Iowa Plan definition

Iowa Plan means the Iowa Plan for Behavioral Health, established by this division as the managed care plan to provide mental health and substance abuse treatment.
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Iowa Plan means the Iowa Plan for Behavioral Health established by the department’s division of medical services as the managed care plan to provide mental health and substance abuse services. The Iowa Plan shall manage behavioral health services to state payment program members with a pri- mary diagnosis of mental illness or chronic mental illness (even if the member has a coexisting secon- dary or tertiary diagnosis of mental retardation or developmental disability).
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Iowa Plan means the contract to administer the
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Examples of Iowa Plan in a sentence

  • The behavioral health intervention provider shall contact the Iowa Plan provider for authorization of the services.a. Initial plan.

  • The department may include other recipients of mental health and substance abuse services in the Iowa Plan.

  • If the enrollee becomes ineligible and is later reinstated to Medicaid, enrollment in the Iowa Plan shall also be reinstated.b. The enrollee is transferred to a coverage group excluded from the Iowa Plan.

  • Enrollees shall receive all Medicaid-funded covered, required, and optional mental health and substance abuse services only through the Iowa Plan.

  • No enrollee shall be disenrolled from the Iowa Plan because of an adverse change in health status, including mental health and substance abuse status.

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  • Members under the age of 21 served at an MHI and members served at a substance abuse licensed PMIC will be enrolled for months of retroactive eligibility for Medicaid when the member resided in a substance abuse licensed PMIC or MHI during those months.For current members who are no longer in an eligibility group excluded from the Iowa Plan, the effective date of enrollment shall be the first day of the month following the month they leave the excluded group.88.63(6) Medical card.

  • The contractor may, however, require the use of participating providers, require prior authorization for services other than emergency services as set forth in rule 441—88.66(249A), and direct enrollees to the appropriate level of care for receipt of those services which are the responsibility of the contractor.88.65(2) Enrollee use of Iowa Plan services.

  • All Medicaid members shall be subject to mandatoryenrollment in the Iowa Plan.a. Members who are enrolled in the Iowa Plan are notified of enrollment and the effective date of the enrollment.b. When a coverage group is included in or excluded from Iowa Plan enrollment, the department and the contractor shall jointly notify members and participating and nonparticipating Medicaid providers before implementation of the change.

  • The contractor shall have contractual requirements with participating providers which ensure an adequate record-keeping system, including documentation of all Iowa Plan services provided to each enrollee, in compliance with the provisions of rule 441—79.3(249A).88.69(3) Confidentiality of mental health information.


More Definitions of Iowa Plan

Iowa Plan means the contract to administer the behavioral health managed care plan under the state’s Medicaid program.
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Iowa Plan means the managed care plan under contract
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Related to Iowa Plan

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.

  • Plan means any "employee benefit plan" (as such term is defined in Section 3(3) of ERISA) established by the Borrower or, with respect to any such plan that is subject to Section 412 of the Code or Title IV of ERISA, any ERISA Affiliate.

  • Benefit Plan means any of (a) an “employee benefit plan” (as defined in ERISA) that is subject to Title I of ERISA, (b) a “plan” as defined in and subject to Section 4975 of the Code or (c) any Person whose assets include (for purposes of ERISA Section 3(42) or otherwise for purposes of Title I of ERISA or Section 4975 of the Code) the assets of any such “employee benefit plan” or “plan”.