Iowa Code Title VI. Human Services [Chs. 216-255A] § 249A.42A. Overpayment--subsequent ineligibility of recipient--recovery--recoupment--reimbursement

1. The provider verified eligibility through the eligibility and verification system or the secure web portal of, and obtained any necessary prior authorization for, the recipient on whose behalf payment was made to the provider prior to the delivery of care or service to the recipient.

2. The provider documented the eligibility verification performed and any necessary prior authorization obtained pursuant to subsection 1 in a manner and format established by the department by rule, and retained the required documentation in the recipient's file.