Minnesota Statutes
Chapter 245 — Department Of Human Services
Section 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 under section 246.57 or with any state facility or program as defined in section 246.50, subdivision 3, 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:
(1) education and prevention services in accordance with section 245.468;
(2) emergency services in accordance with section 245.469;
(3) outpatient services in accordance with section 245.470;
(4) community support program services in accordance with section 245.4711;
(5) residential treatment services in accordance with section 245.472;
(6) acute care hospital inpatient treatment services in accordance with section 245.473;
(7) regional treatment center inpatient services in accordance with section 245.474;
(8) screening in accordance with section 245.476; and
(9) case management in accordance with sections 245.462, subdivision 3; and 245.4711.
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:
(1) name the commissioner as a third-party beneficiary;
(2) identify monitoring and evaluation procedures not in violation of the Minnesota Government Data Practices Act, chapter 13, which are necessary to ensure effective delivery of quality services;
(3) include a provision that makes payments conditional on compliance by the contractor and all subcontractors with sections 245.461 to 245.486 and all other applicable laws, rules, and standards; and
(4) require financial controls and auditing procedures.
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 under section 245.62, or a community support services program under section 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 by sections 245.461 to 245.486, 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 402.01 to 402.10, 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:
(1) arrange for input from the regional treatment center's mental illness program unit regarding coordination of care between the regional treatment center and community-based services;
(2) identify for the county board the individuals, providers, agencies, and associations as specified in section 245.462, subdivision 10;
(3) provide to the county board a report of unmet mental health needs of adults residing in the county to be included in the county's mental health plan, and participate in developing the mental health plan; and
(4) coordinate its review, evaluation, and recommendations regarding the local mental health system with the state advisory council on mental health.
The county board shall consider the advice of its local mental health advisory council or mental health subcommittee of an existing advisory council in carrying out its authorities and responsibilities.
Subd. 6. Other local authority. The county board may establish procedures and policies that are not contrary to those of the commissioner or sections 245.461 to 245.486 regarding local adult mental health services and facilities. The county board shall perform other acts necessary to carry out sections 245.461 to 245.486.
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.
1987 c 403 art 2 s 21; 1988 c 689 art 2 s 75-77; 1989 c 282 art 4 s 7-10; 1991 c 94 s 2,24; 1Sp1993 c 1 art 7 s 5; 1997 c 107 s 2; 1999 c 86 art 1 s 56; 1Sp2003 c 14 art 11 s 11; 2005 c 10 art 1 s 42; 2005 c 98 art 3 s 4,5; 2014 c 312 art 29 s 1; 2015 c 21 art 1 s 38; 2016 c 158 art 1 s 83; art 2 s 44; 1Sp2017 c 6 art 2 s 39

Structure Minnesota Statutes

Minnesota Statutes

Chapters 245 - 267 — Public Welfare And Related Activities

Chapter 245 — Department Of Human Services

Section 245.03 — Department Of Human Services Established; Commissioner.

Section 245.0313 — Aid To Persons With Disabilities.

Section 245.035 — Interview Expenses.

Section 245.036 — Leases For State-operated, Community-based Programs.

Section 245.037 — Money Collected As Rent; State Property.

Section 245.041 — Provision Of Firearms And Explosives Background Check Information.

Section 245.073 — Technical Training; Community-based Programs.

Section 245.09 — [Unnecessary]

Section 245.095 — Limits On Receiving Public Funds.

Section 245.096 — Changes To Grant Programs.

Section 245.10 — [Unnecessary]

Section 245.11 — [Unnecessary]

Section 245.12 — [Unnecessary]

Section 245.461 — Policy And Citation.

Section 245.462 — Definitions.

Section 245.463 — Planning For A Mental Health System.

Section 245.464 — Coordination Of Mental Health System.

Section 245.465 — Duties Of County Board.

Section 245.466 — Local Service Delivery System.

Section 245.4661 — Adult Mental Health Initiative Services.

Section 245.4662 — Mental Health Innovation Grant Program.

Section 245.4663 — Mental Health Provider Supervision Grant Program.

Section 245.467 — Quality Of Services.

Section 245.468 — Education And Prevention Services.

Section 245.4682 — Mental Health Service Delivery And Finance Reform.

Section 245.469 — Emergency Services.

Section 245.470 — Outpatient Services.

Section 245.4705 — Employment Support Services And Programs.

Section 245.4711 — Case Management Services.

Section 245.4712 — Community Support And Day Treatment Services.

Section 245.472 — Residential Treatment Services.

Section 245.473 — Acute Care Hospital Inpatient Services.

Section 245.474 — Regional Treatment Center Inpatient Services.

