reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.5 - Practices

Current through Register Vol. 47, No. 3, July 24, 2024
A region shall ensure that access is available to providers
				  of core services that demonstrate the following competencies:
(1) Regions shall have service providers that
				are trained to provide effective services to individuals with multi-occurring
				conditions. Training for serving individuals with multi-occurring conditions
				provided by the region shall be training identified by the Substance Abuse and
				Mental Health Services Administration, the Dartmouth Psychiatric Research
				Center or other generally recognized professional organization specified in the
				regional service system management plan.
(2) Regions shall have service providers that
				are trained to provide effective trauma-informed care. Trauma-informed care
				training provided by the region shall be recognized by the National Center for
				Trauma-Informed Care or other generally recognized professional organization
				specified in the regional service system management plan.
(3) Regions must have evidence-based
				practices that the region has independently verified as meeting established
				fidelity to evidence-based practice models including, but not limited to,
				assertive community treatment; integrated treatment for co-occurring substance
				use and mental health disorders; supported employment; family psychoeducation;
				illness management and recovery; and permanent supportive housing.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.6 - Intensive Mental Health Services

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of intensive mental health services is to provide
				  a continuum of services and supports to adults with complex mental health and
				  multi-occurring conditions who need a high level of intensive and specialized
				  support to attain stability in health, housing, and employment and to work
				  toward recovery.
(1)
Access
				centers.
The purpose of an access center is to serve adults
				experiencing a mental health or substance use crisis who are not in need of an
				inpatient psychiatric level of care and who do not have alternative, safe,
				effective services immediately available.
a.
Regional coordination.
Each region shall designate at least
				one access center provider and ensure that access center services are available
				to the residents of the region consistent with subrule 25.4(9).
(1) Regions shall work collaboratively to
				develop a minimum of six access centers strategically located throughout the
				state, with the support of the medical assistance program.
(2) Access centers may be shared by two or
				more regions.
(3) Each region shall
				establish methods to provide for reimbursement of a region when a
				non-Medicaid-eligible resident of another region utilizes an access center or
				other non-Medicaid-covered services located in that region.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.7 - Non-core Services

Current through Register Vol. 47, No. 3, July 24, 2024
When a mental health and disability services region chooses
				  to make the following non-core services available, the region shall ensure that
				  such services meet the requirements of this rule.
(1)
Prescreening
				assessments.
Prescreening assessments provided by the region or an
				entity contracting with the region shall meet the following requirements:
a. The prescreening assessment shall be
				provided in an emergency room or other crisis assessment setting within four
				hours of an emergency detention of an individual believed to be mentally ill to
				determine if inpatient psychiatric hospitalization is necessary.
b. The prescreening assessment shall be
				performed by a licensed physician or mental health professional who shall also
				provide ongoing consultations while the individual remains in the emergency
				room or other crisis assessment setting. The services provided by the
				consulting professional are intended to supplement, but do not replace, the
				services of the emergency room or other crisis setting staff.
c. The licensed physician or mental health
				professional shall submit appropriate documentation and reports to the
				emergency room or other crisis setting and the court as necessary.
d. The region or entity contracting with the
				region shall ensure the coordination of appropriate levels of care.
				Coordination may include but is not limited to:
(1) Securing an inpatient psychiatric bed
				when inpatient psychiatric hospitalization is needed.
(2) Utilizing community-based resources and
				services such as 23-hour observation and holding, crisis stabilization
				community-based or residential services, subacute facility-based mental health
				services or detoxification centers.
(3) Facilitating outpatient treatment
				appointments when inpatient psychiatric hospitalization is not
				needed.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.12 - Regional Governance Structure

