1999 Minnesota Statutes

     245.4712 Community support and day treatment services. 

    Subdivision 1.    Availability of community support 
 services.  County boards must provide or contract for 
 sufficient community support services within the county to meet 
 the needs of adults with serious and persistent mental illness 
 who are residents of the county.  Adults may be required to pay 
 a fee according to section 245.481.  The community support 
 services program must be designed to improve the ability of 
 adults with serious and persistent mental illness to:  

    (1) work in a regular or supported work environment; 

    (2) handle basic activities of daily living; 

    (3) participate in leisure time activities; 

    (4) set goals and plans; and 

    (5) obtain and maintain appropriate living arrangements. 

    The community support services program must also be 
 designed to reduce the need for and use of more intensive, 
 costly, or restrictive placements both in number of admissions 
 and length of stay.  

    Subd. 2.    Day treatment services provided.  (a) Day 
 treatment services must be developed as a part of the community 
 support services available to adults with serious and persistent 
 mental illness residing in the county.  Adults may be required 
 to pay a fee according to section 245.481.  Day treatment 
 services must be designed to:  

    (1) provide a structured environment for treatment; 

    (2) provide support for residing in the community; 

    (3) prevent placement in settings that are more intensive, 
 costly, or restrictive than necessary and appropriate to meet 
 client need; 

    (4) coordinate with or be offered in conjunction with a 
 local education agency's special education program; and 

    (5) operate on a continuous basis throughout the year.  

    (b) For purposes of complying with medical assistance 
 requirements, an adult day treatment program may choose among 
 the methods of clinical supervision specified in: 

    (1) Minnesota Rules, part 9505.0323, subpart 1, item F; 

    (2) Minnesota Rules, part 9505.0324, subpart 6, item F; or 

    (3) Minnesota Rules, part 9520.0800, subparts 2 to 6. 

    A day treatment program may demonstrate compliance with 
 these clinical supervision requirements by obtaining 
 certification from the commissioner under Minnesota Rules, parts 
 9520.0750 to 9520.0870, or by documenting in its own records 
 that it complies with one of the above methods. 

    (c) County boards may request a waiver from including day 
 treatment services if they can document that:  

    (1) an alternative plan of care exists through the county's 
 community support services for clients who would otherwise need 
 day treatment services; 

    (2) day treatment, if included, would be duplicative of 
 other components of the community support services; and 

    (3) county demographics and geography make the provision of 
 day treatment services cost ineffective and infeasible.  

    Subd. 3.    Benefits assistance.  The county board must 
 offer to help adults with serious and persistent mental illness 
 in applying for state and federal benefits, including 
 supplemental security income, medical assistance, Medicare, 
 general assistance, general assistance medical care, and 
 Minnesota supplemental aid.  The help must be offered as part of 
 the community support program available to adults with serious 
 and persistent mental illness for whom the county is financially 
 responsible and who may qualify for these benefits.  

    HIST: 1990 c 568 art 5 s 7; 1999 c 245 art 5 s 5