225C.12 - PARTIAL REIMBURSEMENT TO COUNTIES FOR LOCAL INPATIENT MENTAL HEALTH CARE AND TREATMENT.
225C.12 PARTIAL REIMBURSEMENT TO COUNTIES FOR LOCAL
INPATIENT MENTAL HEALTH CARE AND TREATMENT.
1. A county which pays, from county funds budgeted under section
331.424A, the cost of care and treatment of a person with mental
illness who is admitted pursuant to a preliminary diagnostic
evaluation under sections 225C.14 to 225C.17 for treatment as an
inpatient of a hospital facility, other than a state mental health
institute, which has a designated mental health program and is a
hospital accredited by the accreditation program for hospital
facilities of the joint commission on accreditation of health care
organizations, is entitled to reimbursement from the state for a
portion of the daily cost so incurred by the county. However, a
county is not entitled to reimbursement for a cost incurred in
connection with the hospitalization of a person who is eligible for
medical assistance under chapter 249A, or who is entitled to have
care or treatment paid for by any other third-party payor, or who is
admitted for preliminary diagnostic evaluation under sections 225C.14
to 225C.17. The amount of reimbursement for the cost of treatment of
a local inpatient to which a county is entitled, on a
per-patient-per- day basis, is an amount equal to twenty percent of
the average of the state mental health institutes' individual average
daily patient costs in the most recent calendar quarter for the
program in which the local inpatient would have been served if the
patient had been admitted to a state mental health institute.
2. A county may claim reimbursement by filing with the
administrator a claim in a form prescribed by the administrator by
rule. Claims may be filed on a quarterly basis, and when received
shall be verified as soon as reasonably possible by the
administrator. The administrator shall certify to the director of
the department of administrative services the amount to which each
county claiming reimbursement is entitled, and the director of the
department of administrative services shall issue warrants to the
respective counties drawn upon funds appropriated by the general
assembly for the purpose of this section. A county shall place funds
received under this section in the county mental health, mental
retardation, and developmental disabilities services fund created
under section 331.424A. If the appropriation for a fiscal year is
insufficient to pay all claims arising under this section, the
director of the department of administrative services shall prorate
the funds appropriated for that year among the claimant counties so
that an equal proportion of each county's claim is paid in each
quarter for which proration is necessary. Section History: Early Form
[C50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, § 227.16, 227.18;
S81, § 225C.11; 81 Acts, ch 78, § 12, 20, ch 117, § 1028] Section History: Recent Form
96 Acts, ch 1129, § 113; 96 Acts, ch 1183, § 13; 2003 Acts, ch
145, §286