Current through Register Vol. 47, No. 3, July 24, 2024
The counties comprising a mental health and disability
				  services region shall enter into an agreement to form a regional administrator
				  under the control of a governing board to function on behalf of those counties
				  as defined in Iowa Code chapter 28E and sections
				  331.388,
				  331.390,
				  331.392
				  and
				  331.399.
(1)
Governing board.
The
				governing board shall comply with the provisions of Iowa Code section
				331.390,
				Iowa Code chapter 69 and other applicable laws relating to boards and
				commissions, including but not limited to the following:
a. The governing board shall include the
				following voting members:
(1) At least one
				board of supervisors member from each county comprising the region or their
				designees.
(2) One adult person who
				utilizes mental health and disability services or is an actively involved
				relative of an adult who utilizes such services, designated by the regional
				adult mental health and disability services advisory committee.
(3) Members designated by the regional
				children's behavioral health services advisory committee as follows:
1. One member representing the education
				system in the region.
2. One member
				who is a parent of a child who utilizes children's behavioral health services
				or is an actively involved relative of a child who utilizes such
				services.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.12 - Regional Governance Structure

Current through Register Vol. 47, No. 3, July 24, 2024
The counties comprising a mental health and disability
				  services region shall enter into an agreement to form a regional administrator
				  under the control of a governing board to function on behalf of those counties
				  as defined in Iowa Code chapter 28E and sections
				  225C.55,
				  225C.57,
				  225C.59 and
				  225C.68.
(1)
Governing board.
The
				governing board shall comply with the provisions of Iowa Code section
				225C.57, Iowa Code chapter 69
				and other applicable laws relating to boards and commissions, including but not
				limited to the following:
a. The governing
				board shall include the following members:
(1)
				Board of supervisors members' counties comprising the region. Members
				representing boards of supervisors shall not exceed 49 percent of the total
				membership of the governing board.
(2) One adult person who utilizes mental
				health and disability services or is an actively involved relative of an adult
				who utilizes such services, designated by the regional adult mental health and
				disability services advisory committee.
(3) One member representing the education
				system in the region.
(4) One
				member who is a parent of a child who utilizes children's behavioral health
				services or is an actively involved relative of a child who utilizes such
				services.
(5) One member
				representing an adult service provider in the region, designated by the
				regional adult mental health and disability services advisory
				committee.
(6) One member
				representing a children's behavioral health service provider in the region,
				designated by the regional children's behavioral health services advisory
				committee.
(7) One member
				representing law enforcement in the region.
(8) One member representing the judicial
				system in the region.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.13 - Regional Finances

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Regional service payments.
The department will distribute
				funds from the mental health and disability services regional service fund to
				regions in accordance with Iowa Code section
				225C.7A.
				Funds will be distributed in July, October, January, and April.
(2)
Funding.
Funding for
				non-Medicaid mental health and disability services and children's behavioral
				health services is under the control of the governing board and shall:
a. Be maintained to limit administrative
				burden and provide public transparency regarding financial processes.
b. Be maintained in a combined
				account.
c. Be used to fund
				services in accordance with the regional service system management plan and the
				performance-based contract.
d. Be
				maintained in a county mental health and disability services fund for the
				deposit of regional service payments for those counties exempted under Iowa
				Code section
				331.389.
				Expenditures to be made from the county mental health and disability services
				fund will not be made from any other fund of the county. The exempted county
				mental health and disability services fund is considered to be the same as a
				region combined account and is subject to the same requirements as a region
				combined account.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.13 - Regional Finances

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Regional service payments.
The department will distribute
				funds from the mental health and disability services regional service fund to
				regions in accordance with Iowa Code section
				225C.7A. Funds will be
				distributed in July, October, January, and April.
(2)
Funding.
Funding for
				non-Medicaid mental health and disability services and children's behavioral
				health services is under the control of the governing board and shall:
a. Be maintained to limit administrative
				burden and provide public transparency regarding financial processes.
b. Be maintained in a combined
				account.
c. Be used to fund
				services in accordance with the regional service system management plan and the
				performance-based contract.
d. Be
				maintained in a county mental health and disability services fund for the
				deposit of regional service payments for those counties exempted under Iowa
				Code section 225C.56. Expenditures to be made
				from the county mental health and disability services fund will not be made
				from any other fund of the county. The exempted county mental health and
				disability services fund is considered to be the same as a region combined
				account and is subject to the same requirements as a region combined
				account.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.14 - Regional Governance Agreement

