EASTERN IOWA MENTAL HEALTH AND DISABILITY SERVICES REGION
FY24 ANNUAL SERVICE & BUDGET PLAN
1-855-581-8111
SUBMITTED
GEOGRAPHIC AREA: Cedar, Clinton, Jackson, Muscatine, and Scott
APPROVED BY GOVERNING BOARD: 3/20/2023; REVISED 4/17/2023
APPROVED BY IOWA HEALTH AND HUMAN SERVICES:
1.
Table of Contents
Introduction ..................................................................................................................... 2
A. Local Access Points ...................................................................................................... 4
B. Service Coordination and Targeted Case Management ................................................... 5
C. Crisis Planning............................................................................................................. 5
D. Intensive Mental Health Services ................................................................................... 9
E. Scope of Services & Budget and Financing Provisions ................................................... 10
Table A. Expenditures ..................................................................................................................................................... 11
Table B. Revenues ........................................................................................................................................................... 14
G. Financial Forecasting Measures .................................................................................. 14
H. Provider Reimbursement Provisions ............................................................................ 16
2.
Introduction
The Eastern Iowa MHDS Region, referred to throughout this document as the EI Region, was formed under Iowa Code
Chapter 28E to create a Mental Health and Disability Service Region in compliance with Iowa Code Chapter
225. The Annual Service and Budget Plan is a component of the Management Plan which includes three
parts: Annual Service and Budget Plan, Annual Report, and Policies and Procedures Manual in compliance with
Iowa Administrative Code Chapter 441.25.
The FY24 Annual Service and Budget Plan covers the period of July 1, 2023, to June 30, 2024. The Annual Service
and Budget Plan includes local access points, targeted case management providers, crisis services, intensive mental
health services, a description of the scope of services to be provided including core services, budget and financial
provisions, and provider reimbursement provisions.
The EI Region’s Governing Board includes voting and ex-officio members for FY24. The Regional Governing Board
is ultimately responsible for: (a) the advancement of a regional management plan; (b) the development of access to
a regional service system for adults with mental illness, intellectual disabilities, developmental disabilities and
brain injuries and children with serious emotional disturbances; and (c) the administration of the non-Medicaid
funded Mental Health Disability Services (MHDS) and children’s behavioral health services as outlined in Iowa
Code.
The Adult Regional Advisory Committee is appointed by the Eastern Iowa MHDS Governing Board and has two (2)
representatives from each member county and a director from the EI Region’s Governing Board. The committee
members shall include individuals who utilize services or actively involved relatives of such individuals, service
providers and the EI Region’s Management Team. The Adult Advisory Committee shall advise the Governing
Board as requested.
The Children’s Regional Advisory Committee will be confirmed by the Governing Board. The committee members
shall be parents of children who utilize services or actively involved relatives of such children, a member of the
education system, an early childhood advocate, a child welfare advocate, a children’s behavioral health service
provider, a member of juvenile court, a pediatrician, a childcare provider, a local law enforcement representative, a
director from the Regional Governing Board and members of the EI Region’s Management Team. The Children’s
Advisory Committee shall advise the Governing Board as requested.
Below is the current representation from the EI Region noting any changes to FY24 membership of the Governance
structure and membership will be updated accordingly to the legislative actions.
Members identified as TBD* will be identified based upon stakeholder meetings:
Governing Board of
Directors
Representing
Voting
Member
Bruce Barnhart
Cedar County Board of Supervisor Representative
Yes
Jim Irwin
Clinton County Board of Supervisor Representative
Yes
John Willey
Jackson County Board of Supervisor Representative
Yes
Jeff Sorensen
Muscatine County Board of Supervisor Representative
Yes
Ken Beck
Scott County Board of Supervisor Representative
Yes
TBD*
An Adult/Actively Involved Relative of an Adult who Utilizes
Mental Health and Disability Services
Yes
Nancy Nauman
An Individual Representing Adult Service Providers
No
3.
TBD*
A Person, who is a parent of a child who utilizes children’s
behavioral health services or an actively involved relative of such
child
Yes
Aaron Roome
An Individual representing the Education System
Yes
TBD*
An Individual representing Children’s Behavioral Health Service
Providers
No
Representing
Cedar County Individual Representing Service Providers
Cedar County Active Relative/Individual Utilizing Services
Clinton County Individual Representing Service Providers
Clinton County Active Relative/Individual Utilizing Services
Jackson County Individual Representing Service Providers
Jackson County Active Relative/Individual Utilizing Services
Muscatine County Individual Representing Service Providers
Muscatine County Active Relative/Individual Utilizing Services
Scott County Individual Representing Service Providers
Scott County Active Relative/Individual Utilizing Services
A Director of the EI Region Governing Board of Directors
Children’s Advisory Committee
Members
Representing
TBD*
A Parent/Actively Involved Relatives of a Child who Utilizes
Children’s Behavioral Health Services Representative
Aaron Roome
An individual representing the Education System
TBD*
An individual representing Children’s Behavioral Health Service
Providers
Michael Terry
An Early Childhood Advocate Representative
Jen Armstrong
A Child Welfare Advocate Representative
Elizabeth Finerty
An individual representing the Juvenile Court System
TBD*
A Pediatrician
Jackie Hunt
An individual representing Child Care Providers
Lisa DuFour
A Local Law Enforcement Representative
John Willey
A Director of the EI Region Governing Board of Directors
4.
