Minn. Stat. § 245.4661
ADULT MENTAL HEALTH INITIATIVE SERVICES.
Redline — January 1, 2016 → current.View current text →
Current — January 1, 2024
As of January 1, 2016
Subdivision 1. Authorization for pilot projects.
Subdivision 1. Adult mental health initiative services.
Each county board, county boards acting jointly, or tribal government must provide or contract for sufficient infrastructure for the delivery of mental health services under the Minnesota Comprehensive Adult Mental Health Act, sections 245.461 to 245.486 .
Subd. 2. Program design and implementation.
Subd. 2. Program design and implementation.
Adult mental health initiatives shall be responsible for designing, planning, improving, and maintaining a mental health service delivery system for adults with serious and persistent mental illness that would:
(1) provide an expanded array of services from which clients can choose services appropriate to their needs;
(1) provide an expanded array of services from which clients can choose services appropriate to their needs;
(2) be based on purchasing strategies that improve access and coordinate services without cost shifting;
(2) be based on purchasing strategies that improve access and coordinate services without cost shifting;
(3) prioritize evidence-based services and implement services that are promising practices or theory-based practices so that the service can be evaluated according to subdivision 5a;
(4) incorporate existing state facilities and resources into the community mental health infrastructure through creative partnerships with local vendors; and
(5) utilize existing categorical funding streams and reimbursement sources in combined and creative ways, except appropriations and all funds that are attributable to the operation of state-operated services under the control of the Direct Care and Treatment executive board are excluded unless appropriated specifically by the legislature for a purpose consistent with this section.
Subd. 3. Program evaluation.
Subd. 3. Adult mental health initiative evaluation.
Evaluation of each project will be based on outcome evaluation criteria negotiated with each project prior to implementation.
Evaluation of each adult mental health initiative will be based on outcome evaluation criteria determined by the commissioners of human services and management and budget after consultation with stakeholders.
Subd. 4. Notice of project discontinuation.
Subd. 4. Notice of adult mental health initiative discontinuation.
Each project may be discontinued for any reason by the project's managing entity or the commissioner of human services, after 90 days' written notice to the other party.
Each adult mental health initiative may be discontinued for any reason by the managing entity or the commissioner of human services, after 90 days' written notice to the other party.
Subd. 5. Planning for adult mental health initiatives.
Each local plan for adult mental health initiative services must be developed under the direction of the county board, or multiple county boards acting jointly, as the local mental health authority. The planning process for each adult mental health initiative shall include, but not be limited to, mental health consumers, families, advocates, local mental health advisory councils, local and state providers, representatives of state and local public employee bargaining units, and the department of human services. As part of the planning process, the county board or boards shall designate a managing entity responsible for receipt of funds and management of adult mental health initiatives.
Subd. 5a. Evaluations.
The commissioner of management and budget, in consultation with the commissioner of human services and within available appropriations, shall create and maintain an inventory of adult mental health initiative services administered by the county boards, identifying evidence-based services and services that are theory-based or promising practices. The commissioner of management and budget, in consultation with the commissioner of human services, shall select adult mental health initiative services that are promising practices or theory-based activities for which the commissioner of management and budget shall conduct evaluations using experimental or quasi-experimental design. The commissioner of human services, in consultation with the commissioner of management and budget, shall encourage county boards to administer adult mental health initiative services to support experimental or quasi-experimental evaluation and shall require county boards to collect and report information that is needed to complete the inventory and evaluation for any adult mental health initiative service that is selected for an evaluation. The commissioner of management and budget, under section 15.08 , may obtain additional relevant data to support the inventory and the experimental or quasi-experimental evaluation studies.
