Text: S05144 Text: S05146 Text: S05100 - S05199 Text: S Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend Senate File 2280 as follows:
1 2 #1. Page 1, by striking lines 1 through 26 and
1 3 inserting the following:
1 4 "Section 1. REHABILITATIVE TREATMENT CHILD WELFARE
1 5 SERVICES PROVIDERS.
1 6 1. The department of human services shall act in
1 7 accordance with this section to implement the high
1 8 priority recommendation items identified by the
1 9 department's rehabilitative treatment services
1 10 provider regulation and continuous quality improvement
1 11 work group and listed in this section. In order to
1 12 implement a listed item, the department must determine
1 13 that the item can be implemented without additional
1 14 cost to the state and implementation of the item,
1 15 including any necessary state medical assistance
1 16 program plan amendment, must be approved by the
1 17 federal center for Medicare and Medicaid services. If
1 18 administrative rules are required for implementation
1 19 of an item, the department shall adopt rules utilizing
1 20 the emergency procedures provided in subsection 4.
1 21 2. If the implementation conditions in subsection
1 22 1 are met, the following items shall be implemented on
1 23 or before January 2, 2003:
1 24 a. Permitting deemed status for those providers of
1 25 residential treatment services that are certified,
1 26 accredited, or determined by the department to be in
1 27 compliance with the standards of a nationally
1 28 recognized body.
1 29 b. Utilizing a calculation of the number of hours
1 30 per week for therapy and counseling in lieu of a
1 31 monthly billing calculation.
1 32 c. Accepting, for deemed status providers, staff
1 33 qualifications that meet minimum standards established
1 34 by the applicable nationally recognized body and
1 35 requiring a clinical supervisory plan for those staff
1 36 who do not meet the minimum standards.
1 37 d. Utilizing a weekly documentation requirement
1 38 for group care skill development services in lieu of
1 39 daily documentation.
1 40 e. Eliminating the requirements that a case
1 41 permanency plan be included in the provider's records,
1 42 that the setting in which the service was provided be
1 43 documented, and that correspondence with the referral
1 44 worker be included in the provider's records.
1 45 f. Eliminating the care plan requirements
1 46 regarding licensing and treatment plan review;
1 47 accepting a change in the treatment plan in lieu of
1 48 requiring the plan to be rewritten; and permitting the
1 49 provider to determine the author of the treatment
1 50 plan.
2 1 g. Establishing an hourly rate and reimbursement
2 2 category for day treatment.
2 3 h. Eliminating staff supervision requirements from
2 4 licensure rules.
2 5 3. If the department determines the items can be
2 6 implemented without additional cost to the state, the
2 7 following items shall be submitted on or before June
2 8 30, 2003, to the federal center for Medicare and
2 9 Medicaid services for approval:
2 10 a. Modifying retroactive audit requirements to
2 11 include an explanation for the possible overpayment
2 12 due from the provider; waiving of a provider
2 13 overpayment of less than a certain dollar threshold;
2 14 increasing training for financial and service
2 15 transaction documentation; and recategorizing the
2 16 group care provider service reimbursements.
2 17 b. Permitting providers to determine staff-to-
2 18 client ratios for licensure purposes.
2 19 c. Utilizing electronic record checks for staff
2 20 employment.
2 21 d. Permitting providers to determine staffing
2 22 requirements for family preservation services.
2 23 e. Creating reimbursement classifications for
2 24 additional services including transportation, home
2 25 study, missed appointment, age differentiation of
2 26 children, crisis intervention, and planning time for
2 27 court hearings, staffing meetings, and school
2 28 conferences.
2 29 f. Requiring that the Iowa plan for behavioral
2 30 health contractor provide reimbursement for substance
2 31 abuse evaluations of children who are eligible for the
2 32 medical assistance program.
2 33 g. Combining all services offered by a single
2 34 provider within one contract.
2 35 h. Collecting provider overpayments as few times
2 36 as is practicable.
2 37 i. Permitting the provider and the department to
2 38 communicate with the contractor that provides the
2 39 service authorization for a child.
2 40 j. Eliminating the reimbursement report
2 41 requirement for documentation of the specific amount
2 42 of time a service is provided.
2 43 k. Eliminating reimbursement rate limitations on
2 44 staff and administrative salary costs."
2 45 #2. Page 1, line 27, by striking the figure "2"
2 46 and inserting the following: "4".
2 47
2 48
2 49
2 50 KEN VEENSTRA
3 1 SF 2280.701 79
3 2 jp/cls
Text: S05144 Text: S05146 Text: S05100 - S05199 Text: S Index Bills and Amendments: General Index Bill History: General Index
© 2002 Cornell College and League of Women Voters of Iowa
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