A. Local Access Points
An access point is a part of the EI Region service system trained to complete MHDS regional applications for
persons with a disability.
The EI Region has designated the following access points for adults:
Access Point
Location
Contact Information
Abbe Center for Community Mental
Health
1039 Arthur St.
Iowa City, IA 52240
(319) 338-7884
Bridgeview Community Mental
Health
1320 19
th
Ave NW
Clinton, IA 52732
(563) 243-5633
Cedar County Community Services
400 Cedar St. Tipton, IA 52772
(563) 886-1726
Clinton County Community
Supports Dept
1900 N. 3
rd
St. Clinton, IA 52732
(563) 244-0563
Eagle View Behavioral Health
770 Tanglefoot Lane
Bettendorf, IA 52722
(563) 396-2100
Genesis Medical Center
1401 W. Central Park Ave
Davenport, IA 52804
(563) 421-1000
Hillcrest Mental Health Center
115 S. Olive St. Maquoketa, IA
52060
(563) 652-4958
Jackson County Mental Health Dept
311 W. Platt Maquoketa, IA
52060
(563) 652-1743
MercyOne- Clinton
1410 N. 4
th
St. Clinton, IA 52732
(563) 244-5000
Muscatine County Community
Services
315 Iowa Ave Suite 1
Muscatine, IA 52761
(563) 263-7512
Robert Young Center Community
Mental Health Center
1616 Cedar Muscatine, IA 52761
(563) 262-6263
(309) 779-2100
Scott County Community Services
600 W. 4
th
St. Davenport, IA
52801
(563) 326-8723
Vera French Community Mental
Health Center
1441 W. Central Park Ave
Davenport, IA 52804
(563) 383-1900
The EI Region has designated the following access points for children:
Access Point
Location
Contact Information
Abbe Center for Community Mental
Health
1039 Arthur St. Iowa City, IA
52240
(319) 338-7884
Bethany for Children & Families
2195 E 53
rd
St. Davenport, IA
52807
(563) 324-9169
Bridgeview Community Mental
Health
1320 19
th
Ave. NW Clinton, IA
52732
(563) 243-5633
Cedar County Community Services
400 Cedar St. Tipton, IA 52772
(563) 886-1726
Clinton County Community
Supports Dept
1900 N. 3
rd
St. Clinton, IA 52732
(563) 244-0563
Eagle View Behavioral Health
770 Tanglefoot Lane
Bettendorf, IA 52722
(563) 396-2100
Families, Inc
233 S 2
nd
St. West Branch, IA
52358
(319) 643-2532
Family Resources, Inc.
2800 Eastern Ave
Davenport, IA 52803
(563) 326-6431
Genesis Medical Center
1227 E. Rusholme St.
Davenport, IA 52803
(563) 421-1000
Hillcrest Mental Health Center
115 S. Olive St. Maquoketa, IA
52060
(563) 652-4958
5.
Jackson County Mental Health Dept
311 W. Platt Maquoketa, IA
52060
(563) 652-1743
Lutheran Services In Iowa
111 W 15
th
St. Davenport, IA
52803
(563) 322-7119
Muscatine County Community
Services
315 Iowa Ave., Suite 1
Muscatine, IA 52761
(563) 263-7512
Robert Young Center Community
Mental Health Center
1616 Cedar Muscatine, IA
52761
(563) 262-6263
Scott County Community Services
600 W. 4
th
St. Davenport, IA
52801
(563) 326-8723
Vera French Community Mental
Health Center
1441 W. Central Park Ave.
Davenport, IA 52804
(563) 383-1900
B. Service Coordination and Targeted Case Management
The EI Region continues to provide Service Coordination to individuals who are not eligible for a Community Based
Case Manager or an Integrated Health Home Service (IHH).
The following agencies provide service coordination and/or targeted case management for the EI Region.
Service Coordination
Provider
Adult/Child/Both
Location
Contact Information
Cedar County
Adult and Child
400 Cedar St.
Tipton, IA 52772
563-886-1726
Clinton County
Adult and Child
1900 N. 3
rd
St.
