Iowa Code 135H.3 – Nature of care
Current as of: 2023 | Check for updates
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1. A psychiatric medical institution for children shall utilize a team of professionals to direct an organized program of diagnostic services, psychiatric services, nursing care, and rehabilitative services to meet the needs of residents in accordance with a medical care plan developed for each resident. The membership of the team of professionals may include but is not limited to an advanced registered nurse practitioner or a physician assistant. Social and rehabilitative services shall be provided under the direction of a qualified mental health professional.
Terms Used In Iowa Code 135H.3
- Child: includes child by adoption. See Iowa Code 4.1
- Contract: A legal written agreement that becomes binding when signed.
- Direction: means authoritative policy or procedural guidance for the accomplishment of a function or an activity. See Iowa Code 135H.1
- Medical care plan: means a plan of care and services designed to eliminate the need for inpatient care by improving the condition of a child. See Iowa Code 135H.1
- Mental health professional: means an individual who has all of the following qualifications:a. See Iowa Code 135H.1
- Nursing care: means services which are provided under the direction of a physician or registered nurse. See Iowa Code 135H.1
- Physician: means a person licensed under chapter 148. See Iowa Code 135H.1
- Psychiatric services: means services provided under the direction of a physician which address mental, emotional, medical, or behavioral problems. See Iowa Code 135H.1
- Rehabilitative services: means services to encourage and assist restoration of a resident's optimum mental and physical capabilities. See Iowa Code 135H.1
- Resident: means a person who is less than twenty-one years of age and has been admitted by a physician to a psychiatric medical institution for children. See Iowa Code 135H.1
2. If a child is diagnosed with a biologically based mental illness as defined in section 514C.22 and meets the medical assistance program criteria for admission to a psychiatric medical institution for children, the child shall be deemed to meet the acuity criteria for medically necessary inpatient benefits under a group policy, contract, or plan providing for third-party payment or prepayment of health, medical, and surgical coverage benefits issued by a carrier, as defined in section 513B.2, that is subject to section 514C.22. Such medically necessary benefits shall not be excluded or denied as care that is substantially custodial in nature under section 514C.22, subsection 8, paragraph “b”.