§ 249A.45 — Provider’s third-party submissions

Iowa § 249A.45

• Jurisdiction: Iowa
• Title VI: HUMAN SERVICES
• Ch. 249A: MEDICAL ASSISTANCE

Text

1. The department may refuse to accept a financial and statistical report, cost report, or
any other submission from any third party acting under a provider’s authority or direction to
prepare or submit such documents or information, for good cause shown. For the purposes
of this section, “good cause” includes but is not limited to a pattern or practice of submitting
unallowable costs on cost reports; making a false statement or certification to the director or
any representative of the department; professional negligence or other demonstrated lack of
knowledge of the cost reporting process; conviction under a federal or state law relating to
the operation of a publicly funded program; or submission of a false claim under chapter 685.
2. If the department refuses to accept a cost report from a third party for good cause
under this section, the third party shall be strictly liable to the provider for all fees incurred in
preparation of the cost report, as well as reasonable attorney fees and costs. The department
shall not take any adverse action against a provider that results from the unintentional delay
in the submission of a new cost report or other submission necessitated by the department’s
refusal to accept a cost report or other submission under this section. The department shall
notify an affected provider within seven business days of any refusal to accept a cost report.