Current through Register Vol. 47, No. 3, July 24, 2024
The expectations for regional governance agreements entered
				  into by the counties comprising a mental health and disability services region
				  are defined in Iowa Code sections
				  28E.1,
				  331.388,
				  331.390
				  and
				  331.392.
(1)
Organizational
				provisions.
The organizational provisions of the regional governance
				agreement shall include the following:
a. A
				statement of purpose, goals, and objective of entering into the
				agreement.
b. Identification of the
				governing board membership and the terms, methods of appointment, and voting
				procedures, including whether or not voting will be weighted.
c. The identification of the process for
				selecting the executive staff, including but not limited to the chief executive
				officer of the regional administrative entity.
d. Identification of the counties
				participating in the agreement.
e.
				The time period of the agreement and terms for termination or renewal of the
				agreement.
f. Provisions for
				joining a region. Additional counties may join the region. The agreement shall
				not prohibit a county from being assigned by the department to a region
				according to Iowa Code section
				331.389(4)
"c."
g. Methods
				for dispute resolution and mediation.
h. Methods for termination of a county's
				participation in the region.
i.
				Provision for formation and assigned responsibilities for one or more regional
				advisory committees for adult mental health and disability services consisting
				of:
(1) Individuals who utilize services or
				the actively involved relatives of such individuals.
(2) Service providers of adult mental health
				and disability services.
(3)
				Governing board members.
(4) Other
				interests identified in the agreement.
j. Provision for formation and assigned
				responsibilities for one or more regional advisory committees for children's
				behavioral health services consisting of:
(1)
				A parent of a child who utilizes services or an actively involved relative of
				such child.
(2) A member of the
				education system.
(3) An early
				childhood advocate.
(4) A child
				welfare advocate.
(5) A children's
				behavioral health service provider.
(6) A member of the juvenile court.
(7) A pediatrician.
(8) A child care provider.
(9) A local law enforcement
				representative.
(10) A regional
				governing board member.
k. Methods for reimbursing member counties if
				county employees are conducting regional work.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.14 - Regional Governance Agreement

