226.9C  Net general fund appropriation — dual diagnosis program.
  1.  The state mental health institute at Mount Pleasant shall operate the dual diagnosis mental health and substance abuse program on a net budgeting basis in which fifty percent of the actual per diem and ancillary services costs are chargeable to the patient’s county of legal settlement or as a state case, as appropriate. Subject to the approval of the department, revenues attributable to the dual diagnosis program for each fiscal year shall be deposited in the mental health institute’s account and are appropriated to the department for the dual diagnosis program, including but not limited to all of the following revenues:
  a.  Moneys received by the state from billings to counties under section 230.20.
  b.  Moneys received from billings to the Medicare program.
  c.  Moneys received from a managed care contractor providing services under contract with the department or any private third-party payor.
  d.  Moneys received through client participation.
  e.  Any other revenues directly attributable to the dual diagnosis program.
  2.  The following additional provisions are applicable in regard to the dual diagnosis program:
  a.  A county may split the charges between the county’s mental health, mental retardation, and developmental disabilities services fund created pursuant to section 331.424A and the county’s budget for substance abuse expenditures.
  b.  If an individual is committed to the custody of the department of corrections at the time the individual is referred for dual diagnosis treatment, the department of corrections shall be charged for the costs of treatment.
  c.  Prior to an individual’s admission for dual diagnosis treatment, the individual shall have been screened through a county’s central point of coordination process implemented pursuant to section 331.440 to determine the appropriateness of the treatment.
  d.  A county shall not be chargeable for the costs of treatment for an individual enrolled in and authorized by or decertified by a managed behavioral care plan under the medical assistance program.
  e.  Notwithstanding section 8.33, state mental health institute revenues related to the dual diagnosis program that remain unencumbered or unobligated at the close of the fiscal year shall not revert but shall remain available up to the amount which would allow the state mental health institute to meet credit obligations owed to counties as a result of year-end per diem adjustments for the dual diagnosis program.
2005 Acts, ch 175, §96
For future amendment to subsection 2, paragraph c, effective July 1, 2012, see 2011 Acts, ch 121, §51, 62
Section not amended; footnote added