Subd. 5. Planning for pilot projects. (a) Each local plan for a pilot project, with the exception of the placement of a Minnesota specialty treatment facility as defined in paragraph (c), must be developed under the direction of the county board, or multiple county boards acting jointly, as the local mental health authority. The planning process for each pilot shall include, but not be limited to, mental health consumers, families, advocates, local mental health advisory councils, local and state providers, representatives of state and local public employee bargaining units, and the department of human services. As part of the planning process, the county board or boards shall designate a managing entity responsible for receipt of funds and management of the pilot project. (b) For Minnesota specialty treatment facilities, the commissioner shall issue a request for proposal for regions in which a need has been identified for services. (c) For purposes of this section, "Minnesota specialty treatment facility" is defined as an intensive residential treatment service under section 256B.0622, subdivision 2, paragraph (b). Subd. 6. Duties of commissioner. (a) For purposes of the pilot projects, the commissioner shall facilitate integration of funds or other resources as needed and requested by each project. These resources may include: (1) community support services funds administered under Minnesota Rules, parts 9535.1700 to 9535.1760; (2) other mental health special project funds; (3) medical assistance, MinnesotaCare, and group residential housing if requested by the project's managing entity, and if the commissioner determines this would be consistent with the state's overall health care reform efforts; and (4) regional treatment center resources consistent with section 246.0136, subdivision 1 . (b) The commissioner shall consider the following criteria in awarding start-up and implementation grants for the pilot projects: (1) the ability of the proposed projects to accomplish the objectives described in subdivision 2; (2) the size of the target population to be served; and (3) geographical distribution. (c) The commissioner shall review overall status of the projects initiatives at least every two years and recommend any legislative changes needed by January 15 of each odd-numbered year. (d) The commissioner may waive administrative rule requirements which are incompatible with the implementation of the pilot project. (e) The commissioner may exempt the participating counties from fiscal sanctions for noncompliance with requirements in laws and rules which are incompatible with the implementation of the pilot project. (f) The commissioner may award grants to an entity designated by a county board or group of county boards to pay for start-up and implementation costs of the pilot project. Subd. 7. Duties of county board. The county board, or other entity which is approved to administer a pilot project, shall: (1) administer the project in a manner which is consistent with the objectives described in subdivision 2 and the planning process described in subdivision 5; (2) assure that no one is denied services for which they would otherwise be eligible; and (3) provide the commissioner of human services with timely and pertinent information through the following methods: (i) submission of mental health plans and plan amendments which are based on a format and timetable determined by the commissioner; (ii) submission of social services expenditure and grant reconciliation reports, based on a coding format to be determined by mutual agreement between the project's managing entity and the commissioner; and (iii) submission of data and participation in an evaluation of the pilot projects, to be designed cooperatively by the commissioner and the projects. Subd. 8. Budget flexibility. The commissioner may make budget transfers that do not increase the state share of costs to effectively implement the restructuring of adult mental health services. Subd. 9. Services and programs. (a) The following three distinct grant programs are funded under this section: (1) mental health crisis services; (2) housing with supports for adults with serious mental illness; and (3) projects for assistance in transitioning from homelessness (PATH program). (b) In addition, the following are eligible for grant funds: (1) community education and prevention; (2) client outreach; (3) early identification and intervention; (4) adult outpatient diagnostic assessment and psychological testing;
Subd. 6. Duties of commissioner. (a) For purposes of adult mental health initiatives, the commissioner shall facilitate integration of funds or other resources as needed and requested by each adult mental health initiative. These resources may include: (1) community support services funds administered under Minnesota Rules, parts 9535.1700 to 9535.1760; (2) other mental health special project funds; (3) medical assistance, MinnesotaCare, and housing support under chapter 256I if requested by the adult mental health initiative's managing entity and if the commissioner determines this would be consistent with the state's overall health care reform efforts; and (4) regional treatment center resources, with consent from the Direct Care and Treatment executive board. (b) The commissioner shall consider the following criteria in awarding grants for adult mental health initiatives: (1) the ability of the initiatives to accomplish the objectives described in subdivision 2; (2) the size of the target population to be served; and (3) geographical distribution. (c) The commissioner shall review overall status of the initiatives at least every