Current through Register Vol. 47, No. 3, July 24, 2024
The expectations for regional governance agreements entered
				  into by the counties comprising a mental health and disability services region
				  are defined in Iowa Code sections
				  28E.1,
				  225C.55,
				  225C.57, and
				  225C.59.
(1)
Organizational
				provisions.
The organizational provisions of the regional governance
				agreement shall include the following:
a. A
				statement of purpose, goals, and objective of entering into the
				agreement.
b. Identification of the
				governing board membership and the terms, methods of appointment, and voting
				procedures, including whether or not voting will be weighted.
c. The identification of the process for
				selecting the executive staff, including but not limited to the chief executive
				officer of the regional administrative entity.
d. Identification of the counties
				participating in the agreement.
e.
				The time period of the agreement and terms for termination or renewal of the
				agreement.
f. Provisions for
				joining a region. Additional counties may join the region. The agreement shall
				not prohibit a county from being assigned by the department to a region
				according to Iowa Code section
				225C.56(4)
"c."
g. Methods
				for dispute resolution and mediation.
h. Methods for termination of a county's
				participation in the region.
i.
				Provision for formation and assigned responsibilities for one or more regional
				advisory committees for adult mental health and disability services consisting
				of:
(1) Individuals who utilize services or
				the actively involved relatives of such individuals.
(2) Service providers of adult mental health
				and disability services.
(3)
				Governing board members.
(4) Other
				interests identified in the agreement.
j. Provision for formation and assigned
				responsibilities for one or more regional advisory committees for children's
				behavioral health services consisting of:
(1)
				A parent of a child who utilizes services or an actively involved relative of
				such child.
(2) A member of the
				education system.
(3) An early
				childhood advocate.
(4) A child
				welfare advocate.
(5) A children's
				behavioral health service provider.
(6) A member of the juvenile court.
(7) A pediatrician.
(8) A child care provider.
(9) A local law enforcement
				representative.
(10) A regional
				governing board member.
k. Methods for reimbursing member counties if
				county employees are conducting regional work.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.15 - Eligibility, Diagnosis, and Functional Assessment Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Eligibility for mental health services.
An individual must
				comply with all of the following requirements to be eligible for mental health
				services under the regional service system:
a.
				The individual complies with the financial eligibility requirements in rule
				441-25.16 (331).
b. The individual is at least 18 years of
				age.
c. The individual is a
				resident of this state.
d. The
				individual has had at any time during the preceding 12-month period a mental
				health, behavioral, or emotional disorder or, in the opinion of a mental health
				professional, may now have such a diagnosable disorder. The diagnosis shall be
				made in accordance with the criteria provided in the most recent Diagnostic and
				Statistical Manual of Mental Disorders published by the American Psychiatric
				Association and shall not include the manual's "V" codes identifying conditions
				other than a disease or injury. The diagnosis shall also not include
				substance-related disorders, dementia, antisocial personality, or developmental
				disabilities, unless co-occurring with another diagnosable mental
				illness.
e. The results of a
				standardized functional assessment support the need for mental health services
				of the type and frequency identified in the individual's case plan. The
				standardized functional assessment methodology shall be designated for mental
				health services by the director of human services in consultation with the
				state commission. A functional assessment must be completed within 90 days of
				application for services.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.15 - Eligibility, Diagnosis, and Functional Assessment Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Eligibility for mental health services.
An individual must
				comply with all of the following requirements to be eligible for mental health
				services under the regional service system:
a.
				The individual complies with the financial eligibility requirements in rule
				441-25.16 (225C).
b. The individual is at least 18 years of
				age.
c. The individual is a
				resident of this state.
d. The
				individual has had at any time during the preceding 12-month period a mental
				health, behavioral, or emotional disorder or, in the opinion of a mental health
				professional, may now have such a diagnosable disorder. The diagnosis shall be
				made in accordance with the criteria provided in the most recent Diagnostic and
				Statistical Manual of Mental Disorders published by the American Psychiatric
				Association (published 2013, with all changes and updates approved by the
				American Psychiatric Association through September 2023 incorporated herein)
				and shall not include the manual's "V" codes identifying conditions other than
				a disease or injury. The diagnosis shall also not include substance-related
				disorders, dementia, antisocial personality, or developmental disabilities,
				unless co-occurring with another diagnosable mental illness.
e. The results of a standardized functional
				assessment support the need for mental health services of the type and
				frequency identified in the individual's case plan. The standardized functional
				assessment methodology shall be designated for mental health services by the
				director in consultation with the state commission. A functional assessment
				must be completed within 90 days of application for services.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.16 - Financial Eligibility Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
The regional service system management plan shall identify
				  basic financial eligibility standards for mental health and disability services
				  as defined in Iowa Code sections
				  331.395
				  and
				  331.396A.
(1)
Income requirements.
a. Income requirements for adult mental
				health and disability services shall be as follows:
(1) The person must have an income equal to
				or less than 150 percent of the federal poverty level.
(2) A person who is eligible for federally
				funded services and other support must apply for such services and
				support.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.16 - Financial Eligibility Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
The regional service system management plan shall identify
				  basic financial eligibility standards for mental health and disability services
				  as defined in Iowa Code sections
				  225C.62 and
				  225C.64.
(1)
Income requirements.
a. Income requirements for adult mental
				health and disability services shall be as follows:
(1) The person must have an income equal to
				or less than 150 percent of the federal poverty level.
(2) A person who is eligible for federally
				funded services and other support must apply for such services and
				support.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.17 - Exempted Counties

Current through Register Vol. 47, No. 3, July 24, 2024
If a county has been exempted pursuant to Iowa Code section
				  331.389
				  from the requirement to enter into a regional service system, the county and
				  the county's board of supervisors shall fulfill all the requirements of this
				  chapter for a regional service system management plan.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.17 - Exempted Counties

Current through Register Vol. 47, No. 3, July 24, 2024
If a county has been exempted pursuant to Iowa Code section
				  225C.56 from the requirement to
				  enter into a regional service system, the county and the county's board of
				  supervisors shall fulfill all the requirements of this chapter for a regional
				  service system management plan.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.19 - Annual Service and Budget Plan Approval

