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House Journal: Page 2001: Thursday, April 27, 1995

Page 10
 1   elements which shall be specified in administrative
 2   rules adopted by the council on human services in
 3   consultation with the state-county management
 4   committee:
 5     (a)  The enrollment and eligibility process.
 6     (b)  The scope of services included.
 7     (c)  The method of plan administration.
 8     (d)  The process for managing utilization and
 9   access to services and other assistance.
10     (e)  The quality assurance process.
11     (f)  The risk management provisions and fiscal
12   viability of the provisions, if the county contracts
13   with a private managed care entity.
14     d.  For mental retardation and developmental
15   disabilities services management, the county must
16   either develop and implement a managed system of care
17   which addresses a full array of appropriate services
18   and cost-effective delivery of services or contract
19   with a state-approved managed care contractor or
20   contractors.  Any system or contract implemented under
21   this paragraph shall incorporate a single entry point
22   and clinical assessment process developed in
23   accordance with the provisions of section 331.440.
24   The elements of the managed system of care and the
25   state-approved managed care contract or contracts
26   shall be specified in rules developed by the
27   department of human services in consultation with the
28   state-county management committee and adopted by the
29   council on human services.  Initially, this part of
30   the plan shall be submitted to the department for
31   approval on or before October 1, 1996, and shall be
32   implemented on or before January 1, 1997.  In fiscal
33   years succeeding the fiscal year of initial
34   implementation, this part of the plan shall be
35   submitted to the department of human services for
36   approval by April 1 for the succeeding fiscal year.
37     e.  Changes to the approved plan are submitted at
38   least sixty days prior to the proposed change and are
39   not to be implemented prior to the director of human
40   services' approval.
41     2.  The county management plan shall address the
42   county's criteria for serving persons with chronic
43   mental illness, including any rationale used for
44   decision making regarding this population.
45     3.  a.  For the fiscal year beginning July 1, 1996,
46   and succeeding fiscal years, the county's mental
47   health, mental retardation, and developmental
48   disabilities service expenditures for a fiscal year
49   are limited to a fixed budget amount.  The fixed
50   budget amount shall be the amount identified in the

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/02000/02001.html
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