219.1 - STATE MEDICAL INSTITUTION.
219.1 STATE MEDICAL INSTITUTION.
1. All of the following shall be collectively designated as a
single state medical institution:
a. The mental health institute, Mount Pleasant, Iowa.
b. The mental health institute, Independence, Iowa.
c. The mental health institute, Clarinda, Iowa.
d. The mental health institute, Cherokee, Iowa.
e. The Glenwood state resource center.
f. The Woodward state resource center.
2. Necessary portions of the institutes and resource centers
shall remain licensed as separate hospitals and as separate
intermediate care facilities for persons with mental retardation, and
the locations and operations of the institutes and resource centers
shall not be subject to consolidation to comply with this chapter.
3. The state medical institution shall qualify for payments
described in subsection 4 for the fiscal period beginning July 1,
2005, and ending June 30, 2010, if the state medical institution and
the various parts of the institution comply with the requirements for
payment specified in subsection 4, and all of the following
conditions are met:
a. The total number of beds in the state medical institution
licensed as hospital beds is less than fifty percent of the total
number of all state medical institution beds. In determining
compliance with this requirement, however, any reduction in the total
number of beds that occurs as the result of reduction in census due
to an increase in utilization of home and community-based services
shall not be considered.
b. An individual is appointed by the director of human
services to serve as the director of the state medical institution
and an individual is appointed by the director of human services to
serve as medical director of the state medical institution. The
individual appointed to serve as the director of the state medical
institution may also be an employee of the department of human
services or of a component part of the state medical institution.
The individual appointed to serve as medical director of the state
medical institution may also serve as the medical director of one of
the component parts of the state medical institution.
c. A workgroup comprised of the director of human services or
the director's designee, the director of the state medical
institution, the directors of all licensed intermediate care
facilities for persons with mental retardation in the state, and
representatives of the Iowa state association of counties, the Iowa
association of community providers, and other interested parties
develops and presents a plan, for submission to the centers for
Medicare and Medicaid services of the United States department of
health and human services, to the general assembly no later than July
1, 2007, to reduce the number of individuals in intermediate care
facilities for persons with mental retardation in the state and
concurrently to increase the number of individuals with mental
retardation and developmental disabilities in the state who have
access to home and community-based services. The plan shall include
a proposal to redesign the home and community-based services waivers
for persons with mental retardation and persons with brain injury
under the medical assistance program. The department shall not
implement the plan without express authorization by the general
assembly.
4. The department of human services shall submit a waiver to the
centers for Medicare and Medicaid services of the United States
department of health and human services to provide for all of the
following:
a. Coverage under the medical assistance program, with
appropriate federal matching funding, for inpatient and outpatient
hospital services provided to eligible individuals by any part of the
state medical institution that maintains a state license as a
hospital.
b. Disproportionate share hospital payments for services
provided by any part of the state medical institution that maintains
a state license as a hospital.
c. Imposition of an assessment on intermediate care
facilities for persons with mental retardation on any part of the
state medical institution that provides intermediate care facility
for persons with mental retardation services. Section History: Recent Form
2005 Acts, ch 167, §62, 66