Current through Register Vol. 47, No. 3, July 24, 2024
The annual service and budget plan shall be submitted each
				  year by April 1. The director shall review all regional annual service and
				  budget plans submitted by the dates specified. If the director finds the
				  regional annual service and budget plan in compliance with these rules and
				  state and federal laws, the director may approve the plan. A plan approved by
				  the director for a fiscal year beginning July 1 shall remain in effect until
				  June 30, subject to amendment.
(1)
Criteria for acceptance.
The director shall determine apian is
				acceptable when it contains all the required information, meets the criteria
				described in this division, and is in compliance with all applicable state and
				federal laws. The director may request additional information to determine
				whether or not the plan contains all the required information and meets
				criteria described in this division.
(2)
Notification.
Except as
				specified in subrule 25.19(3), the director shall notify the region in writing
				of the decision on the plan by June 1 of each year. The decision shall specify
				that either:
a. The annual service and budget
				plan is approved as it was submitted, either with or without supplemental
				information already requested and received.
b. The annual service and budget plan will
				not be approved until revisions are made. The letter will specify the nature of
				the revisions requested and the time frames for their submission.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.19 - Annual Service and Budget Plan Approval

Current through Register Vol. 47, No. 3, July 24, 2024
The annual service and budget plan shall be submitted each
				  year by April 1. The director shall review all regional annual service and
				  budget plans submitted by the dates specified. If the director finds the
				  regional annual service and budget plan in compliance with these rules and
				  state and federal laws, the director may approve the plan. A plan approved by
				  the director for a fiscal year beginning July 1 shall remain in effect until
				  June 30, subject to amendment.
(1)
Criteria for acceptance.
The director shall determine a plan
				is acceptable when it contains all the required information, meets the criteria
				described in this division, and is in compliance with all applicable state and
				federal laws. The director may request additional information to determine
				whether or not the plan contains all the required information and meets
				criteria described in this division.
(2)
Notification.
Except as
				specified in subrule 25.19(3), the director shall notify the region in writing
				of the decision on the plan by June 1 of each year. The decision shall specify
				that either:
a. The annual service and budget
				plan is approved as it was submitted, either with or without supplemental
				information already requested and received.
b. The annual service and budget plan will
				not be approved until revisions are made. The letter will specify the nature of
				the revisions requested and the time frames for their submission.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.20 - Annual Report

Current through Register Vol. 47, No. 3, July 24, 2024
The annual report shall describe the services provided, the
				  cost of those services, the number of individuals served, and the outcomes
				  achieved for the previous fiscal year. The annual report is due on December 1
				  following a completed fiscal year of implementing the annual service and budget
				  plan. The annual report shall include but not be limited to:
1. Services actually provided.
2. The status of service
				development.
3. Actual numbers of
				children and adults served.
4.
				Documentation that each regionally designated access center has met the service
				standards in subrule 25.6(1).
5.
				Documentation that each regionally designated ACT team has been evaluated for
				program fidelity, including a peer review as required by subrule 25.6(2), and
				documentation of each team's most recent fidelity score.
6. Documentation that each regionally
				designated subacute service has met the service standards in subrule
				25.6(7).
7. Documentation that each
				regionally designated intensive residential service home or intensive
				residential service has met the service standards in subrule 25.6(8).
8. Financial statement of actual revenues and
				actual expenditures by chart of account codes, including levies by
				county.
9. Outcomes
				achieved.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.20 - Annual Report

Current through Register Vol. 47, No. 3, July 24, 2024
The annual report shall describe the services provided, the
				  cost of those services, the number of individuals served, and the outcomes
				  achieved for the previous fiscal year. The annual report is due on December 1
				  following a completed fiscal year of implementing the annual service and budget
				  plan. The annual report shall include but not be limited to:
1. Services actually provided.
2. The status of service development.
3. Actual numbers of children and
				adults served.
4. Documentation that
				each regionally designated access center has met the service standards in
				subrule 25.6(1).
5. Documentation
				that each regionally designated ACT team has been evaluated for program
				fidelity, including a peer review as required by subrule 25.6(2), and
				documentation of each team's most recent fidelity score.
6. Documentation that each regionally
				designated subacute service has met the service standards in subrule 25.6(7).
7. Documentation that each
				regionally designated intensive residential service home or intensive
				residential service has met the service standards in subrule 25.6(8).
8. Financial statement of actual
				revenues and actual expenditures by chart of account codes, including levies by
				county.
9. Outcomes
				achieved.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.22 - Incentive Fund Application, Approval, and Reporting.

