The Centers for Medicare and Medicaid Services (“CMS”) approved a waiver of the three month retroactive eligibility period for nearly all new Iowa Medicaid applicants as of November 1, 2017. Pregnant women and infants under age 1 will still qualify for retroactive coverage in Iowa, but the new retroactive coverage waiver will impact many others, including the hospitals and health care providers, low-income parents, children over age 1, the disabled and many seniors. Retroactive coverage is provided in the majority of states and benefits both health care providers as well as many low-income Medicaid beneficiaries. If you are a health care provider or physician in Nebraska and have patients driving in from Iowa for care, you are encouraged to review and update your policies and procedures as a result of the change. In addition, if you contract with a company or third party for patient enrollment or eligibility services, you will want to review the terms of the agreement following the change.
On April 3, Iowa expanded the reach of its data breach notification law. First, entities that suffer breaches of personal information that are required to notify more than 500 state residents will now be required to notify the state’s attorney general within five days after residents are notified. Previous state law required only consumer notification. Exemptions to the consumer notice requirement also apply to the attorney general notice requirement. Second, the definition of “breach of security,” which had previously been limited to incidents affecting personal information maintained in computerized form has been broadened to include information maintained in any medium, including on paper, that was transferred by the person to that medium from computerized form. Finally, the definition of “personal information” has been broadened to include encrypted, redacted, or otherwise protected data where the keys to unencrypt, unredact, or otherwise read the data elements have been obtained through the breach of security. The changes take effect on July 1, 2014. Here is the link to SF2259.