Clinton, IA 52732
563-244-0563
Jackson County
Adult and Child
311 W. Platt St.
Maquoketa, IA 52060
563-652-1743
Muscatine County
Adult and Child
315 Iowa Ave., Suite 1
Muscatine, IA 52761
563-263-7512
Scott County
Adult and Child
600 W. 4
th
St.
Davenport, IA 52801
563-326-8723
UnityPoint Health-Robert
Young Center/Coordinator
Child
4600 3
rd
St.
Moline, IL 61265
309-779-3071
HHS-TCM
Adult and Child
3817 W. Locust St
Davenport, IA 52804
563-388-1098
The Managed Care Organizations (MCO’s) provides the Community Based Case Management programs. It is the
intent of the EI Region to work collaboratively with the MCO’s to further develop a partnership which will assure
access to services for all residents of the EI Region.
Provider-MCO
Contact Information
Amerigroup Iowa, Inc.
1-800-600-4441
http://www.myamerigroup.com/IA
Iowa Total Care
1-833-404-1061
https://www.iowatotalcare.com
Molina Healthcare of Iowa
1-800-338-8366
https://www.molinahealthcare.com
C. Crisis Planning
6.
The EI Region Governing Board intends to continue the ongoing agreement, considered Year 8, between the EI
Region and the Robert Young Center (RYC) for FY24. The 12
th
Amendment, which will be a renewal of the
Agreement, will enhance existing services and add the following new services:
o A Children’s Lead Care Coordinator-this position will provide daily support and guidance to care
coordinators and programs as well as assist in the development and monitoring of the children’s services.
o An Education Liaison Care Coordinator-this position will be the school districts point of contact with the EI
Region as well as coordinating services based on youth and familial needs.
o A Regional Clinical Specialist Position-this position will be the point of contact for individuals requiring
comprehensive evaluation, testing and care planning and development.
o The NAMI Parent Support Group-this program is for parents/guardians of children receiving services
through the EI Region.
Overview of the Regional Mental Health Crisis Services System as managed by the Unity Point Health Robert
Young Center:
The Crisis System for the EI Region has been built on foundational components that were established using an
incremental system of care approach. It is the intention of the EI Region’s Crisis System to ensure crisis services are
available and accessible to all residents of the five (5) counties. Crisis services for individuals, including those at risk
of entering/re-entering either the criminal justice system or admission to a hospital, have also been put in place to
deflect from more costly services.
Much of the prevention, response, and resolution of crisis are handled through services and supports individuals
receive are provided by:
• 1-855-581-8111 is the EI Region’s Crisis Line that is answered by the staff at Foundation 2.
• The Mobile Crisis Outreach (MCO) Response Team provided by Foundation 2 is specifically designed to deal
with mental health crises that are identified by a variety of entities and can be dealt with through a
therapeutic intervention rather than a criminal justice intervention. The Mobile Crisis Outreach Response
Team is currently available throughout the EI Region and serves both adults and children. Individuals may
access the Response Team by calling the Crisis Line at 1-855-581-8111.
• The EI Region is currently partnering with the Robert Young Center Clinicians to provide Telehealth
Assessment Services (Crisis Evaluations) in all seven (7) hospitals in the EI Region for committal and
emergency prescreening assistance along with stabilization and resource/referral. The Telehealth
Assessment Services (Crisis Evaluations) are available to both Adults and Children.
• Rhonda’s House, which is operated by Life Connections Peer Recovery Services is Iowa’s first Peer Run
Respite Home located in Dewitt, Iowa. It offers brief respite for adults experiencing a mental health crisis.
Individuals may call 563-659-1171 to access the service.
• Crisis Stabilization Community Based Services for children and adults, provided by Family Resources Inc., are
available for residents of the EI Region. They provide short-term services designed to de-escalate a crisis and
stabilize an adult and/or a child following a mental health crisis and are provided where the adult and/or
child lives, works, or recreates. Individuals may access this service by calling 563-326-6431 ext. 3.
• Crisis Stabilization Residential Services for children, are provided by Family Resources Inc. and provide a
short-term alternative living arrangement designed to de-escalate a crisis and stabilize children following a
mental health crisis. Length of stay is typically fewer than five (5) days and provides an alternative to
hospitalization. It is provided in an organizational-arranged settings of no more than 8 beds. Individuals may
access this service by calling 563-326-6431 ext. 3.
7.
• Crisis Stabilization Residential Services for adults, are provided by Vera French Community Mental Health
Center, to provide a short term stay for stabilization. Length of stay is typically fewer than five (5) days and
provides an alternative to hospitalization. It also creates another time and space for further evaluation and
linkage to services. This service is available to all adult residents of the EI Region and is in Davenport, Iowa.
