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House Journal: Page 1592: Thursday, April 26, 2001

12 paragraph 1, Code 2001, is amended to read as follows:
13 The superintendent of each mental health institute
14 shall compute by February 1 the average daily patient
15 charges and other service charges for which each
16 county will be billed for services provided to
17 patients chargeable to the county during the fiscal
18 year beginning the following July 1. The department
19 shall certify the amount of the charges to the
20 director of revenue and finance and notify the
21 counties of the billing charges.
22 Sec. . Section 230.20, subsection 2, paragraph
23 a, Code 2001, is amended to read as follows:
24 a. The superintendent shall certify to the
25 director of revenue and finance department the
26 billings to each county for services provided to
27 patients chargeable to the county during the preceding
28 calendar quarter. The county billings shall be based
29 on the average daily patient charge and other service
30 charges computed pursuant to subsection 1, and the
31 number of inpatient days and other service units
32 chargeable to the county. However, a county billing
33 shall be decreased by an amount equal to reimbursement
34 by a third party payor or estimation of such
35 reimbursement from a claim submitted by the
36 superintendent to the third party payor for the
37 preceding calendar quarter. When the actual third
38 party payor reimbursement is greater or less than
39 estimated, the difference shall be reflected in the
40 county billing in the calendar quarter the actual
41 third party payor reimbursement is determined.
42 Sec. . Section 230.20, subsections 4 and 5,
43 Code 2001, are amended to read as follows:
44 4. The department shall certify to the director of
45 revenue and finance and the counties by February 1 the
46 actual per-patient-per-day costs, as computed pursuant
47 to subsection 3, and the actual costs owed by each
48 county for the immediately preceding calendar year for
49 patients chargeable to the county. If the actual
50 costs owed by the county are greater than the charges

Page 5

1 billed to the county pursuant to subsection 2, the
2 director of revenue and finance department shall bill
3 the county for the difference with the billing for the
4 quarter ending June 30. If the actual costs owed by
5 the county are less than the charges billed to the
6 county pursuant to subsection 2, the director of
7 revenue and finance department shall credit the county
8 for the difference starting with the billing for the
9 quarter ending June 30.
10 5. An individual statement shall be prepared for a


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