Iowa Admin. Code r. 441-77.54

Current through Register Vol. 47, No. 10, November 13, 2024
Rule 441-77.54 - Health insurance premium payment (HIPP) providers

Any provider not enrolled as an Iowa Medicaid provider for the general Medicaid population may enroll to be a HIPP provider. A HIPP provider may bill the department for the HIPP-eligible member's out-of-pocket cost-sharing obligations. Reimbursement is limited to in-network coinsurance, copayments, and deductibles of the HIPP-eligible member's health insurance paid for through the HIPP program.

This rule is intended to implement Iowa Code section 249A.4.

Iowa Admin. Code r. 441-77.54

Adopted by IAB December 6, 2017/Volume XL, Number 12, effective 1/10/2018