228.1 DEFINITIONS.
As used in this chapter:
1. "Administrative information" means an individual's name,
identifying number, age, sex, address, dates and character of
professional services provided to the individual, fees for the
professional services, third-party payor name and payor number of a
patient, if known, name and location of the facility where treatment
is received, the date of the individual's admission to the facility,
and the name of the individual's attending physician or attending
mental health professional.
2. "Data collector" means a person, other than a mental
health professional or an employee of or agent for a mental health
facility, who regularly assembles or evaluates mental health
information.
3. "Diagnostic information" means a therapeutic
characterization of the type found in the diagnostic and statistical
manual of mental disorders of the American psychiatric association or
in a comparable professionally recognized diagnostic manual.
4. "Mental health facility" means a community mental health
center, hospital, clinic, office, health care facility, infirmary, or
similar place in which professional services are provided.
5. "Mental health information" means oral, written, or
recorded information which indicates the identity of an individual
receiving professional services and which relates to the diagnosis,
course, or treatment of the individual's mental or emotional
condition.
6. "Mental health professional" means an individual who has
all of the following qualifications:
a. The individual holds at least a master's degree in a
mental health field, including but not limited to, psychology,
counseling and guidance, nursing, and social work, or the individual
is a physician and surgeon or an osteopathic physician and surgeon.
b. The individual holds a current Iowa license if practicing
in a field covered by an Iowa licensure law.
c. The individual has at least two years of post-degree
clinical experience, supervised by another mental health
professional, in assessing mental health needs and problems and in
providing appropriate mental health services.
7. "Peer review organization" means a utilization and quality
control peer review organization that has a contract with the federal
secretary of health and human services pursuant to Title XI, part B,
of the federal Social Security Act to review health care services
paid for in whole or in part under the Medicare program established
by Title XVIII of the federal Social Security Act, or another
organization of licensed health care professionals performing
utilization and quality control review functions.
8. "Professional services" means diagnostic or treatment
services for a mental or emotional condition provided by a mental
health professional.
9. "Self-insured employer" means a person which provides
accident and health benefits or medical, surgical, or hospital
benefits on a self-insured basis to its own employees or to employees
of an affiliated company or companies and which does not otherwise
provide accident and health benefits or medical, surgical, or
hospital benefits.
10. "Third-party payor" means a person which provides
accident and health benefits or medical, surgical, or hospital
benefits, whether on an indemnity, reimbursement, service, or prepaid
basis, including but not limited to, insurers, nonprofit health
service corporations, health maintenance organizations, governmental
agencies, and self-insured employers.
Section History: Recent Form
86 Acts, ch 1082, § 1; 88 Acts, ch 1226, § 2, 3; 95 Acts, ch 120,
§2
Referred to in § 125.82, 125.86, 229.15, 229.24, 230A.13, 235A.17
228.1 DEFINITIONS.
As used in this chapter:
1. "Administrative information" means an individual's name,
identifying number, age, sex, address, dates and character of
professional services provided to the individual, fees for the
professional services, third-party payor name and payor number of a
patient, if known, name and location of the facility where treatment
is received, the date of the individual's admission to the facility,
and the name of the individual's attending physician or attending
mental health professional.
2. "Data collector" means a person, other than a mental
health professional or an employee of or agent for a mental health
facility, who regularly assembles or evaluates mental health
information.
3. "Diagnostic information" means a therapeutic
characterization of the type found in the diagnostic and statistical
manual of mental disorders of the American psychiatric association or
in a comparable professionally recognized diagnostic manual.
4. "Mental health facility" means a community mental health
center, hospital, clinic, office, health care facility, infirmary, or
similar place in which professional services are provided.
5. "Mental health information" means oral, written, or
recorded information which indicates the identity of an individual
receiving professional services and which relates to the diagnosis,
course, or treatment of the individual's mental or emotional
condition.
6. "Mental health professional" means an individual who has
all of the following qualifications:
a. The individual holds at least a master's degree in a
mental health field, including but not limited to, psychology,
counseling and guidance, nursing, and social work, or the individual
is a physician and surgeon or an osteopathic physician and surgeon.
b. The individual holds a current Iowa license if practicing
in a field covered by an Iowa licensure law.
c. The individual has at least two years of post-degree
clinical experience, supervised by another mental health
professional, in assessing mental health needs and problems and in
providing appropriate mental health services.
