Minnesota Statutes Public Welfare and Related Activities (Ch. 245-267) § 245.466. Local service delivery system

Subdivision 1. Development of services. The county board in each county is responsible for using all available resources to develop and coordinate a system of locally available and affordable adult mental health services. The county board may provide some or all of the mental health services and activities specified in subdivision 2 directly through a county agency or under contracts with other individuals or agencies. A county or counties may enter into an agreement with a regional treatment center undersection 246.57or with any state facility or program as defined in section 246.50, subdivision 3, under the control of the Direct Care and Treatment executive board to enable the county or counties to provide the treatment services in subdivision 2. Services provided through an agreement between a county and a regional treatment center must meet the same requirements as services from other service providers.

Subd. 2. Adult mental health services. The adult mental health service system developed by each county board must include the following services:

Subd. 3. Local contracts. Effective January 1, 1988, the county board shall review all proposed county agreements, grants, or other contracts related to mental health services for funding from any local, state, or federal governmental sources. Contracts with service providers must:

Subd. 3a. Transition plan related to termination of contract. Counties must prepare a transition plan that provides for continuity of care in the event of contract termination with a community mental health center undersection 245.62, or a community support services program undersection 245.462, subdivision 6. The county shall provide at least 90 days' notice of the termination to the contracted agency and the commissioner of human services. The transition plan must provide information to clients on how to access medical records and how to transfer to other providers.

Subd. 4. Joint county mental health agreements. In order to provide efficiently the services required bysections 245.461to245.486, counties are encouraged to join with one or more county boards to establish a multicounty local mental health authority pursuant to the Joint Powers Act,section 471.59, the Human Services Act,sections 402.01to402.10, community mental health center provisions,section 245.62, or enter into multicounty mental health agreements. Participating county boards shall establish acceptable ways of apportioning the cost of the services.

Subd. 5. Local advisory council. The county board, individually or in conjunction with other county boards, shall establish a local adult mental health advisory council or mental health subcommittee of an existing advisory council. The council's members must reflect a broad range of community interests. They must include at least one consumer, one family member of an adult with mental illness, one mental health professional, and one community support services program representative. The local adult mental health advisory council or mental health subcommittee of an existing advisory council shall meet at least quarterly to review, evaluate, and make recommendations regarding the local mental health system. Annually, the local adult mental health advisory council or mental health subcommittee of an existing advisory council shall:

Subd. 6. Other local authority. The county board may establish procedures and policies that are not contrary to those of the commissioner orsections 245.461to245.486regarding local adult mental health services and facilities. The county board shall perform other acts necessary to carry outsections 245.461to245.486.

Subd. 7. IMD downsizing flexibility. If a county presents a budget-neutral plan for a net reduction in the number of institution for mental disease (IMD) beds funded by housing support under chapter 256I, the commissioner may transfer the net savings from housing support to medical assistance and mental health grants to provide appropriate services in non-IMD settings. For the purposes of this subdivision, “a budget neutral plan” means a plan that does not increase the state share of costs.