Examples of Iowa wellness plan in a sentence
Iowa Health and Wellness Plan members with countable income that does not exceed 100 percent of the federal poverty level shall be enrolled in the Iowa wellness plan unless the member is determined by the department to be a medically exempt individual.
Members enrolled in the Iowa wellness plan shall be subject to enrollment in managed care, other than PACE programs, pursuant to 441—Chapter 88.
Claims for services provided under the Iowa wellness plan or for covered marketplace choice services not provided by the member’s qualified health plan shall be submitted to the Iowa Medicaid enterprise as required by 441—Chapter 80 or to the member’s Medicaid managed care organization.ITEM 12.
The department shall provide the member with a medical assistance eligibility card identifying the member as eligible for Iowa wellness plan services.a. No change.
The department shall provide the member with a medical assistance eligibility card identifying the member as eligible for Iowa wellness plan services.
In addition to reimbursement for managed care pursuant to 441—Chapter 88, the department may provide care coordination fees, performance incentive payments, or shared savings arrangements for medical homes and accountable care organizations serving members enrolled in the Iowa wellness plan.
Amend subrule 74.12(1) as follows:74.12(1) Iowa wellness plan services.
Individuals who have been determined eligible for the marketplace choice plan, but who have not yet been enrolled in a marketplace choice plan, shall receive fee-for-service coverage under the Iowa wellness plan until they choose or are assigned to a marketplace choice plan.a. to e.
Covered benefits and the service delivery method shall be determined by the member’s health status.74.12(1) Iowa wellness plan services.
Individuals who have been determined eligible for the marketplace choice plan, but who have notyet been enrolled in a marketplace choice plan, shall receive fee-for-service coverage under the Iowa wellness plan until they choose or are assigned to a marketplace choice plan.