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House Journal: Page 900: Wednesday, March 22, 1995

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

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/00900/00900.html
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