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Application for regional incentive funds
. A mental health and
				disability services region must submit an application on forms specified by the
				department with required supporting documentation. An application to receive
				regional incentive funds must meet the following requirements:
a. The region shall submit the application
				with supporting documentation electronically to the department by 4:30 p.m. on
				November 15 of the state fiscal year in which funding is requested.
b. The application shall be complete and
				signed by the chair person of the regional governing board and regional chief
				executive officer.
c. Application
				supporting documentation shall include evidence to demonstrate compliance with
				subrule 25.22(2).
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.22 - Incentive Fund Application, Approval, and Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Application for regional
				incentive funds.
A mental health and disability services region must
				submit an application on forms specified by the department with required
				supporting documentation. An application to receive regional incentive funds
				must meet the following requirements:
a. The
				region shall submit the application with supporting documentation
				electronically to the department by 4:30 p.m. on November 15 of the state
				fiscal year in which funding is requested.
b. The application shall be complete and
				signed by the chairperson of the regional governing board and regional chief
				executive officer.
c. Application
				supporting documentation shall include evidence to demonstrate compliance with
				subrule 25.22(2).
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.23 - Performance-based Contract

Current through Register Vol. 47, No. 3, July 24, 2024
The mental health and disability services region shall enter
				  into a performance-based contract with the department to administer the service
				  system in accordance with Iowa Code section
				  225C.7A.
				  The performance-based contract shall include but not be limited to the
				  following requirements:
(1) The
				department will approve, deny, or revise each region's annual service and
				budget plan in accordance with rule 441-25.19(331).
(2) The region will provide access to all
				core services under Iowa Code sections
				331.397
				and 331.397A and in accordance with this chapter.
(3) The region will utilize all federal
				government funding, including Medicaid funding, third-party payment sources,
				and other nongovernmental funding, prior to using regional service
				payments.
(4) The department will
				perform an annual review of the region's administrative costs.
(5) The department will establish outcome
				improvement goals for populations served by the region, including but not
				limited to:
a. Decreases in emergency
				department visits.
b. Improved use
				of mobile crisis response and jail diversion programs.
c. Improved employment-based
				outcomes.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.23 - Performance-based Contract

Current through Register Vol. 47, No. 3, July 24, 2024
The mental health and disability services region shall enter
				  into a performance-based contract with the department to administer the service
				  system in accordance with Iowa Code section
				  225C.7A. The performance-based
				  contract shall include but not be limited to the following requirements:
(1) The department will approve, deny, or
				revise each region's annual service and budget plan in accordance with rule
				441-25.19(225C).
(2) The region will
				provide access to all core services under Iowa Code sections
				225C.65 and 225C.66 and in
				accordance with this chapter.
(3)
				The region will utilize all federal government funding, including Medicaid
				funding, third-party payment sources, and other nongovernmental funding, prior
				to using regional service payments.
(4) The department will perform an annual
				review of the region's administrative costs.
(5) The department will establish outcome
				improvement goals for populations served by the region, including but not
				limited to:
a. Decreases in emergency
				department visits.
b. Improved use
				of mobile crisis response and jail diversion programs.
c. Improved employment-based
				outcomes.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.41 - Minimum Data Set

Current through Register Vol. 47, No. 3, July 24, 2024
Each region shall maintain data on all clients served.
(1)
Submission of data.
Each
				region shall submit to the department a copy of the data regarding each
				individual that the region serves.
a. The
				state supplementary assistance program, mental health institutes, state
				resource centers, Medicaid program, and Medicaid managed care contractors shall
				provide the equivalent data in a compatible format on the same schedule as the
				required submission from the regions.
b. The department shall maintain the data for
				research and analysis purposes only. Only summary data shall be reported to
				policymakers or the public.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.41 - Minimum Data Set