Individuals may access this service by calling 563-396-3017.
• Adult Care Coordinator staff positions identify gaps in care, provide a holistic treatment of an adult, are
client driven and person centered. They also assist adults to reach quality of life potential and gain
maximum independence. These positions are identified as:
o Emergency Department Care Coordinators
o Community Based Care Coordinators
o Co-Occurring Care Coordinators
o Justice Involved Care Coordinators (ACQ)
o Homeless Outreach Care Coordinator
o Jail Based Care Coordinator
• Children’s Care Coordinator staff positions identify gaps in care, provide holistic treatment of a child, are
client drive and person centered and assist children in reaching maximum achievable health and quality of
life potential including gaining maximum independence. These positions are identified as:
o A Coordinator of Children’s’ Behavioral Health Services
o Emergency Department Care Coordinators
o IHHS Care Coordinator
o Juvenile Court Services Care Coordinator
o Early Childhood Care Coordinator
o Justice Involved Care Coordinators (ACQ)
o Complex Families Care Coordinators
• STEP-IN staff provided by Lutheran Services in Iowa are available 24-7 in all five (5) counties within the EI
Region. They provide crisis intervention along with a connection to community resources, affordable
housing or after school programming. Individuals may access this service by calling 563-232-5003.
• Direct Family Intervention (DFI) is available only for residents of Scott County within the EI Region. It
provides in-home services to families with children under the age of 18, who are experiencing issues related
to family, community and child/adolescent mental health. Individuals may access this service by calling
319-736-6603.
• Co-Responder Model for Children and Adults are staff provided by Family Resources Inc. In coordination
with other first responders, these staff respond to crisis calls received by a local dispatch. They provide
access and speed to care and foster collaboration and communication between law enforcement and
behavioral health practitioners. The staff provide a warm hand off to the appropriate Care Coordinator
positions for follow up.
• Peer Drop In Centers are present in Clinton, Muscatine, and Scott County.
o The Wellness Recovery Center is in Dewitt, IA is run by Life Connections Peer Recovery Services
and provides 1:1 support along with various activities. To access this service individuals may call
563-659-6625.
o The Peer Drop In Center in Muscatine, IA is run by Muscatine Community Social Action (MCSA)
and provides socialization along with resource connection. Individuals may access this service by
calling 563-200-2742.
o The Carol Center is a Peer Drop In Center in Davenport, IA and provides goal setting along with
coping skills and social supports. To access this service, individuals may call 563-322-5276.
8.
• Bridge Prescriber Appointments provides 16 appointments per week at various locations in the EI Region.
The appointments are made available to individuals in need of medications prior to attending a scheduled
appointment with a prescriber thus “bridging” the gap. The individual in need of this service is linked to a
Care Coordinator prior to accessing the service, ensuring attendance and follow up.
• Trainings and Consultations
o Frank Grijalva MSPH, MSCC through Midwest Trauma Services Network (MTSN), Robert Macy,
PhD, DMT, Robert Kinschereff, PhD. J.D. Esq., and Dicki Johnson Macy, PhD, LMHC, BC-
DMT through International Trauma Center (ITC) provide Trauma Informed Care trainings and
consultation to interested public and private agencies along with partner organizations and families.
o Challenge to Change provides on-site support via a 30-minute yoga session, mindfulness, and Social
Emotional Learning (SEL) experience for classrooms within the EI Region.
o Trauma and Society is a program designed for classroom use in schools, virtual education, and
residential and therapeutic settings.
In addition to the EI Mental Health Crisis System, the following accredited crisis services are available to residents
of the EI Region for crisis prevention, response, and resolution. The accreditation process is identified by the State
of Iowa Health and Human Services (IHHS) website:
https://HHS.iowa.gov/mhds-providers/providers-regions/accreditation
24 Hour Crisis Response
Provider
Location
Contact Information
Foundation 2
1540 2
nd
Ave SE
Cedar Rapids, IA 52403
(319) 362-2174
1-855-581-8111
24 Hour Crisis Hotline
Provider
Location
Contact Information
Your Life Iowa
Online:
https://yourlifeiowa.org
1-855-581-8111-Call
1-855-895-8398-Text
Foundation 2
1540 2
nd
Ave SE
Cedar Rapids, IA 52403
(319) 362-2174
Crisis Evaluation
Provider
Adult/Child/Both
Location
Contact
Information
Hillcrest Mental Health Center
Both
2435 Hillcrest Rd
Dubuque, IA 52001
(Satellite Office located
in Jackson County)
(563) 583-7357
Vera French Community Mental
Health Center
Both
1441 W. Central Park
Ave
Davenport, IA 52804
(563) 383-1900
Mobile Response
Provider
Location
Contact Information
Foundation 2
1519 E Locust St
Davenport, IA 52803
(319) 362-2174
1-855-581-8111
9.
