514C.8 Coordination of health care benefits with state medical assistance. 1. An insurer, health maintenance organization, or hospital and medical service plan providing health care coverage to individuals in this state shall not consider the availabilityof or eligibility for medical assistance under Tit. XIX of the federal Social Security Act andchapter 249A, when determining eligibility of the individual for coverage or calculatingpayments to the individual under the health care coverage plan. 2. The state acquires the rights of an individual to payment from an insurer, health maintenance organization, or hospital or medical service plan to the extent payment forcovered expenses is made pursuant to chapter 249A for health care items or servicesprovided to the individual. Upon presentation of proof that payment was made pursuantto chapter 249A for covered expenses, the insurer, health maintenance organization, orhospital or medical service plan shall make payment to the state medical assistance programto the extent of the coverage provided in the policy or contract. 3. An insurer shall not impose requirements on the state with respect to the assignment of rights pursuant to this assistance programto the extent of the coverage provided in the policy or contract. 3. An insurer shall not impose requirements on the state with respect to the assignment of rights pursuant to this section that are different from the requirements applicable to anagent or assignee of a covered individual. 4. For purposes of this section, 'insurer' means an entity which offers a health benefit plan, including a group health plan under the federal Employee Retirement Income SecurityAct of 1974. 95 Acts, ch 185, §13; 2010 Acts, ch 1061, §180 Sat Dec 23 00:45:02 2023 Iowa Code 2024, Section 514C.8 (20, 0)
Iowa Legal Code