Section 245.476 — Screening For Inpatient And Residential Treatment.

Section 245.477 — Appeals.

Section 245.479 — County Of Financial Responsibility.

Section 245.481 — Fees For Mental Health Services.

Section 245.482 — Reporting And Evaluation.

Section 245.483 — Termination Or Return Of An Allocation.

Section 245.4835 — County Maintenance Of Effort.

Section 245.484 — Rules.

Section 245.485 — Where A Claim Must Be Brought.

Section 245.486 — Limited Appropriations.

Section 245.4862 — Mental Health Urgent Care And Psychiatric Consultation.

Section 245.4863 — Integrated Co-occurring Disorder Treatment.

Section 245.487 — Citation; Declaration Of Policy; Mission.

Section 245.4871 — Definitions.

Section 245.4873 — Coordination Of Children's Mental Health System.

Section 245.4874 — Duties Of County Board.

Section 245.4875 — Local Service Delivery System.

Section 245.4876 — Quality Of Services.

Section 245.4877 — Education And Prevention Services.

Section 245.4878 — Mental Health Identification And Intervention.

Section 245.4879 — Emergency Services.

Section 245.488 — Outpatient Services.

Section 245.4881 — Case Management And Family Community Support Services.

Section 245.4882 — Residential Treatment Services.

Section 245.4883 — Acute Care Hospital Inpatient Services.

Section 245.4884 — Family Community Support Services.

Section 245.4885 — Screening For Inpatient And Residential Treatment.

Section 245.4887 — Appeals.

Section 245.4889 — Children's Mental Health Grants.

Section 245.4901 — School-linked Behavioral Health Grants.

Section 245.4902 — Culturally Informed And Culturally Responsive Mental Health Task Force.

Section 245.4905 — First Episode Of Psychosis Grant Program.

Section 245.491 — Citation; Declaration Of Purpose.

Section 245.492 — Definitions.

Section 245.493 — Local Children's Mental Health Collaborative.

Section 245.4931 — Integrated Local Service System.

Section 245.4932 — Revenue Enhancement; Authority And Responsibilities.

Section 245.495 — Additional Federal Revenues.

Section 245.50 — Interstate Contracts, Mental Health, Chemical Health, Detoxification Services.

Section 245.51 — Interstate Compact On Mental Health.

Section 245.52 — Commissioner Of Human Services As Compact Administrator.

Section 245.53 — Transmittal Of Copies Of Act.

Section 245.61 — County Boards; Grants For Local Mental Health Programs.

Section 245.62 — Community Mental Health Center.

Section 245.66 — Community Mental Health Center Boards.

Section 245.696 — Additional Duties Of Commissioner.

Section 245.697 — State Advisory Council On Mental Health.

Section 245.70 — Mental Health; Federal Aid.

Section 245.71 — Conditions To Federal Aid For Mentally Ill.

Section 245.713 — Allocation Formula.

Section 245.73 — Services For Adults With Mental Illness; Grants.

Section 245.735 — Certified Community Behavioral Health Clinic Services.

Section 245.75 — Federal Grants For Minnesota Indians.

Section 245.765 — Reimbursement Of County For Certain Indian Welfare Costs.

Section 245.771 — Supervision Of Supplemental Nutrition Assistance Program.

Section 245.802 — Facilities For People With Mental Illness; Rules.

Section 245.814 — Liability Insurance For Licensed Providers.

Section 245.821 — Treatment Facilities For Persons With Disabilities.

Section 245.825 — Aversive And Deprivation Procedures; Licensed Facilities And Services.

Section 245.8251 — Rules For Positive Support Strategies And Prohibitions And Limits On Restrictive Interventions; Licensed Facilities And Programs.

Section 245.826 — Use Of Restrictive Techniques And Procedures In Facilities Serving Emotionally Disturbed Children.

Section 245.8261 — Restrictive Procedures Planning And Reporting.

Section 245.90 — Court Awarded Funds, Disposition.

Section 245.91 — Definitions.

Section 245.92 — Office Of Ombudsman; Creation; Qualifications; Function.

Section 245.93 — Organization Of Office Of Ombudsman.

Section 245.94 — Powers Of Ombudsman; Reviews And Evaluations; Recommendations.

Section 245.945 — Reimbursement To Ombudsman For Mental Health And Developmental Disabilities.

Section 245.95 — Recommendations And Reports To Governor.

Section 245.96 — Civil Actions.

Section 245.97 — Ombudsman Committee.

Section 245.975 — Ombudsperson For Family Child Care Providers.

Section 245.98 — Compulsive Gambling Treatment Program.

Section 245.982 — Program Support.

Section 245.99 — Adult Mental Illness Crisis Housing Assistance Program.