Crisis Stabilization Community-Based Services
Provider
Adult/Child/Both
Location
Contact
Information
Family Resources, Inc.
(Pending Accreditation)
Both
2800 Eastern Ave
Davenport, IA 52802
(563) 362-6431
Crisis Stabilization Residential Services
Provider
Adult/Child/Both
Location
Contact
Information
Vera French Community Mental
Health Center
Adult
2357 W. 11
th
St.
Davenport, IA 52804
(563) 396-3017
Family Resources, Inc.
(Pending Accreditation)
Child
2800 Eastern Ave
Davenport, IA 52803
(563) 362-6431
23-Hour Observation
Provider
Location
Contact Information
UnityPoint Health-Robert Young
Center
2701 17
th
Street
Rock Island, Ill 61201
309-779-5000
The 23-Hour Observation Service is available through a formal agreement between UnityPoint Health-Robert
Young Center and the EI Region. This provides the opportunity for residents of the EI Region to access the 23-Hour
Observation Service which meets the requirement according to IAC 441-25.6(4).
D. Intensive Mental Health Services
The EI Region has designated the following providers, under a Memorandum of Understanding (MOU) with the
MH/DS of the East Central (EC) Region, as Access Centers, which meets the requirements in 2 (two) locations
according to IAC 441—25.6(1):
Access Center
Provider
Location
Contact Information
Linn County Access Centers
501 13
th
Street NW
Cedar Rapids, IA 52405
319-892-5612
Johnson County Access Center/
GuideLink Center
300 Southgate Ave
Iowa city, IA 52240
319-688-8000
The EI Region has designated the following Assertive Community Treatment (ACT) team to meet the requirements
in IAC 441—25.6(2):
ACT
Provider
Location
Contact Information
10.
Vera French Community Mental
Health Center
1441 W. Central Park Ave
Davenport, IA 52804
(563) 383-1900
IMPACT at University of Iowa
Hospitals and Clinics
200 Hawkins Dr.
Iowa City, IA 52242
(319) 353-6151
The EI Region designated the following Sub-acute service provider, under an MOU with the MH/DS of the East
Central (EC) Region, which meet the criteria in IAC 441-25.6(7) and are licensed by the Department of Inspections
and Appeals:
Subacute
Provider
Location
Contact Information
Abbe Health Services/Kingston
Hill
202 12
th
St NW Cedar Rapids,
IA 52405
(319) 362-1382
The EI Region has not yet designated an Intensive Residential Service provider that meet the requirements in IAC
441-25.6(8) for access to the residents of the EI Region but is working in collaboration with another Region.
Intensive Residential Service
Provider
Location
Contact Information
TBD based upon provider
availability and development of
service.
E. Scope of Services & Budget and Financing Provisions
The table below identifies the scope of services offered within the EI Region. All core services are available. If there
is no funding identified in a core service column, it is because it has historically not been needed.
If an individual needs funding for a core service and meets eligibility requirements found in Section G of the EI
Region Management Plan’s Policies and Procedures Manual, funding will be made available.
Core services for children’s behavioral health are identified by (**) after the service name. Eligibility guidelines for
children’s behavioral health services are in Section G, pages 16-19 of the EI Region Management Plan’s Policies and
Procedures Manual which may be found online at: https://easterniowamhds.org
The EI Region will utilize braided funding that includes regional, state, and other funding sources to meet the
service needs within the EI Region. Federal funding, third-party payors, and other nongovernmental funding is to
be used prior to expending state regional service payment dollars.
11.
