The bill establishes that under both Medicaid managed care and fee-for-service administration, the Iowa Department of Health and Human Services will not require a prescription or prior authorization for the reimbursement of providers for the repair of complex rehabilitation technology. This applies specifically when the complex rehabilitation technology has already been prescribed and reimbursed under the Medicaid program.
Additionally, the bill defines complex rehabilitation technology as items classified under the Medicare program as durable medical equipment, which are individually configured to meet the specific medical, physical, and functional needs of individuals for daily living activities. This change aims to streamline the reimbursement process for necessary repairs, ensuring that individuals can maintain their access to essential rehabilitation equipment without unnecessary bureaucratic hurdles.