Iowa Admin. Code r. 441-83.104

Current through Register Vol. 47, No. 6, September 18, 2024

Rule 441-83.104 - Client participation

Consumers who are financially eligible under 441-subrule 75.1(7) (the 300 percent group) must contribute a client participation amount to the cost of physical disability waiver services.

(1)Computation of client participation. Client participation shall be computed by deducting a maintenance needs allowance equal to 300 percent of the maximum SSI grant for an individual from the consumer's total income. For a couple, client participation is determined as if each person were an individual.

(2)limitation on payment. If the sum of the third-party payment and client participation equals or exceeds the reimbursement for the specific physical disability waiver service, Medicaid shall make no payments for the waiver service. However, Medicaid shall make payments to other medical providers.

Iowa Admin. Code r. 441-83.104