331.440 - MENTAL HEALTH, MENTAL RETARDATION, AND DEVELOPMENTAL DISABILITIES SERVICES -- CENTRAL POINT OF COORDINATION PROCESS -- STATE CASE SERVICES.

        331.440  MENTAL HEALTH, MENTAL RETARDATION, AND      DEVELOPMENTAL DISABILITIES SERVICES -- CENTRAL POINT OF COORDINATION      PROCESS -- STATE CASE SERVICES.         1. a.  For the purposes of this section, unless the context      otherwise requires, "central point of coordination process" means      a central point of coordination process established by a county or      consortium of counties for the delivery of mental health, mental      retardation, and developmental disabilities services which are paid      for in whole or in part by county funds.  The central point of      coordination process may include but is not limited to reviewing a      person's eligibility for services, determining the appropriateness of      the type, level, and duration of services, and performing periodic      review of the person's continuing eligibility and need for services.      Any recommendations developed concerning a person's plan of services      shall be consistent with the person's unique strengths,      circumstances, priorities, concerns, abilities, and capabilities.      For those services funded under the medical assistance program, the      central point of coordination process shall be used to assure that      the person is aware of the appropriate service options available to      the person.         b.  The central point of coordination process may include a      clinical assessment process to identify a person's service needs and      to make recommendations regarding the person's plan for services.      The clinical assessment process shall utilize qualified mental health      professionals and qualified mental retardation professionals.         c.  The central point of coordination and clinical assessment      process shall include provision for the county's participation in a      management information system developed in accordance with rules      adopted pursuant to subsection 4.         2.  For the purposes of this section, unless the context otherwise      requires:         a.  "Adult person" means a person who is age eighteen or older      and is a United States citizen or a qualified alien as defined in 8      U.S.C. § 1641.         b.  "County of residence" means the county in this state in      which, at the time an adult person applies for or receives services,      the adult person is living and has established an ongoing presence      with the declared, good faith intention of living for a permanent or      indefinite period of time.  The county of residence of an adult      person who is a homeless person is the county where the homeless      person usually sleeps.         c.  "Homeless person" means the same as defined in section      48A.2.         d.  "State case services and other support" means the mental      health, mental retardation, and developmental disabilities services      and other support paid for under the rules and requirements in effect      prior to October 1, 2006, from the annual appropriation made to the      department of human services for such services and other support      provided to persons who have no established county of legal      settlement or the legal settlement is unknown so that the person is      deemed to be a state case.  Such services and other support do not      include medical assistance program services or services provided in a      state institution.         3.  The department of human services shall seek federal approval      as necessary for the central point of coordination and clinical      assessment processes to be eligible for federal financial      participation under the medical assistance program.  A county may      implement the central point of coordination process as part of a      consortium of counties and may implement the process beginning with      the fiscal year ending June 30, 1995.         4. a.  An application for services may be made through the      central point of coordination process of an adult person's county of      residence.  Effective July 1, 2007, if an adult person who is subject      to a central point of coordination process has legal settlement in      another county, the central point of coordination process functions      relating to the application shall be performed by the central point      of coordination process of the person's county of residence in      accordance with the county of residence's management plan approved      under section 331.439 and the person's county of legal settlement is      responsible for the cost of the services or other support authorized      at the rates reimbursed by the county of residence.         b.  The county of residence shall determine whether or not the      person's county of legal settlement has implemented a waiting list in      accordance with section 331.439, subsection 5.  If the person's      county of legal settlement has implemented a waiting list, the      services or other support for the person shall be authorized by the      county of residence in accordance with the county of legal      settlement's waiting list provisions.         c.  At the time services or other support are authorized, the      county of residence shall send the county of legal settlement a copy      of the authorization notice.         5.  Effective October 1, 2006, if an adult person has no      established county of legal settlement or the legal settlement is      unknown so that the person is deemed to be a state case, the person's      eligibility and the authorization for state case services and other      support shall be determined by the adult person's county of residence      in accordance with that county's management plan approved under      section 331.439.  The costs of the state case services and other      support provided for the person shall be the responsibility of the      person's county of legal residence.  The funding appropriated to the      department of human services for purposes of the state case services      and other support shall be distributed as provided in the      appropriation to the counties of residence responsible for the costs.         6.  The state commission shall consider the recommendations of      county representatives in adopting rules outlining standards and      requirements for implementation of the central point of coordination      and clinical assessment processes on the date required by subsection      3.  The rules shall permit counties options in implementing the      process based upon a county's consumer population and available      service delivery system.  
         Section History: Recent Form
         94 Acts, ch 1163, §4; 95 Acts, ch 206, §16; 96 Acts, ch 1183, §38;      2002 Acts, ch 1146, §18; 2004 Acts, ch 1090, §30; 2006 Acts, ch 1115,      §16--19; 2007 Acts, ch 218, §81         Referred to in § 222.2, 222.60, 225.11, 225C.2, 225C.5, 226.9C,      229.1, 230.1, 232.2, 235.7, 249A.26, 331.438, 331.439 
         Footnotes
         Methodology for distribution of funding for state case services;      rules; cost projections; 2006 Acts, ch 1115, §19         2007-2008 appropriation; 2007 Acts, ch 218, §25; 2008 Acts, ch      1187, § 83, 97         2008-2009 appropriation; 2008 Acts, ch 1187, § 23         2009-2010 appropriation; 2009 Acts, ch 182, §24