Current through Register Vol. 47, No. 3, July 24, 2024
Each region shall maintain data on all clients served.
(1)
Submission of data.
Each
				region shall submit to the department a copy of the data regarding each
				individual that the region serves.
a. The
				state supplementary assistance program, mental health institutes, state
				resource centers, Medicaid program, and Medicaid managed care contractors shall
				provide the equivalent data in a compatible format on the same schedule as the
				required submission from the regions.
b. The department shall maintain the data for
				research and analysis purposes only. Only summary data shall be reported to
				policy makers or the public.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.51 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Advocate"
means mental health advocate as
				  defined in Iowa Code section
				  229.1.
"Conflict of interest"
means any activity
				  that interferes or gives the appearance of interference with the exercise of
				  professional discretion and impartial judgment.
"County of residence"
means the same as
				  defined in Iowa Code section
				  331.394.
"County of venue "
means the county in which
				  the Iowa Code chapter 229 commitment was filed pursuant to Iowa Code section
				  229.44.
"County where the individual is located"
means the individual's county of residence as defined in Iowa Code section
				  331.394,
				  or if the individual has been ordered to receive treatment services under an
				  Iowa Code chapter 229 commitment and is placed in a residential or other
				  treatment facility.
"Individual"
means the respondent who is
				  receiving mental health advocate services under Iowa Code chapter 229.
"Judicial district"
means the same as
				  defined in Iowa Code section
				  602.6107.
"Mental health and disability services region
				  "
means the same as defined in Iowa Code section
				  331.389.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.51 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Advocate"
means mental health advocate as
				  defined in Iowa Code section
				  229.1.
"Conflict of interest"
means any activity
				  that interferes or gives the appearance of interference with the exercise of
				  professional discretion and impartial judgment.
"County of residence"
means the same as
				  defined in Iowa Code section
				  225C.61.
"County of venue"
means the county in which
				  the Iowa Code chapter 229 commitment was filed pursuant to Iowa Code section
				  229.44.
"County where the individual is located"
means the individual's county of residence as defined in Iowa Code section
				  225C.61, or if the individual
				  has been ordered to receive treatment services under an Iowa Code chapter 229
				  commitment and is placed in a residential or other treatment facility.
"Individual"
means the respondent who is
				  receiving mental health advocate services under Iowa Code chapter 229.
"Judicial district"
means the same as
				  defined in Iowa Code section
				  602.6107.
"Mental health and disability services
				  region"
means the same as defined in Iowa Code section
				  225C.56.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.52 - Advocate Appointment and Qualifications

Current through Register Vol. 47, No. 3, July 24, 2024
The board of supervisors of each county shall appoint a
				  person to act as an advocate representing the interests of individuals
				  involuntarily hospitalized by the court under Iowa Code chapter 229. The
				  advocate is hired by the board of supervisors and employed by the
				  county.
(1) A person may be appointed
				and employed or contracted with as the advocate by one county or by multiple
				counties. Advocates may be appointed for counties in more than one judicial
				district or more than one mental health and disability services
				region.
(2) Qualifications.
a. The advocate shall meet the following
				qualifications:
(1) Possess a bachelor's
				degree with 30 semester hours or equivalent quarter hours in a human services
				field (including, but not limited to, psychology, social work, mental health
				counseling, marriage and family therapy, nursing, education, occupational
				therapy, and recreational therapy) and at least one year of experience in the
				delivery of services to persons with mental illness; or
(2) Hold an Iowa license to practice as a
				registered nurse and have at least three years of experience in delivery of
				services to persons with mental illness.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.53 - Advocate Assignment

Current through Register Vol. 47, No. 3, July 24, 2024
The committing court shall assign the advocate from the
				  county where the individual is located.
(1) If the advocate assigned cannot serve the
				individual in an effective and efficient manner, the advocate may request
				another advocate to perform advocate duties on the individual's behalf. In the
				event that another advocate can better represent the individual on a longer
				term basis, the advocate shall request that the court transfer the individual
				to another advocate.
(2) When a
				conflict of interest is identified between an advocate and an individual, the
				court and the advocate's county of employment shall be notified and an
				alternative advocate shall be assigned. The advocate's direct supervisor is
				responsible to monitor and ensure that the advocate does not have a conflict of
				interest. In instances when dual or multiple relationships are unavoidable,
				advocates should take steps to protect individuals and are responsible for
				setting clear, appropriate, and culturally sensitive boundaries. Advocates who
				anticipate a conflict of interest among the individuals receiving services
				should clarify the advocate's role with the parties involved and take
				appropriate action to minimize any conflict of interest.
(3) When the advocate assigned is not the
				advocate from the individual's county of residence, the advocate's county of
				employment may seek reimbursement from the region in which the individual's
				county of residence is located as outlined in Iowa Code section
				229.19(1)
"b."
(4) An advocate shall only be assigned to a
				child 17 years of age or under when the child is not represented by an attorney
				due to an existing child in need of assistance (CINA) or other juvenile court
				action pursuant to the Iowa Code.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.54 - Advocate Responsibilities

