act and funded through the Iowa
				department of human services from DHHS.
"0MB "
means the United States Department of
				the Treasury, Office of Management and Budget.
"Performance standards"
means criteria or
				indicators of the quality of service provided or the capability of an agency to
				provide services in a cost-effective or efficient manner as defined in "Iowa
				Department of Public Health Family Planning Manual" and the federal regulations
				found at 42 CFR Subpart A, Part 59, and the Program Guidelines for Project
				Grants for Family Planning Services.
"Title X"
means the federal requirements
				contained in 42 CFR Subpart A, Part 59, and the Program Guidelines for Project
				Grants for Family Planning Services.
"Title XX"
means the combined federal and
				state dollars in the Social Services Block Grant allocated to pay for family
				planning services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.5 - Grant Application Procedures for Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
Notification of the availability of funds and grant application
				procedures will be provided in accordance with the department rules found in
				641-Chapter 176. Eligible applicants include only private nonprofit or public
				agencies. Private nonprofit or public agencies seeking to provide Title X
				family planning center services shall file a letter of intent to make
				application to the department no later than April 1 of the competitive year The
				request for proposals shall identify the project period and the contract
				period. Contract agencies are selected on the basis of the grant applications
				submitted to the department. In the case of competing applications, the
				contract will be awarded to the applicant that scores the highest number of
				points in the review. Copies of review criteria are available from the Chief,
				Bureau of Family Health, Department of Public Health, Lucas State Office
				Building, Des Moines, Iowa 50319-0075. All materials submitted as part of the
				grant application are considered public records in accordance with Iowa Code
				chapter 22, after a notice of award is made by the
				department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.6 - Funding Levels for Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
The amount of funds available to each contract agency on an
				annual basis shall be determined by the department using a methodology based
				upon dollars available, number of clients enrolled, and selected needs
				criteria.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.7 - Agency Performance

Current through Register Vol. 47, No. 3, July 24, 2024
Contract agencies are required to provide services in
				accordance with these rules.
(1)
Performance standards.
The department shall establish
			 performance standards that contract agencies shall meet in the provision of
			 public health services in addition to meeting all federal requirements. The
			 performance standards for community-based agencies are published in the
			 document "Iowa Department of Public Health Family Planning Manual." Copies of
			 the performance standards are available from the Chief, Bureau of Family
			 Health, Department of Public Health, Lucas State Office Building, Des Moines,
			 Iowa 50319-0075. Contract agencies that do not meet the performance standards
			 shall not be eligible for continued funding as a family planning agency unless
			 the contract agency has secured an exception.
(2)
Contract agency review.
The state agency shall review contract agency operations through use of reports
			 and documents submitted, state-generated data reports, chart audits, on-site
			 and clinic visits for evaluation and technical assistance.
(3)
Exception.
An agency
			 that does not meet a performance standard or fails to meet action plans as
			 approved by the department may be granted an exception for up to one year in
			 order to improve performance. Such an exception must be requested in writing.
			 If granted, the approval for the exception will include the conditions
			 necessary for the successful completion of the standard, a time frame, and
			 additional reporting requirements. The procedures for applying for and
			 approving an exception are outlined in the "Iowa Department of Public Health
			 Family Planning Manual."
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.9 - Fiscal Management

Current through Register Vol. 47, No. 3, July 24, 2024
All contract agencies are required to meet certain fiscal
				management policies.
(1)
Last
			 pay.
Family planning grant funds are considered last pay. Title XIX,
			 Title XX and other third parties are to be billed first if the client is
			 covered by those sources.
(2)
Program income.
Program income means gross income earned by
			 the contractor from activities in which part or all of the cost is either borne
			 as a direct cost by a grant or counted as a direct cost toward providing
			 services. It includes but is not limited to such income in the form of Title
			 XIX and Title XX fees for services, third-party reimbursements, client fees,
			 and proceeds from sales of tangible personal or real property.
Program income shall be used for allowable costs of the
				project. Program income shall be used prior to the use of funds received from
				the department. Excess program income may be retained to establish a
				three-month operating capital. Program income shall be used during the current
				fiscal year or the following fiscal year Five percent of imobligated program
				income may be used by the contract agency for special purposes or projects
				provided such use furthers the mission of the family planning program and does
				not violate state rules or federal regulations governing the program.
(3)
Advances.
A
			 contract agency may request an advance up to one-sixth of its contract at the
			 beginning of a contract year. The amount of any advance shall be deducted prior
			 to the end of the fiscal year
(4)
Subcontracts.
Contract agencies may subcontract a portion of
			 the project activity to another entity provided such subcontract is approved by
			 the department. Subcontract agencies must follow the same rules, procedures,
			 and policies as required of the contract agency by these rules and contract
			 with the department. The contract agency is responsible for ensuring the
			 compliance of the subcontract agency. Subcontract agencies may not subcontract
			 these project activities with other entities.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.10 - Audits

Current through Register Vol. 47, No. 3, July 24, 2024
Every two years, each contract agency shall undergo financial
				audit of the family planning program. The audit shall be conducted in
				compliance with OMB Circular A-133, Audits of States, Local Governments, and
				Non-Profit Organizations. Each audit shall cover all imaudited periods through
				the end of the previous grant year. The department's audit guide should be
				followed to ensure an audit which meets federal and state
				requirements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.11 - Denial, Suspension, Revocation, or Reduction of Contracts With Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
The department may deny, suspend, revoke, or reduce contracts
				with contract agencies in accord with applicable federal regulations or
				contractual relationships. Notice of such action shall be in
				writing.