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Iowa Administrative Code 441—79.16(249A) — Education About False Claims Recovery

IowaregulationIowa Department of Health and Human Services (Human Services [441])· effective 2026-07-01

What this rule requires your agency to do

  • 1Any entity whose Medicaid payments total at least $5 million during a federal fiscal year must comply with this rule as a condition of receiving payments the following calendar year (rule 441—79.16, opening paragraph).(Iowa Administrative Code 441—79.16(249A) — Education About False Claims Recovery)
  • 2Such an entity shall establish written policies for all its employees and all employees of any contractor or agent (including management) detailing the federal False Claims Act, administrative false-claims remedies, state civil/criminal false-claims penalties, whistleblower protections, and the entity's own fraud/waste/abuse detection procedures (subrule 79.16(1)"a").(Iowa Administrative Code 441—79.16(249A) — Education About False Claims Recovery)
  • 3The entity shall include in any employee handbook a specific discussion of those laws, employee whistleblower rights, and the entity's fraud/waste/abuse detection procedures (subrule 79.16(1)"b").(Iowa Administrative Code 441—79.16(249A) — Education About False Claims Recovery)
  • 4Any entity meeting the threshold shall report to Iowa Medicaid by the following December 31 its name/address/NPIs, copies of the written or electronic policies, and a written description of how the policies are disseminated to all employees and contractors (subrule 79.16(2)"a").(Iowa Administrative Code 441—79.16(249A) — Education About False Claims Recovery)
  • 5An entity that fails to comply is subject to sanction under rule 441—79.2(249A), including probation, suspension or withholding of payments, and suspension or termination from Medicaid (subrule 79.16(3)).(Iowa Administrative Code 441—79.16(249A) — Education About False Claims Recovery)

Applies to: personal care

Requires any Medicaid provider entity receiving at least $5 million in medical assistance payments in a federal fiscal year to establish written False Claims Act and whistleblower policies for all employees and contractors, include them in employee handbooks, and report the policies to Iowa Medicaid annually as a condition of continued payment.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.