225C.6 - DUTIES OF COMMISSION. - Iowa Statutes

225C.6 DUTIES OF COMMISSION. 1. To the extent funding is available, the commission shall perform the following duties: a. Advise the administrator on the administration of the overall state disability services system. b. Adopt necessary rules pursuant to chapter 17A which relate to disability programs and services, including but not limited to definitions of each disability included within the term "disability services" as necessary for purposes of state, county, and regional planning, programs, and services. c. Adopt standards for community mental health centers, services, and programs as recommended under section 230A.16. The commission shall determine whether to grant, deny, or revoke the accreditation of the centers, services, and programs. d. Adopt standards for the care of and services to persons with mental illness and mental retardation residing in county care facilities recommended under section 227.4. e. Unless another governmental body sets standards for a service available to persons with disabilities, adopt state standards for that service. The commission shall provide that a service provider's compliance with standards for a service set by a nationally recognized body shall be deemed to be in compliance with the state standards adopted by the commission for that service. The commission shall adopt state standards for those residential and community-based providers of services to persons with mental illness or developmental disabilities that are not otherwise subject to licensure by the department of human services or department of inspections and appeals, including but not limited to remedial services payable under the medical assistance program and other services payable from funds credited to a county mental health, mental retardation, and developmental disabilities services fund created in section 331.424A. In addition, the commission shall review the licensing standards used by the department of human services or department of inspections and appeals for those facilities providing services to persons with mental illness or developmental disabilities. f. Assure that proper appeal procedures are available to persons aggrieved by decisions, actions, or circumstances relating to accreditation. g. Adopt necessary rules for awarding grants from the state and federal government as well as other moneys that become available to the division for grant purposes. h. Annually submit to the governor and the general assembly: (1) A report concerning the activities of the commission. (2) Recommendations formulated by the commission for changes in law. i. By January 1 of each odd-numbered year, submit to the governor and the general assembly an evaluation of: (1) The extent to which services to persons with disabilities are actually available to persons in each county in the state and the quality of those services. (2) The effectiveness of the services being provided by disability service providers in this state and by each of the state mental health institutes established under chapter 226 and by each of the state resource centers established under chapter 222. j. Advise the administrator, the council on human services, the governor, and the general assembly on budgets and appropriations concerning disability services. k. Coordinate activities with the governor's developmental disabilities council. l. Establish standards for the provision under medical assistance of individual case management services. The commission shall determine whether to grant, deny, or revoke the accreditation of the services. m. Identify basic financial eligibility standards for disability services. The standards shall include but are not limited to the following: (1) A financial eligibility standard providing that a person with an income equal to or less than one hundred fifty percent of the federal poverty level, as defined by the most recently revised poverty income guidelines published by the United States department of health and human services, is eligible for disability services paid with public funding. However, a county may apply a copayment requirement for a particular disability service to a person with an income equal to or less than one hundred fifty percent of the federal poverty level, provided the disability service and the copayment amount both comply with rules adopted by the commission applying uniform standards with respect to copayment requirements. A person with an income above one hundred fifty percent of the federal poverty level may be eligible subject to a copayment or other cost-sharing arrangement subject to limitations adopted in rule by the commission. (2) A requirement that a person who is eligible for federally funded services and other support must apply for the services and support. (3) Resource limitations that are derived from the federal supplemental security income program limitations. A person with resources above the federal supplemental security income program limitations may be eligible subject to limitations adopted in rule by the commission. If a person does not qualify for federally funded services and other support but meets income, resource, and functional eligibility requirements, the following types of resources shall be disregarded: (a) A retirement account that is in the accumulation stage. (b) A burial, medical savings, or assistive technology account. n. Identify disability services outcomes and indicators to support the ability of eligible persons with a disability to live, learn, work, and recreate in communities of the persons' choice. The identification duty includes but is not limited to responsibility for identifying, collecting, and analyzing data as necessary to issue reports on outcomes and indicators at the county and state levels. o. Prepare five-year plans based upon the county management plans developed pursuant to section 331.439. p. Work with other state agencies on coordinating, collaborating, and communicating concerning activities involving persons with disabilities. q. Perform analyses and other functions associated with a redesign of the mental health and developmental disability services systems for adults and for children. 2. Notwithstanding section 217.3, subsection 6, the commission may adopt the rules authorized by subsection 1, pursuant to chapter 17A, without prior review and approval of those rules by the council on human services. 3. If the executive branch creates a committee, task force, council, or other advisory body to consider mental health and developmental disabilities policy, services, or program options involving children or adult consumers, the commission is designated to receive and consider any report, findings, recommendations, or other work product issued by such body. The commission may address the report, findings, recommendations, or other work product in fulfilling the commission's functions and to advise the department, council on human services, governor, and general assembly concerning disability services.          Section History: Early Form [C66, 71, 73, 75, 77, § 225B.4, 225B.7; C79, 81, § 225B.3(2); S81, § 225C.5; 81 Acts, ch 78, § 6, 20]          Section History: Recent Form 83 Acts, ch 96, § 157, 159; 88 Acts, ch 1245, § 1; 94 Acts, ch 1170, §15; 98 Acts, ch 1181, §15; 99 Acts, ch 160, §4, 5; 2000 Acts, ch 1112, §51; 2001 Acts, ch 74, § 14; 2001 Acts, ch 155, §28; 2002 Acts, ch 1146, §2, 3, 25; 2006 Acts, ch 1115, §6, 13; 2007 Acts, ch 218, §118 Referred to in § 225C.6B, 225C.28A, 225C.52, 249A.31, 331.439