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House Journal: Page 630: Tuesday, February 28, 1995

39   county must contract with a state-approved managed
40   mental health care contractor or provide a comparable
41   system of managed care.  For the fiscal year beginning
42   July 1, 1995, this part of the plan shall be submitted
43   by October 15, 1995, and the county shall implement
44   the approved plan by January 1, 1996.  For subsequent
45   fiscal years, this part of the plan shall be submitted
46   to the department by April 1 for the succeeding fiscal
47   year.
48     (2)  For mental retardation and developmental
49   disabilities services management, the county must
50   contract with a state-approved managed care contractor
Page  10
 1   or develop and implement a managed system of care
 2   which addresses a full array of appropriate services
 3   and cost-effective delivery of services.  The managed
 4   system of care shall incorporate a single entry point
 5   process developed in accordance with the provisions of
 6   section 331.440.  The elements of the managed system
 7   of care shall be specified in rules developed by the
 8   department in consultation with the state-county
 9   management committee and adopted by the council on
10   human services.  The county shall implement either the
11   state-approved contract or implement a comparable
12   system of care within six months of the date by which
13   the department approves a managed care contractor.  In
14   fiscal years succeeding the fiscal year of initial
15   implementation this part of the plan shall be
16   submitted to the department of human services by April
17   1 for the succeeding fiscal year.
18     c.  Changes to the approved plan are submitted
19   sixty days prior to the proposed change and are not to
20   be implemented prior to the director of human
21   services' approval.
22        .  The county management plan shall address the
23   county's criteria for serving persons with chronic
24   mental illness, including any rationale used for
25   decision making regarding this population.
26        .  If funding is available under the fixed
27   budget, a county that has not provided services to a
28   service population which is not included in the
29   service management provisions required under
30   subsection 1, may provide such services.
31     3.  For the fiscal year beginning July 1, 1996, and
32   succeeding fiscal years, implementation of the county
33   management plan is subject to a fixed budget
34   consisting of the moneys deposited by the state and
35   county in the county mental health, mental
36   retardation, and developmental disabilities services
37   fund created in section 331.424A.  The amount of the
38   fixed budget shall be the amount specified for the
39   fiscal year in the county's management plan and

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 1)

© 1995 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Sun Jan 14 21:05:02 CST 1996
URL: /DOCS/GA/76GA/Session.1/HJournal/00600/00630.html
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