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Mandate <br />Human Services <br />Commitment <br />Treatment Costs <br />County Share <br />for Medical <br />Assistance Costs <br />for Under 65, <br />Disabled Person <br />Placed in <br />Nursing Homes <br />More than 90 <br />Days, and for <br />Certain ICF/MR <br />Placements <br />Detoxification <br />Costs <br />Reform <br />Requirement <br />that Counties <br />Provide Child <br />Foster Care and <br />Transition <br />Services for <br />Youth in Child <br />Foster Care from <br />age 18-21 <br />Statute <br />Comments <br />246.54 Eliminate the county share for commitment treatment costs. <br />• 0-75% for individuals committed to State Operated Services facilities for <br />treatment of mental illness. Share is dependent on the length of stay. During <br />the 2013 legislative session, the county share of costs on stays over 30 days <br />increased from 50% to 75%. The county share for individuals committed to MN <br />Security Hospital also increased from 10% to 50%. Total cost of these areas is <br />approximately $389,200 per year. <br />2566.19 <br />256G.06 <br />Chapter <br />260C.451 <br />Subd. 1 <br />(Effective <br />August 1, <br />2010) <br />(DHS <br />Bulletin <br />#10-68-12, <br />Sept. 3, <br />2010) <br />• 10% for individuals committed prior to 8/1/2011 to State Operated Services <br />facilities for sex offender treatment. 25% for sex offender commitments <br />occurring after 8/1/2011. Approximately $158,000 per year. <br />Currently, the state requires counties to pay the indicated portion of the <br />nonfederal share of medical assistance costs for stays in excess of 90 days in the <br />following situations: <br />• 10% for individuals placed in Intermediate Care Facilities (ICF) for the Mentally <br />Retarded (MR) of seven beds or more. Approximately $65,000 per year. <br />• 10% for disabled individuals under age 65 placed in nursing homes. <br />Approximately $185,000 per year. <br />The state reneged on its commitment to pay all those costs when counties <br />surrendered homestead and agricultural credit aid on a dollar -for -dollar basis for <br />the state takeover of all income maintenance programs in the early 1990s. These <br />cuts in state funding, enacted in 2003, should be restored. <br />Eliminate the requirement that the county be responsible for detoxification <br />services. Approximately $128,000 levy per year. <br />We are not asking for repeal of this statute, but requesting reform of the <br />requirement. It has been assumed by the state that local funds will provide funding <br />for this new requirement, along with any available federal funds. Our request is <br />that state funds need to be allocated to counties to fully fund the costs, minus any <br />federal funds, of this recently enacted state (and federal requirement). <br />It is roughly estimated that this cost to Washington County will be approximately <br />$100,000 annually. The total amount of dollars needed is dependent.on the <br />utilization of this out -of -home care for this age group, transition services needed <br />by the older youth, etc. <br />37 <br />