225C.6A - MENTAL HEALTH, DEVELOPMENTAL DISABILITY, AND BRAIN INJURY SERVICE SYSTEM REDESIGN IMPLEMENTATION.
225C.6A MENTAL HEALTH, DEVELOPMENTAL DISABILITY, AND
BRAIN INJURY SERVICE SYSTEM REDESIGN IMPLEMENTATION.
1. Purpose. It is the intent of the general assembly to
implement a redesign of the mental health, developmental disability,
and brain injury service system over a period of years in order to
transition to a coordinated system for Iowans with mental illness,
mental retardation or other developmental disabilities, or brain
injury. Because of the significance of the redesign to the persons
who may be affected by it and the degree of uncertainty regarding the
extent of funding changes necessary for implementation, the
department and the commission shall not implement a redesign
provision through rulemaking or other means unless specific statutory
authority provides for the provision's implementation.
2. Initial activities. For the fiscal years beginning July
1, 2004, and July 1, 2005, the commission shall do the following:
a. Identify sources of revenue to support statewide delivery
of core disability services to eligible disability populations.
b. Further develop adult disability services system redesign
proposals and propose a redesign of the children's disability service
system. The redesign of the children's system shall address issues
associated with an individual's transition between the two systems.
c. (1) Plan, collect, and analyze data as necessary to issue
cost estimates for serving additional populations and providing core
disability services statewide. The department shall maintain
compliance with applicable federal and state privacy laws to ensure
the confidentiality and integrity of individually identifiable
disability services data. The department shall regularly assess the
status of the compliance in order to assure that data security is
protected.
(2) In implementing a system under this paragraph "c" for
collecting and analyzing state, county, and private contractor data,
the department shall establish a client identifier for the
individuals receiving services. The client identifier shall be used
in lieu of the individual's name or social security number. The
client identifier shall consist of the last four digits of an
individual's social security number, the first three letters of the
individual's last name, the individual's date of birth, and the
individual's gender in an order determined by the department.
(3) Each county shall report to the department annually on or
before December 1, for the preceding fiscal year the following
information for each individual served: demographic information,
expenditure data, and data concerning the services and other support
provided to each individual, as specified in administrative rule
adopted by the commission.
d. With consumer input, identify and propose standardized
functional assessment tools and processes for use in the eligibility
determination process when eligibility for a particular disability
population group is implemented. The tools and processes shall be
integrated with those utilized for the medical assistance program
under chapter 249A. For the initial diagnostic criteria, the
commission shall consider identifying a qualifying functional
assessment score and any of the following diagnoses: mental illness,
chronic mental illness, mental retardation, developmental disability,
or brain injury.
e. The commission shall adopt a multiyear plan for developing
and providing the data, cost projections, revenue requirements, and
other information needed to support decision making concerning
redesign provisions. The information shall be provided as part of
the commission's regular reports to the governor and general assembly
or more often as determined to be appropriate by the commission.
f. Propose case rates for disability services.
g. Work with county representatives and other qualified
persons to develop an implementation plan for replacing the county of
legal settlement approach to determining service system funding
responsibilities with an approach based upon residency. The plan
shall address a statewide standard for proof of residency, outline a
plan for establishing a data system for identifying residency of
eligible individuals, address residency issues for individuals who
began residing in a county due to a court order or criminal sentence
or to obtain services in that county, recommend an approach for
contesting a residency determination, and address other
implementation issues. Section History: Recent Form
2004 Acts, ch 1090, §34; 2006 Acts, ch 1159, §1; 2007 Acts, ch
218, §87, 92
Referred to in § 225C.52, 331.439 Footnotes
Client identifier established under subsection 2, paragraph c, to
be used beginning with data for disability services provided in the
fiscal year beginning July 1, 2005, that is submitted by counties in
December 2006; 2006 Acts, ch 1159, §3
2007 amendment to subsection 2, paragraph c, takes effect May 29,
2007, and applies retroactively to and after December 1, 2006, for
information collected as of that date; deadline for submission of
data for preceeding fiscal year; rules; penalties; 2007 Acts, ch 218,
§92