226.9C - NET GENERAL FUND APPROPRIATION -- DUAL DIAGNOSIS PROGRAM.
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. Section History: Recent Form
2005 Acts, ch 175, §96