2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514I - HEALTHY AND WELL KIDS IN IOWA PROGRAM
514I.10 - COST SHARING.

        514I.10  COST SHARING.
         1.  Cost sharing for eligible children whose family income is
      below one hundred fifty percent of the federal poverty level shall
      not exceed the standards permitted under 42 U.S.C. § 1396(o)(a)(3) or
      § 1396(o)(b)(1).
         2.  Cost sharing for eligible children whose family income equals
      one hundred fifty percent but does not exceed two hundred percent of
      the federal poverty level may include a premium or copayment amount
      which does not exceed five percent of the annual family income.  The
      amount of any premium or the copayment amount shall be based on
      family income and size.
         3.  Cost sharing for an eligible child whose family income exceeds
      two hundred percent but does not exceed three hundred percent of the
      federal poverty level may include copayments and graduated premium
      amounts which do not exceed the limitations of federal law.
         4.  The payment to and acceptance by an automated case management
      system or the department of the premium required under this section
      shall not automatically confer initial or continuing program
      eligibility on an individual.  A premium paid to and accepted through
      the department's premium payment process that is subsequently
      determined to be untimely or to have been paid on behalf of an
      individual ineligible for the program shall be refunded to the
      remitter in accordance with rules adopted by the department.  
         Section History: Recent Form
         98 Acts, ch 1196, §11, 16; 2000 Acts, ch 1221, §10; 2003 Acts, ch
      124, §12; 2008 Acts, ch 1014, §4; 2008 Acts, ch 1188, §12; 2009 Acts,
      ch 118, §36
         Referred to in § 514I.2

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