249H.3 - DEFINITIONS.
249H.3 DEFINITIONS.
As used in this chapter, unless the context otherwise provides:
1. "Affordable" means rates for payment of services which do
not exceed the rates established for providers of medical and health
services under the medical assistance program with eligibility for an
individual equal to the eligibility for medical assistance pursuant
to section 249A.3. In relation to services provided by a provider of
services under a home and community-based services waiver,
"affordable" means that the total monthly cost of the services
provided under the home and community-based services waiver does not
exceed the cost for that level of care as established by rule by the
department of human services, pursuant to chapter 17A, in
consultation with the department on aging.
2. "Assisted living" means assisted living as defined in
section 231C.2.
3. "Case mix reimbursement" means a reimbursement methodology
that recognizes the acuity and need level of the residents of a
nursing facility.
4. "Long-term care alternatives" means those services
specified as services under the medical assistance home and
community-based services waiver for elder persons or adults with
disabilities, elder group homes certified under chapter 231B,
assisted-living programs certified under chapter 231C, and the PACE
program.
5. "Long-term care provider" means a provider of services
through long-term care alternatives.
6. "Long-term care service development" means any of the
following:
a. The remodeling of existing space and, if necessary, the
construction of additional space required to accommodate development
of long-term care alternatives, excluding the development of
assisted-living programs or elder group home alternatives.
b. New construction for long-term care alternatives,
excluding new construction of assisted-living programs or elder group
homes, if new construction is more cost-effective than the conversion
of existing space.
7. "Nursing facility" means a licensed nursing facility as
defined in section 135C.1 or a licensed hospital as defined in
section 135B.1, a distinct part of which provides long-term care
nursing facility beds.
8. "Nursing facility conversion" means any of the following:
a. The remodeling of nursing facility space existing on July
1, 1999, and certified for medical assistance nursing facility
reimbursement and, if necessary, the construction of additional space
required to accommodate an assisted-living program.
b. New construction of an assisted-living program if existing
nursing facility beds are no longer licensed and new construction is
more cost-effective than the conversion of existing space.
9. "PACE program" means a program of all-inclusive care for
the elderly established pursuant to 42 U.S.C. § 1396u-4 that provides
delivery of comprehensive health and social services to seniors by
integrating acute and long-term care services, and that is operated
by a public, private, nonprofit, or proprietary entity. "Pre-PACE
program" means a PACE program in the initial start-up phase that
provides the same scope of services as a PACE program.
10. "Persons with disabilities" means individuals eighteen
years of age or older with disabilities as disability is defined in
section 225B.2.
11. "Senior" means older individual as defined in section
231.4 and as defined under the PACE program pursuant to 42 U.S.C. §
1396u-4.
12. "Senior living program" means the senior living program
created in this chapter to provide for long-term care alternatives,
long-term care service development, and nursing facility conversion.
Section History: Recent Form
2000 Acts, ch 1004, §3, 22; 2000 Acts, ch 1232, §60; 2004 Acts, ch
1086, §49; 2009 Acts, ch 23, §56; 2009 Acts, ch 182, §91--93, 137