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House Journal: Page 2006: Tuesday, April 30, 1996

e.  Any spontaneous abortion, commonly known as a miscarriage,
if not all of the products of conception are expelled.
2.  Notwithstanding section 8.39, the department may transfer
funds appropriated in this section to a separate account
established in the department's case management unit for
expenditures required to provide case management services for
mental health, mental retardation, and developmental
disabilities services under medical assistance which are jointly
funded by the state and county, pending final settlement of the
expenditures.  Funds received by the case management unit in
settlement of the expenditures shall be used to replace the
transferred funds and are available for the purposes for which
the funds were appropriated in this section.
3.  If a medical assistance recipient is more than 17 years of
age and is receiving care which is reimbursed under a federally
approved home and community-based services waiver but would
otherwise be approved for care in an intermediate care facility
for the mentally retarded, the recipient's county of legal
settlement shall reimburse the department on a monthly basis for
the portion of the recipient's cost of care which is not paid
from federal funds.
4.  a.  The county of legal settlement shall be billed for 50
percent of the nonfederal share of the cost of case management
provided for adults, day treatment, and partial hospitalization
in accordance with sections 249A.26 and 249A.27, and 100 percent
of the nonfederal share of the cost of care for adults which is
reimbursed under a federally approved home and community-based
waiver that would otherwise be approved for provision in an
intermediate care facility for the mentally retarded, provided
under the medical assistance program.  The state shall have
responsibility for the remaining 50 percent of the nonfederal
share of the cost of case management provided for adults, day
treatment, and partial hospitalization.  For persons without a
county of legal settlement, the state shall have responsibility
for 100 percent of the nonfederal share of the costs of case
management provided for adults, day treatment, partial
hospitalization, and the home and community-based waiver
services.  The case management services specified in this
subsection shall be billed to a county only if the services are
provided outside of a managed care contract.
b.  The state shall pay the entire nonfederal share of the costs
for case management services provided to persons 17 years of age
and younger who are served in a medical assistance home and
community-based waiver program for persons with mental
retardation.
c.  Medical assistance funding for case management services for
eligible persons 17 years of age and younger shall also be
provided to persons residing in counties with child welfare
decategorization projects implemented in accordance with section
232.188, provided these projects have included these persons in
their service plan and the decategorization project county is
willing to provide the nonfederal share of costs.
d.  When paying the necessary and legal expenses of intermediate
care facilities for the mentally retarded (ICFMR), the cost
payment requirements of section 222.60 shall be considered
fulfilled when payment is made in accordance with the medical
assistance payment rates established for ICFMRs by the
department and the state or a county of legal settlement is not
obligated for any amount in excess of the rates.
5.  The department may adopt and implement administrative rules
regarding a prepaid mental health services plan for medical
assistance patients.  The rules

Iowa General Assembly

Index: House Journal (76th General Assembly: Session 2)

© 1996 Cornell College and League of Women Voters of Iowa

Comments? hjourn@legis.iowa.gov.

Last update: Wed May 1 22:20:02 CDT 1996
URL: /DOCS/GA/76GA/Session.2/HJournal/02000/02006.html
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