Current through Register Vol. 49, No. 13, September 23, 2024
Subpart
1.
Responsibilities for case management services.
A county board shall assure that:
A. case management services coordinate the
delivery of the child's mental health services on behalf of the child and the
child's family across the local system of care and coordinate the delivery of
the adult's mental health services;
B. case management services are delivered in
a manner that integrates and coordinates mental health case management services
with the services of other agencies serving the child and the child's family or
the adult;
C. special mental health
consultants are used as necessary in assessing the needs of a child of minority
race or minority ethnic heritage;
D. case management services are not denied to
children with severe emotional disturbance or to adults with serious and
persistent mental illness;
E. the
caseload assigned to a case manager providing case management services to
children with severe emotional disturbance or to adults with serious and
persistent mental illness complies with the requirement of subpart
2; and
F. the meetings, actions, and procedures
related to case management services to children with severe emotional
disturbance and to adults with serious and persistent mental illness comply
with the requirements of parts
9520.0900 to
9520.0926.
Subp. 2.
Limit on size of case
manager's caseload.
A case manager's caseload must be of a size that enables the
case manager to attend to the outcomes specified for case management services
to a child as specified in part
9520.0904 or to the outcomes
specified for case management services to an adult as specified in part
9520.0905. Except under the
circumstances specified in this subpart, the average caseload of a case manager
providing case management services shall not exceed the limits in item A or
B.
A. From December 21, 1992 to
December 31, 1993, the average caseload of a case manager providing case
management services to children with severe emotional disturbance or providing
case management services to adults with serious and persistent mental illness
must not exceed the ratio of 40 clients to one full-time equivalent case
manager.
B. Beginning January 1,
1994, the average caseload of a case manager providing case management services
to children with severe emotional disturbance shall not exceed the ratio of 15
clients to one full-time equivalent case manager and the average caseload of a
case manager providing case management services to adults with serious and
persistent mental illness shall not exceed the ratio of 30 clients to one
full-time equivalent case manager.
A county that has an average case manager caseload in excess
of the limit in item A or B on December 21, 1992, may continue to exceed the
ratio required under item A or B but only to the extent that the increased
revenue is insufficient to hire additional case managers needed to meet the
ratio required under item A or B.
Subp. 3.
Definitions.
For purposes of subpart
2:
A. "increased revenue" means revenue received
from a source other than county funds by the county and its contracted
providers for case management services provided under parts
9520.0900 to
9520.0926 during calendar year
1993 or the applicable calendar year thereafter which exceeds the revenue
received from these sources for case management services provided under parts
9505.0476 to
9505.0490 during calendar year
1992;
B. "source other than county
funds" means funds received through medical assistance, general assistance
medical care for persons who would be eligible for medical assistance except
that the person resides in an institution for mental diseases, state grants
dedicated to case management services, and third-party payers;
C. "county funds" means funds available to a
county through county levies, state block grants, federal block grants, and
state shared revenue funds; and
D.
"additional case managers" means an increase in the case management staff in
comparison to the staff employed in December 1992. If a county demonstrates
case management staff were hired with county funds before December 1992 in
anticipation of increased revenue as defined in item A, the commissioner shall
consider those case management staff as additional case managers.
Statutory Authority: MS s
245.484;
256B.04;
256B.0625
