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House Journal: Page 2029: Tuesday, April 30, 1996

2.  For the fiscal year beginning July 1, 1996, the maximum cost
reimbursement rate for residential care facilities reimbursed by
the department shall be $21.54 per day.  The flat reimbursement
rate for facilities electing not to file semiannual cost reports
shall be $15.41 per day.  For the fiscal year beginning July 1,
1996, the maximum reimbursement rate for providers reimbursed
under the in-home healtH-related care program shall be $414.11
per month.
3.  Unless otherwise directed in this section, when the
department's reimbursement methodology for any provider
reimbursed in accordance with this section includes an inflation
factor, this factor shall not exceed the amount by which the
consumer price index for all urban consumers increased during
the calendar year ending December 31, 1995.
4.  Notwithstanding section 234.38, in the fiscal year beginning
July 1, 1996, the foster family basic daily maintenance rate and
the maximum adoption subsidy rate for children ages 0 through 5
years shall be $12.34, the rate for children ages 6 through 11
years shall be $13.06, the rate for children ages 12 through 15
years shall be $14.23, and the rate for children ages 16 and
older shall be $15.12.
5.  For the fiscal year beginning July 1, 1996, the maximum
reimbursement rates for social service providers shall be the
same as the rates in effect on June 30, 1996, except under any
of the following circumstances:
a.  If a new service was added after June 30, 1996, the initial
reimbursement rate for the service shall be based upon actual
and allowable costs.
b.  If a social service provider loses a source of income used
to determine the reimbursement rate for the provider, the
provider's reimbursement rate may be adjusted to reflect the
loss of income, provided that the lost income was used to
support actual and allowable costs of a service purchased under
a purchase of service contract.
c.  The department revises the reimbursement rates as part of
the changes in the mental health and developmental disabilities
services system initiated pursuant to 1995 Iowa Acts, chapter
206 (Senate File 69), and associated legislation.
d.  The reimbursement rate revision is necessary to implement
the change required by the appropriation in this Act for an
increase in the reimbursement for residential care facilities.
6.  The group foster care reimbursement rates paid for placement
of children out-of-state shall be calculated according to the
same rate-setting principles as those used for in-state
providers unless the director determines that appropriate care
cannot be provided within the state.  The payment of the daily
rate shall be based on the number of days in the calendar month
in which service is provided.
7.  For the fiscal year beginning July 1, 1996, the combined
service and maintenance components of the reimbursement rate
paid to a shelter care provider shall be based on the cost
report submitted to the department.  The maximum reimbursement
rate shall be $76.61 per day.  If the department would reimburse
the provider at less than the maximum rate but the provider's
cost report justifies a rate of at least $76.61, the department
shall readjust the provider's reimbursement rate to the maximum
reimbursement rate.  In January 1997, the department shall
review the usage of shelter care and the funding allocated for
shelter care, if the usage is less than anticipated and the
existing contracts for provision of shelter care do not obligate
the total amount of the funds allocated, the department may
utilize moneys in the allocation, which would otherwise be
unexpended, for wrap-around services or support to enable group
foster care placement to be prevented or the length of stay
reduced.

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