ARC 9853C

Notice of Intended Action

Managed care, ch 73

Human Services Department

1305 E Walnut St
Des Moines, IA 50319
(515) 281-5425
Visit Website
Email
Agency Chapters
Agency Rules
RSS

Open For Comments

This notice is open for comments for 18 more day(s). If you'd like to comment, select or click the text you wish to comment on in the document, or click the button below to make a general comment about the document. Comments will be collected through 1/13/2026

NOTE: You can also click the text in the document to make comments about specific sections.

Public Hearing

Official Document

Managed care, ch 73
Published on 12/24/2025
8 Views , 0 Comments
Notice of Intended Action

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 12/24/2025.

View Bulletin

Administrative Rule References

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

Rule 191-40.12 Rule 191-40.14 Rule 441-73.1 Rule 441-73.10 Rule 441-73.11 Rule 441-73.12 Rule 441-73.13 Rule 441-73.14 Rule 441-73.15 Rule 441-73.16 Rule 441-73.17 Rule 441-73.18 Rule 441-73.19 Rule 441-73.2 Rule 441-73.20 Rule 441-73.21 Rule 441-73.22 Rule 441-73.23 Rule 441-73.24 Rule 441-73.25 Rule 441-73.3 Rule 441-73.3(2) Rule 441-73.3(4)"b" Rule 441-73.4 Rule 441-73.5 Rule 441-73.6 Rule 441-73.7 Rule 441-73.8 Rule 441-73.9 Rule 441-75.1(35)

Iowa Code References

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

Iowa Code 249A.4 Iowa Code 514B.1

Keywords

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

Access to service Amount, duration and scope of services Appeal of MCP actions Appeal process Appeal to department Audits Auto-assignment Benefit reimbursement prior to enrollment Capitation rate Certifications and program integrity Claims payment by the MCP Community-based case management service Content of individual treatment record Continuation of benefits Contracts with a managed care plan (MCP) Definitions Determination of rate Discharge planning Disenrollment by department Disenrollment effective date Disenrollment process Emergency services Enrollee education Enrollee-requested disenrollment Enrollment Enrollment area Enrollment cycle Enrollment process EVV system General Grievances Incident reporting Level of care (LOC) assessment Managed care plan-requested disenrollment Marketing MCP appealable actions MCP covered services Medical loss ratio Member helpline Members subject to enrollment Nurse call line Ongoing enrollment Outreach to members with special needs Patient rights and responsibilities Payment to the MCP Quality assurance Records and reports Records system Request to change enrollment Required services—MCOs Required services—PAHPs Third-party liability Use of services Value-added services Written record

About

Welcome to the State of Iowa’s Administrative Rules Website. Public participation in the formulation of administrative rules helps our state to reform burdensome rules and prevent overregulation or red tape, encouraging efficiency, economic growth and job creation.

The purpose of this website is to allow members of the public the opportunity to comment on administrative rules in the Notice process. Members of the public have 20 days to comment on a rule from the date of publication. You may comment on all administrative rules open for comment on this website.

Division of Information Technology

200 East Grand Avenue
Des Moines, Iowa 50309
administrative-rules@iowa.gov
https://dom.iowa.gov/information-technology