Current through Register Vol. 47, No. 3, July 24, 2024
The minimum duties of the advocate are outlined in Iowa Code
				  section
				  229.19.
				  The role of the advocate is to ensure that the rights of the individual are
				  upheld.
(1) The advocate shall be
				readily accessible to communication from the individual and shall initiate
				contact within 5 days of the individual's commitment. The advocate shall inform
				the individual regarding the role of the advocate.
(2) The advocate shall meet the individual in
				person within 15 days of the individual's commitment. The advocate shall
				present the county grievance procedure process, in writing, to the individual.
				The presentation shall include the county grievance procedure and contact
				information and the contact information for the ombudsman. The advocate shall
				inform the individual about the mental health crisis services that are
				available.
(3) The advocate shall
				review each report submitted to the court and communicate with the individual's
				medical and treatment team. Advocates shall abide by all federal, state, and
				local confidentiality laws.
(4) The
				advocate shall file in a form prescribed by the court as the advocate feels
				necessary or as required for each individual assigned to the
				advocate.
(5) The advocate shall
				maintain an organized confidential and secure file for each individual served.
				The file shall contain but not be limited to:
a. Copies of quarterly reports submitted to
				the court.
b. Copies of
				correspondence sent to and received from the individual, family members,
				providers and others.
c. Releases
				of information.
d. Case notes
				describing the date, time and type of contact with the individuals or others
				and a brief narrative summary of the content or outcome of the
				contact.
e. Documents filed with
				the court electronically shall be considered as part of the individual's
				file.
Iowa Administrative Code › Agency 441 - Human Services Department › Title III - Mental Health › Chapter 25 - Disability Services Management › Rule 441-25.55 - County Responsibilities

Current through Register Vol. 47, No. 3, July 24, 2024
As the employer of the advocate, the county shall provide
				  qualified staff to support and facilitate the provision of quality advocate
				  services. The county shall:
(1) Assign
				a single supervisor, a single contract manager, or the county board of
				supervisors as the supervising entity to carry out responsibilities in this
				chapter.
(2) Have a job description
				in the personnel file of the advocate that clearly defines the advocate's
				responsibilities and qualifications as defined in Iowa Code section
				229.19
				and in rule 441-25.104 (229).
(3) Have a process to verify, within 90 days
				of the advocate's hire, qualification of the advocate, including degrees and
				certifications obtained from a primary source.
(4) Provide to the advocate training and
				education relevant to the position, including but not limited to overview of
				mental health diagnosis and treatment, the mental health and disability
				services delivery system, confidentiality, individual rights, professional
				conduct, the role of advocacy and service coordination within an
				interdisciplinary team, Iowa Code and administrative rules, and court
				procedures.
(5) Provide approved
				training on child and dependent adult abuse reporter requirements.
(6) Provide to any employee with access to
				individuals' files training on state and federal laws regarding nondisclosure
				and confidentiality of client protected health information during and after
				employment and maintain in the personnel files a signed document indicating the
				employee's awareness of the county's policy on confidentiality.
(7) Complete criminal background, sex
				offender registry and child and dependent adult abuse registry checks before
				employment of the advocate. Any person who does not pass these checks is
				prohibited from being hired, or continuing to serve, as an advocate.
(8) Provide advocate staff to cover the
				county's caseload at all times, according to, but not limited to, each county's
				unique number of individuals assigned to the advocate, travel required, types
				of settings where the individuals reside, services available and extended staff
				absences.