2016 Iowa Code
Title VI - HUMAN SERVICES
Chapter 226 - STATE MENTAL HEALTH INSTITUTES
Section 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-related disorder treatment 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 residence 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. The charges payable by a county may be split between the county’s mental health and disabilities services fund created pursuant to section 331.424A and the county’s budget for substance-related disorder 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. (1) Prior to an individual’s admission for dual diagnosis treatment, the individual shall have been prescreened. The person performing the prescreening shall be either the mental health professional, as defined in section 228.1, who is contracting with the regional administrator for the county’s mental health and disability services region to provide the prescreening or a mental health professional with the requisite qualifications. A mental health professional with the requisite qualifications shall meet all of the following qualifications: is a mental health professional as defined in section 228.1, is an alcohol and drug counselor certified by the nongovernmental Iowa board of substance abuse certification, and is employed by or providing services for a facility, as defined in section 125.2.

(2) Prior to an individual’s admission for dual diagnosis treatment, the individual shall have been screened through a county’s regional administrator 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.

2005 Acts, ch 175, §96; 2011 Acts, ch 121, §51, 62; 2012 Acts, ch 1019, §76; 2012 Acts, ch 1021, §49; 2012 Acts, ch 1120, §97, 130; 2014 Acts, ch 1026, §46; 2015 Acts, ch 69, §45

Referred to in §230.1

Subsection 2, paragraphs a and c amended