1.1                          A bill for an act 
  1.2             relating to mental health case management services for 
  1.3             children and adults; extending the time period for 
  1.4             review of individual community support plans; 
  1.5             modifying rules extending the time period for updating 
  1.6             the community support plans and completing a 
  1.7             functional assessment of progress relative to the 
  1.8             community support plan; amending Minnesota Statutes 
  1.9             1996, sections 245.4711, subdivision 4; and 245.4881, 
  1.10            subdivision 4; repealing Minnesota Statutes 1996, 
  1.11            section 245.4711, subdivision 9. 
  1.12  BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.13     Section 1.  Minnesota Statutes 1996, section 245.4711, 
  1.14  subdivision 4, is amended to read: 
  1.15     Subd. 4.  [INDIVIDUAL COMMUNITY SUPPORT PLAN.] (a) The case 
  1.16  manager must develop an individual community support plan for 
  1.17  each adult that incorporates the client's individual treatment 
  1.18  plan.  The individual treatment plan may not be a substitute for 
  1.19  the development of an individual community support plan.  The 
  1.20  individual community support plan must be developed within 30 
  1.21  days of client intake and reviewed at least every 90 180 days 
  1.22  after it is developed, unless the case manager receives a 
  1.23  written request from the client or the client's family for a 
  1.24  review of the plan every 90 days after it is developed.  The 
  1.25  case manager is responsible for developing the individual 
  1.26  community support plan based on a diagnostic assessment and a 
  1.27  functional assessment and for implementing and monitoring the 
  1.28  delivery of services according to the individual community 
  2.1   support plan.  To the extent possible, the adult with serious 
  2.2   and persistent mental illness, the person's family, advocates, 
  2.3   service providers, and significant others must be involved in 
  2.4   all phases of development and implementation of the individual 
  2.5   or family community support plan.  
  2.6      (b) The client's individual community support plan must 
  2.7   state: 
  2.8      (1) the goals of each service; 
  2.9      (2) the activities for accomplishing each goal; 
  2.10     (3) a schedule for each activity; and 
  2.11     (4) the frequency of face-to-face contacts by the case 
  2.12  manager, as appropriate to client need and the implementation of 
  2.13  the individual community support plan. 
  2.14     Sec. 2.  Minnesota Statutes 1996, section 245.4881, 
  2.15  subdivision 4, is amended to read: 
  2.16     Subd. 4.  [INDIVIDUAL FAMILY COMMUNITY SUPPORT PLAN.] (a) 
  2.17  For each child, the case manager must develop an individual 
  2.18  family community support plan that incorporates the child's 
  2.19  individual treatment plan.  The individual treatment plan may 
  2.20  not be a substitute for the development of an individual family 
  2.21  community support plan.  The case manager is responsible for 
  2.22  developing the individual family community support plan within 
  2.23  30 days of intake based on a diagnostic assessment and a 
  2.24  functional assessment and for implementing and monitoring the 
  2.25  delivery of services according to the individual family 
  2.26  community support plan.  The case manager must review the 
  2.27  plan at least every 90 180 calendar days after it is developed, 
  2.28  unless the case manager has received a written request from the 
  2.29  child's family or an advocate for the child for a review of the 
  2.30  plan every 90 days after it is developed.  To the extent 
  2.31  appropriate, the child with severe emotional disturbance, the 
  2.32  child's family, advocates, service providers, and significant 
  2.33  others must be involved in all phases of development and 
  2.34  implementation of the individual family community support plan.  
  2.35  Notwithstanding the lack of an individual family community 
  2.36  support plan, the case manager shall assist the child and 
  3.1   child's family in accessing the needed services listed in 
  3.2   section 245.4884, subdivision 1.  
  3.3      (b) The child's individual family community support plan 
  3.4   must state:  
  3.5      (1) the goals and expected outcomes of each service and 
  3.6   criteria for evaluating the effectiveness and appropriateness of 
  3.7   the service; 
  3.8      (2) the activities for accomplishing each goal; 
  3.9      (3) a schedule for each activity; and 
  3.10     (4) the frequency of face-to-face contacts by the case 
  3.11  manager, as appropriate to client need and the implementation of 
  3.12  the individual family community support plan.  
  3.13     Sec. 3.  [REVISION OF RULES.] 
  3.14     (a) The rules in effect on February 12, 1997, requiring 
  3.15  mental health case managers to review and update the adult's 
  3.16  individual community support plan, and the adult's functional 
  3.17  assessment every 90 days, shall be modified to require a review, 
  3.18  update, and functional assessment at least every 180 days after 
  3.19  the development of the first plan.  The modified rules must 
  3.20  enable a client or a client's family to request 90-day intervals 
  3.21  for updating the individual community support plan and 
  3.22  completing the functional assessment.  
  3.23     (b) The rules in effect on February 12, 1997, requiring 
  3.24  mental health case managers to review and update the child's 
  3.25  individual community support plan, and the child's functional 
  3.26  assessment every 90 days, shall be modified to require a review, 
  3.27  update, and functional assessment at least every 180 days after 
  3.28  the development of the first plan.  The modified rules must 
  3.29  enable a child's family or an advocate for the child to request 
  3.30  90-day intervals for updating the individual family community 
  3.31  support plan and completing the functional assessment.  
  3.32     Sec. 4.  [REPEALER.] 
  3.33     Minnesota Statutes 1996, section 245.4711, subdivision 9, 
  3.34  is repealed.