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House Journal: Page 1565: Thursday, April 11, 1996

35   assistance funds unless the person is referred through
36   the single entry point process, as defined in section
37   331.440.  However, to the extent federal law allows
38   referral of a medical assistance recipient to a
39   service without approval of the single entry point
40   process, the county of legal settlement shall be
41   billed for the nonfederal share of costs for any adult
42   person for whom the county would otherwise be
43   responsible."
44     39.  Page 21, by inserting after line 33 the
45   following:
46     "Sec. ___.  Section 331.440, Code Supplement 1995,
47   is amended by adding the following new subsection:
48     NEW SUBSECTION.  2A.  An application for services
49   may be made through the single entry point process of
50   a person's county of residence.  However, if a person

Page   9

 1   who is subject to a single entry point process has
 2   legal settlement in another county or the costs of
 3   services or other support provided to the person are
 4   the financial responsibility of the state, an
 5   authorization through the single entry point process
 6   shall be coordinated with the person's county of legal
 7   settlement or with the state, as applicable.  The
 8   county of residence and county of legal settlement of
 9   a person subject to a single entry point process may
10   mutually agree that the single entry point process
11   functions shall be performed by the single entry point
12   process of the person's county of legal settlement."
13     40.  Page 21, by inserting after line 33 the
14   following:
15     "Sec. ___.  MEDICAL ASSISTANCE CLAIMS AND COST
16   SETTLEMENT.  The department of human services shall
17   formulate a work group which includes representatives
18   of counties designated by the Iowa state association
19   of counties in developing a course of action to meet
20   the goals for submission of claims and completion of
21   cost settlement under section 249A.12, subsection 2,
22   as amended by this Act.  A report which includes data
23   describing the conditions which cause the goal time
24   frames to be exceeded, other conditions associated
25   with billings and payments, and options to address the
26   problems identified shall be submitted to the governor
27   and general assembly on or before December 16, 1996.
28   The options may include possible sanctions for failure
29   to meet the time frames."
30     41.  Page 22, by striking lines 2 through 11.
31     42.  By renumbering, relettering, or redesignating
32   and correcting internal references as necessary.
The motion prevailed and the House concurred in the Senate
amendment H-5916.

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