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House Journal: Page 581: Monday, February 27, 1995

23   as defined in section 331.438, for the fiscal year
24   beginning July 1, 1995, and for subsequent fiscal
25   years if the director of human services determines for
26   a specific fiscal year that all of the following
27   conditions are met:
28     a.  The county accurately reported by October 15
29   the county's expenditures for mental health, mental
30   retardation, and developmental disabilities services
31   for the previous fiscal year on forms prescribed by
32   the department of human services.
33     b.  The county developed and implemented a county
34   management plan for the county's mental health and
35   mental retardation services in accordance with the
36   provisions of this paragraph.  The plan shall comply
37   with the administrative rules adopted for this purpose
38   by the council on human services and is subject to the
39   approval of the director of human services in
40   consultation with the state-county management
41   committee created in section 331.438.  The plan shall
42   include a description of the county's service
43   management provision for mental health, mental
44   retardation, and developmental disabilities services.
45   The plan shall have the following two parts:
46     (1)  For mental health service management, the
47   county must contract with a state-approved managed
48   mental health care contractor or provide a comparable
49   system of managed care.  For the fiscal year beginning
50   July 1, 1995, this part of the plan shall be
Page  27
 1   implemented on or before October 15, 1995, after
 2   approval by the department of human services.  For
 3   subsequent fiscal years, this part of the plan shall
 4   be submitted to the department by April 1 for the
 5   succeeding fiscal year.
 6     (2)  For mental retardation service management, the
 7   county shall implement a system of managed care within
 8   six months of the date by which the department of
 9   human services approves a managed care contractor.
10   The county must either contract with a state-approved
11   mental retardation managed contractor or provide a
12   comparable system of managed care.  In fiscal years
13   succeeding the fiscal year of initial implementation,
14   this part of the plan shall be submitted to the
15   department of human services by April 1 for the
16   succeeding fiscal year.
17     c.  Changes to the approved plan are submitted
18   sixty days prior to the proposed change and are not to
19   be implemented prior to the director of human
20   services' approval.
21     2.  A county may provide assistance to service
22   populations with disabilities to which the county has
23   historically provided assistance but who are not

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