Iowa Admin. Code r. 441-83.4

Current through Register Vol. 47, No. 10, November 13, 2024

Rule 441-83.4 - Financial participation

Persons must contribute their predetermined financial participation to the cost of health and disability waiver services or other Medicaid services, as applicable.

(1)Maintenance needs of the individual. The maintenance needs of the individual shall be computed by deducting an amount which is 300 percent of the maximum monthly payment for one person under supplemental security income (SSI) from the client's total income.

(2)Limitation on payment. If the sum of the third-party payment and client participation equals or exceeds the reimbursement established by the service worker or targeted case manager for health and disability waiver services, Medicaid shall make no payments to health and disability waiver service providers. However, Medicaid shall make payments to other medical vendors, as applicable.

(3)Maintenance needs of spouse and other dependents. Rescinded IAB 4/9/97, effective 6/1/97.

Iowa Admin. Code r. 441-83.4

ARC 0757C, IAB 5/29/2013, effective 8/1/2013