Table A. Expenditures
FY 2024
Budget
Eastern Iowa MHDS Region
MI (40)
ID(42)
DD(43)
BI (47)
Admin (44)
Total
Core Domains
COA
Treatment
42305
Mental health outpatient therapy **
$ 441,240
$ 441,240
42306
Medication prescribing & management **
$ 432,200
$ 432,200
43301
Assessment, evaluation, and early identification **
$ 150,000
$ 150,000
71319
Mental health inpatient therapy-MHI
$ 310,000
$ 310,000
73319
Mental health inpatient therapy **
$ 93,122
$ 93,122
Crisis Services
32322
Personal emergency response system
$ -
44301
Crisis evaluation
$ 453,314
$ 453,314
44302
23 hour crisis observation & holding
$ -
44305
24 hour access to crisis response
$ 1,325,731
$ 1,325,731
44307
Mobile response **
$ 600,000
$ 600,000
44312
Crisis Stabilization community-based services **
$ 1,000,000
$ 1,000,000
44313
Crisis Stabilization residential services **
$ 1,938,000
$ 1,938,000
44379
System building & sustainability - Crisis
$ -
44396
Access Centers: start-up / sustainability
$ -
Support for Community Living
32320
Home health aide
$ 2,000
$ 2,000
$ 4,000
32325
Respite
$ 375,420
$ 375,420
32328
Home & vehicle modifications
$ -
32329
Supported community living
$ 320,000
$ 80,000
$44,900
$ 444,900
42329
Intensive residential services
$ 200,000
$ 200,000
Support for Employment
50362
Prevocational services
$ 11,000
$10,000
$27,100
$ 48,100
50364
Job development
$ 2,000
$ 2,000
$ 4,000
50367
Day habilitation
$ 4,100
$ 4,100
50368
Supported employment
$ 13,200
$ 5,000
$ 5,000
$ 2,000
$ 25,200
50369
Group Supported employment-enclave
$ -
50379
System building & sustainability - IPS & Vocational
$ -
Recovery Services
45323
Family support
$ 30,855
$ 30,855
45366
Peer support
$ -
Service Coordination
21375
Case management
$ -
24376
Health homes
$ 6,000
$ 6,000
Sub-Acute Services
63309
Subacute services-1-5 beds
$ -
64309
Subacute services-6 and over beds
$ 10,000
$ 10,000
Core Evidenced Based Treatment
04422
Education & Training Services - provider competency
$ 460,000
$ 460,000
32379
System building & sustainability - Supported housing
$ -
32396
Supported housing
$ -
42398
Assertive community treatment (ACT)
$ 70,000
$ 70,000
45373
Family psychoeducation
$ -
45379
System building & sustainability - FPE & Recovery
Svcs
$ -
Core Domains Total
$ 8,233,182
$ 100,000
$63,900
$29,100
$ 8,426,182
12.
Mandated Services
46319
Oakdale
$ -
72319
State resource centers
$ -
74XXX
Commitment related (except 301)
$ 170,000
$ 170,000
75XXX
Mental health advocate
$ 112,475
$ 112,475
Mandated Services Total
$ 282,475
$ -
$ -
$ -
$ 282,475
Additional Core Domains
Justice system-involved services
25xxx
Coordination services
$ -
25378
Contracted coordination services
$ 159,744
$ 159,744
44346
24 hour crisis line*
$ -
44366
Warm line*
$ -
46305
Mental health services in jails
$ 200,100
$ 200,100
46399
Justice system-involved services-other
$ 480,000
$ 480,000
46422
Crisis prevention training
$ -
46425
Mental health court related costs
$ 75,000
$ 75,000
74301
Civil commitment prescreening evaluation
$ 200,000
$ 200,000
Additional Core Evidenced based treatment
42366
Peer Wellness / Wellness and Recovery Centers
$ 335,657
$ 335,657
42379
System building & sustainability - Non crisis
$ -
42397
Psychiatric rehabilitation (IPR)
$ -
Additional Core Domains Total
$ 1,450,501
$ -
$ -
$ -
$ 1,450,501
Other Informational Services
03371
Information & referral
$ -
04372
Planning, consultation &/or early intervention (client
related) **
$ -
04377
Provider Incentive Payment
$ -
04399
Consultation Other
$ -
04429
Planning and Management Consultants (non-client
related)
$ 580,000
$ 580,000
05373
Public education, prevention and education **
$ 598,620
$ 598,620
Other Informational Services Total
$ 1,178,620
$ -
$ -
$ -
$ 1,178,620
Community Living Supports
06399
Academic services
$ -
22XXX
Services management
$ 285,992
$ 285,992
22378
Contracted services management
$ -
23376
Crisis care coordination
$ -
23378
Contracted crisis care coordination
$ 2,021,132
$ 2,021,132
23399
Crisis care coordination other
$ -
24399
Health home other
$ -
31XXX
Transportation
$ 20,000
$ 5,000
$ 3,000
$ 28,000
32321
Chore services
$ -
32326
Guardian/conservator
$ 10,000
$ 10,000
32327
Representative payee
$ 20,000
$ 2,000
$ 4,000
$ 26,000
32335
CDAC
$ -
32399
Other support
$ -
33330
Mobile meals
$ -
33340
Rent payments (time limited)
$ -
33345
Ongoing rent subsidy
$ 40,000
$ 40,000
33399
Other basic needs
$ -
41305
Physiological outpatient treatment
$ -
41306
Prescription meds
$ 1,000
$ 1,000
41307
In-home nursing
$ -
41308
Health supplies
$ -
13.