two years and recommend any legislative changes needed by January 15 of each odd-numbered year. (d) The commissioner may waive administrative rule requirements that are incompatible with the implementation of the adult mental health initiative. (e) The commissioner may exempt the participating counties from fiscal sanctions for noncompliance with requirements in laws and rules that are incompatible with the implementation of the adult mental health initiative. (f) The commissioner may award grants to an entity designated by a county board or group of county boards to pay for start-up and implementation costs of the adult mental health initiative. Subd. 7. Duties of adult mental health initiative board. The adult mental health initiative board, or other entity which is approved to administer an adult mental health initiative, shall: (1) administer the initiative in a manner that is consistent with the objectives described in subdivision 2 and the planning process described in subdivision 5; (2) assure that no one is denied services that they would otherwise be eligible for; and (3) provide the commissioner of human services with timely and pertinent information through the following methods: (i) submission of mental health plans and plan amendments which are based on a format and timetable determined by the commissioner; (ii) submission of social services expenditure and grant reconciliation reports, based on a coding format to be determined by mutual agreement between the initiative's managing entity and the commissioner; and (iii) submission of data and participation in an evaluation of the adult mental health initiatives, to be designed cooperatively by the commissioner and the initiatives. Subd. 8. MS 2020 [Repealed, 2022 c 99 art 1 s 49 ] Subd. 9. Services and programs. (a) The following three distinct grant programs are funded under this section: (1) mental health crisis services; (2) housing with supports for adults with serious mental illness; and (3) projects for assistance in transitioning from homelessness (PATH program). (b) In addition, the following are eligible for grant funds: (1) community education and prevention; (2) client outreach; (3) early identification and intervention; (4) adult outpatient diagnostic assessment and psychological testing; (5) peer support services;
(5) peer support services;
(6) community support program services (CSP);
(6) community support program services (CSP);
(7) adult residential crisis stabilization;
(7) adult residential crisis stabilization;
(8) supported employment;
(8) supported employment;
(9) assertive community treatment (ACT);
(9) assertive community treatment (ACT);
(10) housing subsidies;
(10) housing subsidies;
(11) basic living, social skills, and community intervention;
(11) basic living, social skills, and community intervention;
(12) emergency response services;
(12) emergency response services;
(13) adult outpatient psychotherapy;
(13) adult outpatient psychotherapy;
(14) adult outpatient medication management;
(14) adult outpatient medication management;
(15) adult mobile crisis services;
(15) adult mobile crisis services;
(16) adult day treatment;
(16) adult day treatment;
(17) partial hospitalization;
(17) partial hospitalization;
(18) adult residential treatment;
(18) adult residential treatment;
(19) adult mental health targeted case management;
(19) adult mental health targeted case management; and
(20) intensive community rehabilitative services (ICRS); and
(20) transportation.
Subd. 10. Commissioner duty to report on use of grant funds biennially.
By November 1, 2016, and biennially thereafter, the commissioner of human services shall provide sufficient information to the members of the legislative committees having jurisdiction over mental health funding and policy issues to evaluate the use of funds appropriated under this section of law. The commissioner shall provide, at a minimum, the following information:
Subd. 10. Commissioner duty to report on use of grant funds biennially. (a) By November 1, 2016, and biennially thereafter, the commissioner of human services shall provide sufficient information to the members of the legislative committees having jurisdiction over mental health funding and policy issues to evaluate the use of funds appropriated under this section. The commissioner shall provide, at a minimum, the following information: (1) the amount of funding to adult mental health initiatives, what programs and services were funded in the previous two years, gaps in services that each initiative brought to the attention of the commissioner, and outcome data for the programs and services that were funded; and (2) the amount of funding for other targeted services and the location of services. (b) This subdivision expires January 1, 2032. Subd. 11. Adult mental health initiative funding. When implementing the funding formula to distribute adult mental health initiative funds, the commissioner shall ensure that no adult mental health initiative region receives less than the amount the region received in fiscal year 2022 in combined adult mental health initiative funding.
(1) the amount of funding to mental health initiatives, what programs and services were funded in the previous two years, gaps in services that each initiative brought to the attention of the commissioner, and outcome data for the programs and services that were funded; and
(2) the amount of funding for other targeted services and the location of services.
Official source: Minnesota Office of the Revisor of Statutes. Reproduced from public-domain Minnesota statutes; confirm against the official source for the current text. Not legal advice.