§ 135C.31A — Assessment of residents — program eligibility — prescription drug coverage

Iowa § 135C.31A

• Jurisdiction: Iowa
• Title IV: PUBLIC HEALTH
• Ch. 135C: HEALTH CARE FACILITIES

Text

1. A health care facility shall assist the Iowa department of veterans affairs in identifying,
upon admission of a resident, the resident’s eligibility for benefits through the United States
department of veterans affairs. The department of inspections, appeals, and licensing, in
cooperationwiththedepartmentofhealthandhumanservices,shalladoptrulestoadminister
thissection, includingaprovisionthatensuresthatifaresidentiseligibleforbenefitsthrough
the United States department of veterans affairs or other third-party payor, the payor of last
resort for reimbursement to the health care facility is the medical assistance program. The
rules shall also require the health care facility to request information from a resident or
resident’s personal representative regarding the resident’s veteran status and to report to
the Iowa department of veterans affairs only the names of residents identified as potential
veterans along with the names of their spouses and any dependents. Information reported
by the health care facility shall be verified by the Iowa department of veterans affairs. This
section shall not apply to the admission of an individual to a state mental health institute for
acute psychiatric care or to the admission of an individual to the Iowa veterans home.
2. a. If a resident is identified, upon admission to a health care facility, as eligible for
benefits through the United States department of veterans affairs pursuant to subsection
1 or through other means, the health care facility shall allow the resident to access any
prescription drug benefit included in such benefits for which the resident is also eligible. The
health care facility shall also assist the Iowa department of veterans affairs in identifying
individuals residing in such health care facilities on July 1, 2009, who are eligible for the
prescription drug benefit.
b. The department of inspections, appeals, and licensing, the department of veterans
affairs, and the department of health and human services shall identify any barriers to
residents in accessing such prescription drug benefits and shall assist health care facilities
in adjusting their procedures for medication administration to comply with this subsection.