Text: SF02113 Text: SF02115 Text: SF02100 - SF02199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 225C.2, Code 2001, is amended by adding 1 2 the following new subsection: 1 3 NEW SUBSECTION. 1A. "Case management services" means a 1 4 set of services that assists consumers of disability services 1 5 in gaining access to an appropriate living environment, needed 1 6 medical services, and interrelated social, vocational, and 1 7 educational services, and monitoring the provision of services 1 8 to the consumers. 1 9 Sec. 2. Section 225C.6, subsection 1, paragraph l, Code 1 10 Supplement 2001, is amended to read as follows: 1 11 l. Establish standards for the provision under medical 1 12 assistance of individual case management services. The 1 13 commission shall determine whether to grant, deny, or revoke 1 14 the accreditation of the services. The department shall not 1 15 allow a person providing prepaid services or other functions 1 16 under contract with the department to amend, revise, or 1 17 otherwise interpret the individual case management standards 1 18 in place of the commission or to implement the standards 1 19 without being accredited. The standards for the individual 1 20 case management services shall include but are not limited to 1 21 all of the following elements: 1 22 (1) A consumer of disabilities services shall receive 1 23 individual case management services from a qualified, 1 24 supervised case manager. 1 25 (2) The purpose of individual case management services is 1 26 to link a consumer of disabilities services with service 1 27 providers and support systems responsible for providing the 1 28 necessary direct services and activities to the consumer and 1 29 to coordinate and monitor the provision of the services and 1 30 activities. 1 31 (3) Individual case management services shall include but 1 32 are not limited to ensuring that necessary evaluations are 1 33 conducted; individual service and treatment plans are 1 34 developed, implemented, and monitored; and reassessment of 1 35 consumer needs and service provision occurs on an ongoing and 2 1 regularly scheduled basis. 2 2 Sec. 3. Section 249A.18, Code 2001, is amended to read as 2 3 follows: 2 4 249A.18 COST-BASED REIMBURSEMENT– RURAL HEALTH CLINICS2 5AND FEDERALLY QUALIFIED HEALTH CENTERS. 2 6Rural health clinics and federally qualified health centers2 7 All of the following shall receive cost-based reimbursement 2 8 for one hundred percent of the reasonable costs for the 2 9 provision of services to recipients of medical assistance: 2 10 1. Rural health clinics. 2 11 2. Federally qualified health centers. 2 12 3. Providers of individual case management services for 2 13 persons with mental retardation, a developmental disability, 2 14 or chronic mental illness in accordance with standards adopted 2 15 by the mental health and developmental disabilities commission 2 16 pursuant to section 225C.6. 2 17 4. Providers of services to persons with chronic mental 2 18 illness implemented under the adult rehabilitation option of 2 19 the state medical assistance plan. 2 20 Sec. 4. Section 249A.20, Code 2001, is amended by adding 2 21 the following new unnumbered paragraph: 2 22 NEW UNNUMBERED PARAGRAPH. A provider reimbursed under 2 23 section 249A.18 is not a noninstitutional health provider. 2 24 Sec. 5. Section 249A.26, Code Supplement 2001, is amended 2 25 by adding the following new subsection: 2 26 NEW SUBSECTION. 4. The county of legal settlement shall 2 27 pay for one hundred percent of the nonfederal share of the 2 28 cost of services provided to persons with chronic mental 2 29 illness implemented under the adult rehabilitation option of 2 30 the state medical assistance plan. The state shall pay for 2 31 one hundred percent of the nonfederal share of the cost of 2 32 such services provided to such persons without a county of 2 33 legal settlement. 2 34 Sec. 6. EFFECTIVE DATE. This Act, being deemed of 2 35 immediate importance, takes effect upon enactment. 3 1 EXPLANATION 3 2 This bill relates to services for persons with mental 3 3 illness, mental retardation or other developmental disability, 3 4 or brain injury. 3 5 The bill amends Code section 225C.2 to establish a 3 6 definition of the term "case management services" used with 3 7 consumers of mental illness, mental retardation or other 3 8 developmental disability, or brain injury services. 3 9 Under current law the mental health and developmental 3 10 disabilities commission is responsible for adopting standards 3 11 for individual case management services provided under the 3 12 medical assistance (state-federal Medicaid) program and for 3 13 accrediting the providers of the services. The bill prohibits 3 14 the department of human services from allowing a person 3 15 providing prepaid services or other functions under contract 3 16 with the department to amend, revise, or otherwise interpret 3 17 the individual case management standards in place of the 3 18 commission or to implement the standards without being 3 19 accredited. In addition, the bill includes specific elements 3 20 for the commission to address in the standards. 3 21 Under current law, Code section 249A.18 provides that rural 3 22 health clinics and federally qualified health centers are 3 23 cost-based providers of medical assistance services. The bill 3 24 adds to the list of cost-based providers those providing case 3 25 management services for persons with mental retardation, a 3 26 developmental disability, or chronic mental illness and those 3 27 providing services to persons with chronic mental illness 3 28 implemented under the adult rehabilitation option of the state 3 29 medical assistance plan. 3 30 The bill amends Code section 249A.20, relating to 3 31 reimbursement of noninstitutional health providers using the 3 32 federal Medicare resource-based relative value scale 3 33 methodology, to provide that providers reimbursed under Code 3 34 section 249A.18 are not noninstitutional health providers. 3 35 The bill specifies that the county of legal settlement is 4 1 responsible for 100 percent of the nonfederal share of the 4 2 cost of services to persons with chronic mental illness 4 3 implemented under the adult rehabilitation option of the state 4 4 medical assistance plan and the state bears the same 4 5 responsibility for those persons without a county of legal 4 6 settlement. 4 7 The bill takes effect upon enactment. 4 8 LSB 6092SS 79 4 9 jp/hk/91
Text: SF02113 Text: SF02115 Text: SF02100 - SF02199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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