7. "Peer review organization" means a utilization and quality
control peer review organization that has a contract with the federal
secretary of health and human services pursuant to Title XI, part B,
of the federal Social Security Act to review health care services
paid for in whole or in part under the Medicare program established
by Title XVIII of the federal Social Security Act, or another
organization of licensed health care professionals performing
utilization and quality control review functions.
8. "Professional services" means diagnostic or treatment
services for a mental or emotional condition provided by a mental
health professional.
9. "Self-insured employer" means a person which provides
accident and health benefits or medical, surgical, or hospital
benefits on a self-insured basis to its own employees or to employees
of an affiliated company or companies and which does not otherwise
provide accident and health benefits or medical, surgical, or
hospital benefits.
10. "Third-party payor" means a person which provides
accident and health benefits or medical, surgical, or hospital
benefits, whether on an indemnity, reimbursement, service, or prepaid
basis, including but not limited to, insurers, nonprofit health
service corporations, health maintenance organizations, governmental
agencies, and self-insured employers.
Section History: Recent Form
86 Acts, ch 1082, § 1; 88 Acts, ch 1226, § 2, 3; 95 Acts, ch 120,
§2
Referred to in § 125.82, 125.86, 229.15, 229.24, 230A.13, 235A.17
228.1 DEFINITIONS.
As used in this chapter:
1. "Administrative information" means an individual's name,
identifying number, age, sex, address, dates and character of
professional services provided to the individual, fees for the
professional services, third-party payor name and payor number of a
patient, if known, name and location of the facility where treatment
is received, the date of the individual's admission to the facility,
and the name of the individual's attending physician or attending
mental health professional.
2. "Data collector" means a person, other than a mental
health professional or an employee of or agent for a mental health
facility, who regularly assembles or evaluates mental health
information.
3. "Diagnostic information" means a therapeutic
characterization of the type found in the diagnostic and statistical
manual of mental disorders of the American psychiatric association or
in a comparable professionally recognized diagnostic manual.
4. "Mental health facility" means a community mental health
center, hospital, clinic, office, health care facility, infirmary, or
similar place in which professional services are provided.
5. "Mental health information" means oral, written, or
recorded information which indicates the identity of an individual
receiving professional services and which relates to the diagnosis,
course, or treatment of the individual's mental or emotional
condition.
6. "Mental health professional" means an individual who has
all of the following qualifications:
a. The individual holds at least a master's degree in a
mental health field, including but not limited to, psychology,
counseling and guidance, nursing, and social work, or the individual
is a physician and surgeon or an osteopathic physician and surgeon.
b. The individual holds a current Iowa license if practicing
in a field covered by an Iowa licensure law.
c. The individual has at least two years of post-degree
clinical experience, supervised by another mental health
professional, in assessing mental health needs and problems and in
providing appropriate mental health services.
7. "Peer review organization" means a utilization and quality
control peer review organization that has a contract with the federal
secretary of health and human services pursuant to Title XI, part B,
of the federal Social Security Act to review health care services
paid for in whole or in part under the Medicare program established
by Title XVIII of the federal Social Security Act, or another
organization of licensed health care professionals performing
utilization and quality control review functions.
8. "Professional services" means diagnostic or treatment
services for a mental or emotional condition provided by a mental
health professional.
9. "Self-insured employer" means a person which provides
accident and health benefits or medical, surgical, or hospital
benefits on a self-insured basis to its own employees or to employees
of an affiliated company or companies and which does not otherwise
provide accident and health benefits or medical, surgical, or
hospital benefits.
10. "Third-party payor" means a person which provides
accident and health benefits or medical, surgical, or hospital
benefits, whether on an indemnity, reimbursement, service, or prepaid
basis, including but not limited to, insurers, nonprofit health
service corporations, health maintenance organizations, governmental
agencies, and self-insured employers.
Section History: Recent Form
86 Acts, ch 1082, § 1; 88 Acts, ch 1226, § 2, 3; 95 Acts, ch 120,
§2
Referred to in § 125.82, 125.86, 229.15, 229.24, 230A.13, 235A.17
