Iowa Admin. Code r. 441-25.12

Current through Register Vol. 47, No. 11, December 11, 2024

Rule 441-25.12 - Regional governance structure

The counties comprising a mental health and disability services region shall enter into an agreement to form a regional administrator under the control of a governing board to function on behalf of those counties as defined in Iowa Code chapter 28E and sections 225C.55, 225C.57, 225C.59 and 225C.68.

(1)Governing board. The governing board shall comply with the provisions of Iowa Code section 225C.57, Iowa Code chapter 69 and other applicable laws relating to boards and commissions, including but not limited to the following:

a. The governing board shall include the following members:

(1) Board of supervisors members' counties comprising the region. Members representing boards of supervisors shall not exceed 49 percent of the total membership of the governing board.

(2) One adult person who utilizes mental health and disability services or is an actively involved relative of an adult who utilizes such services, designated by the regional adult mental health and disability services advisory committee.

(3) One member representing the education system in the region.

(4) One member who is a parent of a child who utilizes children's behavioral health services or is an actively involved relative of a child who utilizes such services.

(5) One member representing an adult service provider in the region, designated by the regional adult mental health and disability services advisory committee.

(6) One member representing a children's behavioral health service provider in the region, designated by the regional children's behavioral health services advisory committee.

(7) One member representing law enforcement in the region.

(8) One member representing the judicial system in the region.

b. Each member of the governing board shall have one vote.

c. The governing board shall create a regional adult mental health and disability services advisory committee, which shall designate members to the governing board as defined in Iowa Code section 225C.57(2).

d. The governing board shall create a regional children's behavioral health services advisory committee, which shall designate members to the governing board as defined in Iowa Code section 225C.57(2).

e. The governing board shall appoint and evaluate the performance of the chief executive officer of the regional administrative entity who will serve as the single point of accountability for the region.

(2)Regional administrator. The formation of the regional administrator shall be as defined in Iowa Code sections 225C.55, 225C.57, and 225C.68.

a. The regional administrative entity is under the control of the governing board.

b. The regional administrative entity shall enter into and manage performance-based contracts in accordance with Iowa Code section 225C.4(1)"x."

c. The regional administrative entity structure shall have clear lines of accountability.

d. The regional administrative entity functions as a lead agency.

e. The regional administrative entity staff shall include one or more coordinators of mental health and disability services.

f. The regional administrative entity staff shall include one or more coordinators of children's behavioral health services.

(3)Regional service system management. The region may either directly implement a system of service management and contract with service providers, or contract with a private entity to manage the regional service system, provided all requirements of Iowa Code section 225C.60 are met by the private entity.

Iowa Admin. Code r. 441-25.12

ARC 1173C, IAB 11/13/2013, effective 1/1/2014

Amended by IAB February 12, 2020/Volume XLII, Number 17, effective 3/18/2020

Amended by IAB November 2, 2022/Volume XLV, Number 9, effective 1/1/2023

Amended by IAB July 10, 2024/Volume XLVII, Number 1, effective 8/14/2024