Adopted and Filed

Interim assistance reimbursement—forms, 57.2, 57.3(1)

Untitled document

ARC 6387C


Adopted and Filed

Rule making related to interim assistance reimbursement forms

The Human Services Department hereby amends Chapter 57, "Interim Assistance Reimbursement," Iowa Administrative Code.

Legal Authority for Rule Making

This rule making is adopted under the authority provided in Iowa Code section 249A.4.

State or Federal Law Implemented

This rule making implements, in whole or in part, Iowa Code section 249A.4.

Purpose and Summary

This rule making is part of the Department's five-year rules review process. Form names are removed from this chapter as the names are outdated. This change will reduce confusion for individuals who obtain assistance through this program.

Public Comment and Changes to Rule Making

Notice of Intended Action for this rule making was published in the Iowa Administrative Bulletin on April 20, 2022, as ARC 6297C. No public comments were received. No changes from the Notice have been made.

Adoption of Rule Making

This rule making was adopted by the Council on Human Services on June 9, 2022.

Fiscal Impact

This rule making has no fiscal impact to the State of Iowa.

Jobs Impact

After analysis and review of this rule making, no impact on jobs has been found.


Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to rule 441—1.8(17A,217).

Review by Administrative Rules Review Committee

The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee's meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).

Effective Date

This rule making will become effective on September 1, 2022.

The following rule-making actions are adopted:

Item 1. Amend subrule 57.2(1) as follows:

57.2(1) Agreement. The county agency shall enter into a written agreement with the department of human services on Form 470-1948, Interim Assistance Reimbursement Agreement.

Item 2. Amend subrule 57.2(2) as follows:

57.2(2) Authorization. The county agency shall secure written authorization from the person seeking interim assistance. By signing Form 470-1950, Authorization for Reimbursement of Interim Assistance, the person:

a. Indicates the intent to apply for SSI benefits.

b. Authorizes the Social Security Administration to:

(1)Withhold the amount of interim assistance from the person's initial payment or initial posteligibility payment, and

(2)Make this amount payable to the county agency.

Item 3. Amend subrule 57.3(1) as follows:

57.3(1) The county agency shall submit the information requested on the Certificate of Authority, Form 470-1947, to the Social Security Administration at the address given on the form:

a. Before the date the agency first participates in the program, and

b. Subsequently when changes in the list of authorized officials occur.

[Filed 6/10/22, effective 9/1/22]

[Published 6/29/22]

Editor's Note: For replacement pages for IAC, see IAC Supplement 6/29/22.

Human Services Department

Official Document

  • Interim assistance reimbursement—forms, 57.2, 57.3(1)
  • Published on 6/29/2022
  • Adopted and Filed

The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.

View Official PDF

View the Iowa Administrative Bulletin for 6/29/2022.

View Bulletin

Related Notices

Administrative Rule References

The following administrative rule references were added to this document. You may click a reference to view related notices.

Rule 441-57.2(1) Rule 441-57.2(2) Rule 441-57.3(1)


The following keywords and tags were added to this document. You may click a keyword to view related notices.

Agreement Authorization
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