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PAG LIN
1 1 Section 1. NEW SECTION. 231.61 INTEGRATED CASE-
1 2 MANAGEMENT PROGRAM.
1 3 The department shall assist in the establishment of an
1 4 integrated case-management program within the department. The
1 5 department shall do all of the following:
1 6 1. In cooperation with the long-term care coordinating
1 7 unit, establish an interagency system for coordination of
1 8 integrated case-management policies affecting functionally
1 9 dependent elders living at home or in institutions.
1 10 2. Develop and establish in each planning and service area
1 11 a system for coordination of long-term care services provided
1 12 by the public, private, and volunteer sectors in an integrated
1 13 case-management program for elders. The providers involved
1 14 shall include but are not limited to hospitals, nursing
1 15 facilities, the department of human services, public health
1 16 nursing programs, homemaker-home health programs, well-elderly
1 17 clinics, volunteer programs including the retired senior
1 18 volunteer program (RSVP), Alzheimer's chapters, and red cross
1 19 chapters.
1 20 3. Create a common database to assist policymakers in
1 21 long-range planning and policy development relating to the
1 22 program.
1 23 4. Provide training and technical assistance to public and
1 24 private providers and advocates.
1 25 5. Develop and provide to prospective applicants grant
1 26 applications for the implementation of integrated case-
1 27 management programs in local planning and service areas.
1 28 Sec. 2. NEW SECTION. 231.62 PROGRAM APPROACH.
1 29 The integrated case-management program shall be based upon
1 30 a holistic approach in the development of a service delivery
1 31 system by assessing the needs of individuals, identifying the
1 32 continuum of services available in the particular community,
1 33 monitoring service delivery and appropriateness of services,
1 34 coordinating statewide policy planning, and advocating for the
1 35 rights of long-term care consumers.
2 1 Sec. 3. NEW SECTION. 231.63 ELEMENTS OF INTEGRATED CASE-
2 2 MANAGEMENT PROGRAM.
2 3 The integrated case-management program shall include all of
2 4 the following:
2 5 1. Monitoring of health services and treatment through
2 6 local interdisciplinary teams utilizing available community
2 7 programs, whenever possible.
2 8 2. Provision of counseling and support programs necessary
2 9 to enable elders to remain independent in the least
2 10 restrictive environment possible.
2 11 3. Coordination with the long-term care resident's
2 12 advocate programs established pursuant to section 231.42 to
2 13 improve coordination between the community-based and
2 14 institutional long-term care systems.
2 15 Sec. 4. Section 231.33, Code 1995, is amended by adding
2 16 the following new subsection:
2 17 NEW SUBSECTION. 22. Submit quarterly reports to the
2 18 department and annual reports by January 1 to the general
2 19 assembly regarding the financial impact on the area agency
2 20 resulting from the integrated case-management system
2 21 established pursuant to sections 231.61 through 231.63.
2 22 Sec. 5. Section 231.58, subsection 2, paragraph a, Code
2 23 1995, is amended to read as follows:
2 24 a. Develop, for legislative review, the mechanisms and
2 25 procedures necessary to implement, utilizing current
2 26 personnel, a case-managed system of long-term care based on a
2 27 uniform comprehensive assessment tool. The case-management
2 28 system shall be implemented through coordination between the
2 29 department and the area agencies on aging. The system shall
2 30 use common intake procedures, assessment tools, and
2 31 interagency working agreements to provide coordination among
2 32 area agencies at the local level.
2 33 Sec. 6. Section 231.58, subsection 2, Code 1995, is
2 34 amended by adding the following new paragraph:
2 35 NEW PARAGRAPH. h. Accept annual applications for
3 1 development of integrated case-management programs in a
3 2 planning and service area and make recommendations to the
3 3 general assembly for selection and funding of particular
3 4 programs, based upon the economic necessity of the program in
3 5 the planning and service area. The unit shall assist planning
3 6 and service area applicants in completing applications.
3 7 Sec. 7. APPROPRIATION. There is appropriated from the
3 8 general fund of the state to the department of elder affairs
3 9 for the fiscal year beginning July 1, 1995, and ending June
3 10 30, 1996, the following amount, or so much thereof as is
3 11 necessary, to be used for the purpose designated:
3 12 To provide funding to planning and service areas for the
3 13 implementation of integrated case-management programs:
3 14 .................................................. $ 2,500,000
3 15 Of the funds appropriated in this section not more than
3 16 $500,000 shall be expended annually to integrated case-
3 17 management programs. Notwithstanding section 8.33, any
3 18 balance remaining from the appropriation made pursuant to this
3 19 section shall not revert to the general fund of the state but
3 20 shall be available for expenditure during subsequent fiscal
3 21 years for the same purpose, and shall not be transferred to
3 22 any other program.
3 23 EXPLANATION
3 24 This bill expands the use of integrated case-management
3 25 programs in the department of elder affairs to coordinate
3 26 long-term care services provided for functionally dependent
3 27 elders. The bill provides an appropriation of $2.5 million to
3 28 the department of elder affairs to be expended in amounts of
3 29 no more than $500,000 annually, in the form of grants to
3 30 applicants for implementation of integrated case-management
3 31 programs in local planning and services areas of the state for
3 32 the coordination of long-term care services and the
3 33 implementation of a statewide case-management system.
3 34 LSB 1653SS 76
3 35 cl/sc/14
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