41399
Other physiological treatment
$ -
42309
Partial hospitalization
$ -
42310
Transitional living program
$ -
42363
Day treatment
$ -
42396
Community support programs
$ 44,000
$ 44,000
42399
Other psychotherapeutic treatment
$ -
43399
Other non-crisis evaluation
$ -
44304
Emergency care
$ -
44399
Other crisis services
$ -
45399
Other family & peer support
$ -
46306
Psychiatric medications in jail
$ 225,100
$ 225,100
50361
Vocational skills training
$ -
50365
Supported education
$ -
50399
Other vocational & day services
$ -
63XXX
RCF 1-5 beds (63314, 63315 & 63316)
$ 15,100
$ 15,100
63XXX
ICF 1-5 beds (63317 & 63318)
$ -
63329
SCL 1-5 beds
$ -
63399
Other 1-5 beds
$ -
Community Living Supports
$ 2,657,224
$ 32,100
$ 7,000
$ -
$ 2,696,324
Other Congregate Services
50360
Work services (work activity/sheltered work)
$ -
64XXX
RCF 6 and over beds (64314, 64315 & 64316)
$ 890,000
$ 20,000
$ 910,000
64XXX
ICF 6 and over beds (64317 & 64318)
$ -
64329
SCL 6 and over beds
$ 5,000
$ 5,000
64399
Other 6 and over beds
$ -
Other Congregate Services Total
$ 895,000
$ 20,000
$ -
$ -
$ 915,000
Administration
11XXX
Direct Administration
881,324
$ 881,324
12XXX
Purchased Administration
1,219,298
$ 1,219,298
Administration Total
$ 2,100,622
$ 2,100,622
Regional Totals
$ 14,697,002
$ 152,100
$ 70,900
$ 29,100
$ 2,100,622
$ 17,049,724
(45XX-XXX)County Provided Case Management
$ -
(46XX-XXX)County Provided Services
$ -
Regional Grand Total
$ 17,049,724
Transfer Numbers (Expenditures should only be counted when final expenditure is made for services/administration. Transfers are eliminated from budget to
show true regional finances)
13951
Distribution to MHDS regional fiscal agent from member county
$ -
14951
MHDS fiscal agent reimbursement to MHDS regional member county
$ -
*24 hour crisis line and warm line are transitioning from additional core to state wide services with state funding.
**Core services for children with a serious emotional disturbance
(SED)
14.
Table B. Revenues
FY 2024
Budget
Eastern Iowa MHDS Region
Revenues
Projected Fund Balance as of 6/30/23
$ 5,181,958
Local/Regional Funds
$ -
1010
Delinquent Property Tax
25XX
Other Governmental Revenues
4XXX-5XXX
Charges for Services
5310
Client Fees
60XX
Interest
6XXX
Use of Money & Property
8XXX
Miscellaneous
9040
Other Budgetary Funds (Polk Transfer Only)
State Funds
$ 12,043,960
24XX
State/Federal pass thru Revenue
2644
State Regional Service Payments
12,043,960
2643
State Incentive Funds
Other
Federal Funds
$ -
2345
Medicaid
Other
Total Revenues
$ 12,043,960
Total Funds Available for FY2024
$ 17,225,918
FY24 Actual Regional Expenditures
$ 17,049,724
Accrual Fund Balance as of 6/30/2024
$ 176,194
G. Financial Forecasting Measures
The following is a description of the financial forecasting measures used by Eastern Iowa MHDS Region in the
identification of service need and funding of necessary services.
The EI Region Governing Board, the Management Team, and the Fiscal Agent, oversee development of the annual
regional budget by analyzing and estimating revenue and expenditure trends. The Region’s budget and
expenditures are monitored and reported to the EI Region Governing Board monthly for progress toward goals, to
monitor spending, and to predict (forecast) cash flow.
Throughout the year, the EI Region identifies unmet needs and areas for service development including ongoing
and projected expenditures for the Regional Mental Health Crisis Services Agreement. In addition, local providers
and community stakeholders also identify gaps in services and ways to enhance current services.
The Regional Advisory Committee members have the opportunity to make recommendations to the Regional
Governing Board regarding the Regional disability services system including needed services and strategic
planning.
15.
Encumbered Obligations for Service Development:
The following services had funds encumbered in FY23 and a second request will be made in FY24:
➢ In FY23, the contracted provider experienced and continues to have trouble in securing the
necessary staff to implement the Crisis Stabilization Community Based Services for Children and
Adults.
➢ In FY23, there was a delay in identifying a provider to offer Bridge Prescriber Appointments.
Community Planning for Children’s Services:
In FY23, and using a planning methodology, the EI Region completed a Sequential Intercept Mapping (SIM) exercise
to increase collaboration between institutions.
