IHCA continues to track issues of importance to members, including the subjects mentioned in the Iowa Administrative Bulletin that is released every two weeks. Here are the bi-weekly areas of note found in the Jan. 21 and Feb. 4 issues of the Iowa Administrative Bulletin. If and when issues arise, IHCA will take appropriate steps in an effort to remediate problems for members.
Adopted and filed rules
ARC 0010D | Inspections and Appeals Department
This rulemaking rescinds Chapter 22 and adopts a new Chapter 84. This rulemaking implements Iowa Code section 10A.402 in accordance with the goals and directives of Executive Order 10. Iowa Code section 10A.402 requires that the Department coordinate the conduct of various audits and investigations, including audits related to the administration of health care facilities.
The rules implement Iowa Code section 10A.402 by setting forth the specific Iowa Administrative Code chapters with which the Department ensures compliance. The rulemaking also spells out that information compiled during the audit is confidential.
ARC 0063D | Inspections and Appeals Department — General Provisions for Elder Group Homes, Assisted Living Programs and Adult Day Services
This rulemaking repromulgates Chapter 67 and implements Iowa Code sections 231B.2, 231C.3 and 231D.2 in accordance with the goals and directives of Executive Order 10. Iowa Code section 231B.2 requires the Department to establish minimum standards for certification of and monitoring of elder group homes. Iowa Code section 231C.3 states that the Department must establish minimum standards for certification and monitoring of assisted living programs. Iowa Code section 231D.2 indicates that the Department is to establish a program for certification and monitoring of adult day services, as well as complaint investigations related to adult day services.
This rulemaking implements the above Iowa Code sections by setting forth policies and procedures that are applicable to elder group homes, assisted living programs and adult day services. This proposed rulemaking describes the procedure for handling medications; explains the procedure for investigating incidents, including the process for denial, suspension or revocation of a certificate; and sets out when a program must conduct checks of its employees.
ARC 0065D | Inspections and Appeals Department — Assisted Living Programs
The rulemaking repromulgates Chapter 69 and implements Iowa Code section 231C.3 in accordance with the goals and directives of Executive Order 10. Iowa Code section 231C.3 states that the Department must establish minimum standards for certification and monitoring of assisted living programs.
The rulemaking implements the above Iowa Code section by setting forth the various certification and recertification processes. The rulemaking describes the evaluation needed for tenants and lists the occupancy agreement terms. It also describes the criteria for admission and retention of tenants, as well as the necessary tenant documents. The rules list how to involuntarily transfer a tenant from the program. The rulemaking sets staffing requirements, along with structural standards and life safety protocols.
ARC 0066D | Inspections and Appeals Department — Adult Day Care
The rulemaking repromulgates Chapter 70 and implements Iowa Code section 231D.2 in accordance with the goals and directives of Executive Order 10. Iowa Code section 231D.2 indicates that the Department is to establish a program for certification and monitoring of complaint investigations related to adult day services.
The rulemaking implements the above Iowa Code section by setting forth the various certification and recertification processes. The rulemaking describes the evaluation needed for participants and lists the occupancy agreement terms, in addition to the criteria for admission and retention of participants and necessary participant documents. The rules list how to involuntarily discharge a participant from the program. The rulemaking sets staffing requirements, along with structural standards and life safety protocols.
New informational letters (ILs) from DHHS
IL 2719 | Personal Needs Allowance and Supplemental Personal Needs Payments
IL 2727 | SUPPORT Act Section 5042(e)(1)(A) Reporting Requirements Survey for Federal Fiscal Year (FFY) 2025