2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514I - HEALTHY AND WELL KIDS IN IOWA PROGRAM
514I.4 - DIRECTOR AND DEPARTMENT -- DUTIES -- POWERS.

        514I.4  DIRECTOR AND DEPARTMENT -- DUTIES -- POWERS.

         1.  The director, with the approval of the hawk-i board, shall
      implement this chapter.  The director shall do all of the following:
         a.  At least every six months, evaluate the scope of the
      program currently being provided under this chapter, project the
      probable cost of continuing the program, and compare the probable
      cost with the remaining balance of the state appropriation made for
      payment of assistance under this chapter during the current
      appropriation period.  The director shall report the findings of the
      evaluation to the board and shall annually report findings to the
      governor and the general assembly by January 1.
         b.  Establish premiums to be paid to participating insurers
      for provision of health insurance coverage.
         c.  Contract with participating insurers to provide health
      insurance coverage under this chapter.
         d.  Recommend to the board proposed rules necessary to
      implement the program.
         e.  Recommend to the board individuals to serve as members of
      the clinical advisory committee.
         2. a.  The director, with the approval of the board, may
      contract with participating insurers to provide dental-only services.

         b.  The director, with the approval of the board, may contract
      with participating insurers to provide the supplemental dental-only
      coverage to otherwise eligible children who have private health care
      coverage as specified in the federal Children's Health Insurance
      Program Reauthorization Act of 2009, Pub. L. No. 111-3.
         3.  The director, with the concurrence of the board, shall enter
      into a contract with an administrative contractor.  Such contract
      shall be entered into in accordance with the criteria established by
      the board.
         4.  The department may enter into contracts with other persons
      whereby the other person provides some or all of the functions,
      pursuant to rules adopted by the board, which are required of the
      director or the department under this section.  All contracts entered
      into pursuant to this section shall be made available to the public.

         5.  The department shall do or shall provide for all of the
      following:
         a.  Develop a joint program application form which is easy to
      understand, complete, and concise, supplemental forms, and the same
      application and renewal verification process for both the hawk-i and
      medical assistance programs.
         b. (1)  Establish the family cost sharing amounts for children
      of families with incomes of one hundred fifty percent or more but not
      exceeding two hundred percent of the federal poverty level, of not
      less than ten dollars per individual and twenty dollars per family,
      if not otherwise prohibited by federal law, with the approval of the
      board.
         (2)  Establish for children of families with incomes exceeding two
      hundred percent but not exceeding three hundred percent of the
      federal poverty level, family cost sharing amounts, and graduated
      premiums based on a rationally developed sliding fee schedule, in
      accordance with federal law, with the approval of the board.
         c.  Perform annual, random reviews of enrollee applications to
      ensure compliance with program eligibility and enrollment policies.
      Quality assurance reports shall be made to the board and the
      department based upon the data maintained by the administrative
      contractor.
         d.  Perform other duties as determined by the department with
      the approval of the board.  

         98 Acts, ch 1196, §5, 16; 2003 Acts, ch 108, §131; 2003 Acts, ch
      124, §1; 2003 Acts, ch 175, §38; 2009 Acts, ch 118, §26, 27