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House Journal: Page 1364: Thursday, April 15, 1999

34      (2) For informational purposes, the county shall

35   submit a management plan review to the department of
36   human services by April 1 of each year.  The annual
37   review shall incorporate an analysis of the data
38   associated with the services managed during the
39   preceding fiscal year by the county or by a managed
40   care entity on behalf of the county.
41     (3)  For informational purposes, every three years
42   the county shall submit to the department of human
43   services a three-year strategic plan.  The strategic
44   plan shall describe how the county will proceed to
45   attain the goals and objectives contained in the
46   strategic plan for the duration of the plan.  The
47   three-year strategic plan shall be submitted by April
48   1, 2000, and by April 1 of every third year
49   thereafter.
50     Sec. ___.  Section 331.439, subsection 1, paragraph
Page 5
 1   c, subparagraph (1), Code 1999, is amended to read as
 2   follows:
 3     (1)  For mental health service management, the
 4   county may either directly implement a system of
 5   service management and contract with service
 6   providers, or contract with a private entity to manage
 7   the system, provided all requirements of this lettered
 8   paragraph are met by the private entity.  The mental
 9   health service management shall incorporate a single
10   entry point and clinical assessment process developed
11   in accordance with the provisions of section 331.440.
12   The county shall submit this part of the 
plan to the
13   department of human services for approval by 
April 1
14   for the succeeding year.  Initially, this part 
of the
15   plan shall be submitted to the department 
by April 1,
16   1996, and the county shall implement the 
approved plan
17   by July 1, 1996.
18     Sec. ___.  Section 331.439, subsection 1,
19   paragraphs d and e, Code 1999, are amended to read as
20   follows:
21     d.  For mental retardation and developmental
22   disabilities services management, the county must
23   either develop and implement a managed system of care
24   which addresses a full array of appropriate services
25   and cost-effective delivery of services or contract
26   with a state-approved managed care contractor or
27   contractors.  Any system or contract implemented under
28   this paragraph shall incorporate a single entry point
29   and clinical assessment process developed in
30   accordance with the provisions of section 331.440.
31   The elements of the managed system of care and the
32   state-approved managed care contract or contracts

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