At the completion of the program, participants:
o Evaluated how communities work together, utilized support and resiliency focused programs to intervene
with youth experiencing mental health and behavioral issues.
o Described how communities who employ early detection systems for children with behavioral health needs
reduce “downstream” more intensive services.
o Examined how increasing effective connections to appropriate and integrated services in the community
lead to better outcomes for youth and families.
o Analyzed how a public health model can be applied to the Sequential Intercept Model.
o Formulated a community action event where services for children are reviewed, revised, and constructed.
A Community Action Plan was developed, and a Cross-Disciplinary Team has been established to oversee
children’s services by meeting the above objectives, the SIM exercise identified ways to meet the service needs
as well as the needed funding. Workgroups have been formed to continue the process throughout FY24.
Program Planning:
• Expansion of Crisis Evaluation within Hospital Emergency Department (ED):
In FY24, the EI Region will be allotting $774,904 to improve the 24-Hour Access to Crisis Response at the Genesis
East Emergency Department (ED), within a designated area in the ED.
Genesis Medical Center, a hospital, located in Scott County, requested funding to enhance the care in the ED for
individuals who present with mental health issues. The funds allow the hospital to invest in three (3) APPs
(Advanced Practice Providers) and one (1) Social Worker to be available 24/7 for 365 days per year for individuals
that present in an acute psychiatric mental health crisis.
Over the years, the demand on the ED has increased due to the shortage of nurses, the closing of a local
detoxification unit, fewer Residential Care Facility (RCF) beds available, and typically long wait times for a
prescriber appointment (4-5 months).
The ED is overwhelmed as it served 3,564 individuals during 2022. This includes individuals from within the EI
Region. The number of people in the ED at one (1) time has been as high as 55 people waiting for care. The wait
time, on some days, has been as long as 8 (eight) hours.
The EI Region will be investing in the service to provide 24-Hour Access to Crisis Response which is considered a
core service. The EI Region will be investing in the ED which will lead to improvements in the timeliness of service,
16.
quality of care, make connections with outside care coordinators, providers, and pharmacies. The staff will be able
to provide counseling, reassurance, and assessments in hopes of breaking the cycle of repeat visits to the ED.
• Intensive Residential Service Homes (IRSH):
The EI Region will continue collaboration with another Region in the development and establishment of Intensive
Residential Service Home (IRSH) in identifying a provider. In FY24, the EI Region has anticipated to contribute funds
for this service.
H. Provider Reimbursement Provisions
The following is a description of the types of funding used by the EI Region:
• The EI Region incorporates funding sources for individuals, including Medicaid, so that mental health and
disability services are available to all resident of the EI Region regardless of a funding source.
• The EI Region ensures that individuals apply for funding sources prior to accessing regional funding,
including private insurance, Medicaid, Medicare, and other funding mechanisms which ensure that
individuals and their families can optimally live, work and recreate in an integrated community of their
choice.
• The EI Region’s service contracts and/or rate agreements require providers meet all applicable licensure,
accreditation, or certification standards. The EI Region may contract or enter into an annual rate
agreement with providers whose base of operation may or may not be within the EI Region. It has been
decided a contract/agreement may not be required for a one-time or “as needed” service. Contracts and
associated documentation will be kept in a central file located in the office of the EI Region’s CEO. The EI
Region also agrees to abide by other Region’s contractual terms. A contract and/or rate agreement may not
be required with providers that provide one-time or as-needed service.
• The EI Region utilizes other non-traditional means to provide services. The EI Region will make efforts to
recruit and approve non-traditional providers as part of the service provider network and will utilize the
criteria and process for selecting and approving providers not currently subject to license, certification, or
other state approval standards designated in the EI Region Management Plan.
o A non-traditional provider may be an individual, organization and/or business who provide service
in a person’s home and/or other community setting. Non-traditional providers typically are
individuals, organizations, or businesses which do not provide MHDS services as a part of their
normal business.
• The EI Region uses a “fee for service” reimbursement methodology for many of its services. The EI Region
may also utilize a capacity grant (block grant) payment for activities not specific to one individual but that
benefit the population.
• The EI Region will utilize a braided funding methodology that includes regional, state, and other funding
sources as necessary and available to meet the service needs within the EI Region.
• The EI Region continues its work with the Robert Young Center (RYC) to enhance, implement and manage
the Regional Mental Health Crisis Services Agreement. The EI Region and RYC utilizes a “capacity grant”
(block grant) funding mechanism but will continue to explore a transition to a blended funding source for
sustainability purposes.
• The EI Region continues to allow resources above the $2000/$3000 for individuals that are under the IHHS
guidelines for Medicaid for Employed Persons with Disabilities (MEPD).
• And lastly, the Community Services Network (CSN) is the standardized program used for data collection on
behalf of the EI Region.
17.
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