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House Journal: Page 2000: Thursday, April 27, 1995

Page 9
 1   committee, determines for a specific fiscal year that
 2   all of the following conditions are met:
 3     a.  The county accurately reported by October 15
 4   the county's expenditures for mental health, mental
 5   retardation, and developmental disabilities services
 6   for the previous fiscal year on forms prescribed by
 7   the department of human services.
 8     b.  The county developed and implemented a county
 9   management plan for the county's mental health, mental
10   retardation, and developmental disabilities services
11   in accordance with the provisions of this paragraph.
12   The plan shall comply with the administrative rules
13   adopted for this purpose by the council on human
14   services and is subject to the approval of the
15   director of human services in consultation with the
16   state-county management committee created in section
17   331.438.  The plan shall include a description of the
18   county's service management provision for mental
19   health, mental retardation, and developmental
20   disabilities services.  For mental retardation and
21   developmental disabilities service management, the
22   plan shall describe the county's development and
23   implementation of a managed system of cost-effective
24   individualized services and shall comply with the
25   provisions of paragraph "d".  The goal of this part of
26   the plan shall be to assist the individuals served to
27   be as independent, productive, and integrated into the
28   community as possible.  The service management
29   provisions for mental health shall comply with the
30   provisions of paragraph "c".
31     c.  (1)  For mental health service management, the
32   county may either directly implement a system of
33   service management and contract with service
34   providers, or contract with a private entity to manage
35   the system, provided all requirements of this lettered
36   paragraph are met by the private entity.  The mental
37   health service management shall incorporate a single
38   entry point and clinical assessment process developed
39   in accordance with the provisions of section 331.440.
40   The county shall submit this part of the plan to the
41   department of human services for approval by April 1
42   for the succeeding year.  Initially, this part of the
43   plan shall be submitted to the department by April 1,
44   1996, and the county shall implement the approved plan
45   by July 1, 1996.
46     (2)  The basis for determining whether a managed
47   care system for mental health proposed by a county is
48   comparable to a mental health managed care contractor
49   approved by the department of human services shall
50   include but is not limited to all of the following

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