Bill > HF426

This bill addresses the continuation of durable medical equipment (DME) coverage for Medicaid recipients with permanent disabilities. Specifically, the bill requires the Iowa Department of Health and Human Services to mandate that Medicaid managed care organizations (MCOs) maintain coverage for DME that a recipient has previously been approved to receive, provided the recipient meets specific disability criteria. These criteria include either having a qualifying disability as determined by the federal Social Security Administration or having a physical or mental impairment (or combination of impairments) that is expected to last at least twelve months or potentially result in death. The key provision is that if the recipient's medical condition has not significantly changed, the MCO must continue to approve and cover the previously approved medical equipment. This bill aims to provide stability and continuity of care for Medicaid recipients with long-term or permanent disabilities by preventing unnecessary disruptions in their essential medical equipment coverage.

Health and Social Services

https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=HF426