Agenda - 09-20-2007-2b - Laserfiche WebLink

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Message Page 5 of 7 assessments and medication for inmates housed in county jails who are suicidal, hallucinating, or delusional. A designated LME employee is to be responsible for screening the daily jail log. Sec. 10.49 (i) requires DHHS to develop a transitional residential treatment service to provide 24-hour residential treatment and rehabilitation. Sec. 10.49 (I) clarifies LME primary functions. LMEs must report monthly on remaining gaps in crisis services and reductions in acute admissions to state. psychiatric hospitals (o). DHHS must develop a reporting system to provide LMEs information on all visits to community hospital emergency departments by crisis individuals (r). Sec. 10.49 (s) requires the department to set up a pilot program to test whether holding a LME clinically and financially responsible for psychiatric hospital use, coupled with greater resources to build community capacity, will reduce hospital use. The Mental Health Trust Fund is limited to increasing community-based services and can only be allocated to area programs (w) after 2007-08. Any additional savings from consolidating state. psychiatric hospital beds can be used to fund LME administration (w2). Sec. 10.49 (y) requires DHHS to designate 4 additional LMEs to receive all state allocations through a single funding stream, while (z1) calls on the Joint Legislative Oversight Committee to study the appropriateness of LMEs acting as service providers. Sec. 10.49 (bb) appropriates mental health services and supported employment funds based on a LME's percentage of population below the federal poverty level to the state's total. Sec. 10.49 (ee) attempts to reign in community support services by requiring DHHS to immediately conduct an in- depth evaluation of the use and cost of community support and implement management practices to increase oversight, monitoring, and prior authorization. DHHS is also directed to include standards for determining LME capability to perform utilization review and must adopt by Jan. 1, 2008, statewide standardized authorization procedures and processes for Medicaid utilization review. Before July 1, 2008, up to six LMEs that meet these standards may, under contract with the outside vendor, complete the utilization review. Finding that counties budget nearly $121 million to LMEs, LMEs must report annually to the Division on all county fund expenditures and collect income data for all individuals receiving services (ff). Sec. 10.49 (gg) states that the General Assembly intends to eliminate the LME administrative deficit through hospital downsizing and that the full funding should be available by the 2009-2011 biennium, while (hh) prevents the DHHS secretary from designating another entity to perform LME activities. Sec. 10.49 ((kk) requires DHHS to ensure that each LME receives no fewer service dollars than it expended in 2006-07, when allocating administrative funding . DHHS must also rework the revised system of allocating state and federal funds to area authorities to better reflect projected needs rather than historical allocation practices and spending patterns (Sec. 10.51 (b)). Sec. 10.52 requires pre-authorization for.all multiply-diagnosed adult services except emergency services. Justice aid Public Safety The Senate increases court fees by $36 million to fund 540+ new court positions and recurring dollars for court technology. Counties are required to fund courthouse telephone systems meeting AOC specifications out of facilities fees (Sec. 14.16). Traditionally, state appropriations funded telephone systems and state coordination. and funding grow increasingly important as telephone systems merge with computer networking infrastructure. To free up recurring dollars and to ensure greater program oversight, the budget substitutes non-recurring dollars for recurring in a number of programs, and requires a "continuation review," to be led by the Appropriations Committee meeting off-session (Sec. 6.21). Of concern to counties are the Criminal Justice Partnership and Juvenile Crime Prevention Programs. 2007-08 8/28/2007