E Modifying certain provisions relating to continuing care services for persons with disabilities; requiring health maintenance organization (HMO) membership cards to include the telephone number of the office of the ombudsman for mental health and mental retardation for persons enrolled in the coordinated service delivery system for persons with disabilities under medical assistance (MA); clarifying mental health case manager training and skill requirements; including the demonstration project for people with disabilities in the definition of government program for health plan company adverse determinations external review requirement exception purposes; modifying certain qualification requirements of case managers under the adult and children s mental health acts; providing an exception to the prohibition on coverage under medical assistance for personal care services provided by legal guardians of adults; modifying certain restrictions on prior authorization of home care services provided in adult or child foster care settings by the commissioner of human services under medical assistance; expanding the definition of setting for shared personal care assistant services and private duty nursing services to outside the home under certain conditions and restricting the number of recipients allowed to receive care from one private duty nurse in the same setting; eliminating a certain restriction on payment for crisis services to intermediate care facilities for persons with mental retardation or related conditions relating to shared service agreements; modifying certain contract requirements for medical assistance reimbursement to ICF MRs, requiring the commissioners of human services and health to review the consolidated standards for services to persons with mental retardation and a certain supervised living facility rule to determine waivers for intermediate care facilities to implement performance measures without duplicating or increasing the regulatory requirements; modifying certain ICF MR variable rate adjustment requirements, requiring facilities to maintain and submit monthly bed use data for rate adjustment purposes; requiring the commissioner of human services to review the process of variable rate adjustments during the initial contract period to determine effectiveness; requiring prepaid health plans serving counties with nonprofit community clinics or community health services agencies under the consolidated service delivery system to contract with the clinics or agencies to provide services to clients choosing to receive services from the clinics or agencies under certain payment rate agreement conditions (ja)