1. For the purposes of section 331.424A, this section, section 331.439, and chapter 426B, unless the context otherwise requires:
a. "Base year expenditures" means the amount selected by a county and reported to the county finance committee pursuant to this paragraph. The amount selected shall be equal to the amount of net expenditures made by the county for qualified mental health, mental retardation, and developmental disabilities services provided in one of the following:
(1) The actual amount reported to the state on October 15, 1994, for the fiscal year beginning July 1, 1993.
(2) The net expenditure amount contained in the county's final budget certified in accordance with chapter 24 for the fiscal year beginning July 1, 1995, and reported to the county finance committee.
b. "Per capita expenditure" means the amount derived from the sum of a county's expenditures for mental health, mental retardation, and developmental disabilities services for a fiscal year as reported to the department of human services pursuant to section 331.439, plus the state payment to the county and any payments made under section 426B.5 for that fiscal year, divided by the county's general population for that fiscal year.
c. "Qualified mental health, mental retardation, and developmental disabilities services" means the services specified on forms issued by the county finance committee following consultation with the mental health and developmental disabilities commission.
d. "State payment" means the payment made by the state to a county determined to be eligible for the payment in accordance with section 331.439.
2. a. A state payment to a county for a fiscal year shall consist of the sum of the state funding the county is eligible to receive from the property tax relief fund in accordance with section 426B.2 plus the county's portion of state funds appropriated for the allowed growth factor adjustment established by the general assembly under section 331.439, subsection 3.
b. A county's portion of the allowed growth factor adjustment appropriation for a fiscal year shall be determined based upon the county's proportion of the state's general population.
c. The department of human services shall provide for payment of the amount due a county for the county's allowed growth factor adjustment determined in accordance with this subsection. The director of human services shall authorize warrants payable to the county treasurer for the amounts due and the warrants shall be mailed in January of each year. The county treasurer shall credit the amount of the warrant to the county's services fund created under section 331.424A.
3. The state payment shall not include any expenditures for services that were provided but not reported in the county's base year expenditures or for any expenditures which were not included in the county management plan submitted by the county in accordance with section 331.439. A county's eligibility for state payment is subject to the provisions of section 331.439.
4. a. The mental health and developmental disabilities commission shall make recommendations and take actions for joint state and county planning, implementing, and funding of mental health, mental retardation, and developmental disabilities services, including but not limited to developing and implementing fiscal and accountability controls, establishing management plans, and ensuring that eligible persons have access to appropriate and cost-effective services.
b. The mental health and developmental disabilities commission shall do all of the following:
(1) Identify characteristics of the service system, including amounts expended, equity of funding among counties, funding sources, provider types, service availability, and equity of service availability among counties and among persons served.
(2) Assess the accuracy and uniformity of recordkeeping and reporting in the service system.
(3) Identify for each county the factors associated with inflationary growth of the service system.
(4) Identify opportunities for containing service system growth.
(5) Consider proposals for revising service system administrative rules.
(6) Consider provisions and adopt rules for counties to implement a single point of accountability to plan, budget, and monitor county expenditures for the service system. The provisions shall provide options for counties to implement the single point in collaboration with other counties.
(7) Develop criteria for annual county mental health, mental retardation, and developmental disabilities plans.
(8) Adopt administrative rules identifying qualified mental health, mental retardation, and developmental disabilities service expenditures for purposes of state payment pursuant to subsection 1.
(9) Adopt rules for the county single entry point and clinical assessment processes required under section 331.440 and other rules necessary for the implementation of county management plans and expenditure reports required for state payment pursuant to section 331.439.
(10) Consider recommendations to improve the programs and cost-effectiveness of state and county contracting processes and procedures, including strategies for negotiations relating to managed care. The recommendations implemented by the commission for the state and county regarding managed care shall include but are not limited to standards for limiting excess costs and profits, and for restricting cost shifting under a managed care system.
(11) Provide input, when appropriate, to the director of human services in any decision involving administrative rules which were adopted by the department of human services pertaining to the mental illness, mental retardation, and developmental disabilities services administered by counties.
(12) Identify the fiscal impact of existing or proposed legislation and administrative rules on state and county expenditures.
(13) Adopt administrative rules providing statewide standards and a monitoring methodology to determine whether cost-effective individualized services are available as required pursuant to section 331.439, subsection 1, paragraph "b".
(14) Consider recommendations for and adopt administrative rules establishing statewide minimum standards for services and other support required to be available to persons covered by a county management plan under section 331.439.
(15) Consider recommendations for measuring and improving the quality of state and county mental health, mental retardation, and developmental disabilities services and other support.
90 Acts, ch 1250, §2; 92 Acts, ch 1241, §75; 94 Acts, ch 1163, §2; 95 Acts, ch 120, §5, 7; 95 Acts, ch 206, §14; 96 Acts, ch 1183, §34--37; 96 Acts, ch 1205, §2; 97 Acts, ch 23, § 36; 97 Acts, ch 198, § 3; 98 Acts, ch 1213, §4, 5, 9--11; 99 Acts, ch 160, §7--10; 2000 Acts, ch 1090, §3, 6; 2001 Acts, ch 155, §3, 9--11; 2002 Acts, ch 1146, §8--11
Mental health and developmental disabilities commission, §225C.5
For specific exceptions to payments and expenditures provided under this section, see appropriations and other noncodified enactments in the annual Acts of the general assembly
2001 amendment striking subsection 1, paragraph a, unnumbered paragraph 2, and repeal of related transition provisions take effect May 21, 2001, and apply retroactively to April 13, 2000; 2001 Acts, ch 155, §11
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