The Black Hawk County Board of Supervisors has designated Black Hawk County Community Services as the responsible county department to administer all county funds for prevention, treatment, hospital or residential detoxification and court costs for substance abusers and persons suffering from chemical dependency as required or allowed under Iowa Code Chapter 125.
The contact information for Black Hawk County Community Services is:
Community Services Director
Black Hawk County Community Services
1407 Independence Avenue
Waterloo, IA 50703
Ph: 319-292-2261 / Fax: 319-291-2628 / Email: email@example.com
The Director is appointed by and reports directly to the Black Hawk County Board of Supervisors.
The Black Hawk County Board of Supervisors allocates a certain amount of funds from its annual budget toward services for individuals with a chemical dependency. Community Services is responsible for administering these funds for Black Hawk County.
The following services are a benefit of Black Hawk County for individuals with a chemical dependency if all criteria for eligibility are met and the service is in accordance with this policy:
2. Attorney Fees for representation under Chapter 125 Civil Commitment proceedings.
3. Hospital detoxification as medically necessary and ordered under Chapter 125 if notified within 24 hours of admission to a private hospital under contract with Black Hawk County.
4. Court ordered outpatient evaluation to determine if an individual is a “chronic substance abuser” requiring court ordered treatment.
5. Residential placement at a facility licensed to serve individuals with mental illness for a period necessary to complete an assessment under Chapter 125 prior to civil commitment hearing.
6. Service Coordination to help individuals access treatment options; monitor aftercare; and coordinate assistance with co-occurring conditions and basic needs.
7. Client co-payments to Department of Public Health Regional Substance Abuse Agencies when the individual is destitute and their inability to pay prevents them from inpatient discharge or that puts them at risk for relapse and more costly intervention.
8. Medications specific to recovery from addiction and if not supplied may result in more costly interventions.
9. Prevention services as contracted with the Department of Public Health (Iowa Code 125.59).
Individuals needing emergency services and/or care may present themselves or be taken to the nearest hospital emergency room (ER) for immediate attention by family, friends, concerned parties, or local law enforcement as specified in Iowa Code. Once the individual is stabilized, the ER physician will evaluate whether an involuntary commitment is needed and contact an available Court Magistrate. If an involuntary commitment occurs, the admission will follow the process outlined within this policy. If a voluntary admission is recommended, the admission will also follow the process outlined in this policy.
Black Hawk County reserves the option to request reimbursement for inpatient treatment, outpatient evaluation costs, sheriff transportation costs, and attorney fees. In these instances, Black Hawk County will make payment directly to the vendor unless otherwise arranged prior to provision of service. Any reimbursement requirement shall be related to the ability of the individual to pay for these costs. The individual must meet the financial criteria (resources and income) as outlined in the current Black Hawk County Mental Health & Disability Services Management Plan. The individual will be required to sign a reimbursement agreement detailing the terms of the reimbursement. Collection of payments may be accomplished through a payment plan which may include up to payment in whole by the individual or their representative, or other arrangements as approved by Community Services and/or the Board of Supervisors. If payment is not made, Black Hawk County reserves the right to take further legal action as allowed in the Code of Iowa.
A consumer, advocate, family member or legal representative may appeal the decision of the Community Services Office by:
Funding decisions are made by the Director based upon the criteria of the policy. It is the intent that funding decisions are not made by an individual or organization which has a financial interest in the services provided. In the event that such a situation occurs, that interest will be fully disclosed in writing to all parties.
If a conflict of interest occurs, the conflict will be disclosed to all parties. The Black Hawk County Board of Supervisors shall make decisions regarding funding in such cases in a closed session.
All information and records obtained by Community Services are confidential and are protected by law. All consumer information obtained for purposes of service management and data collection are considered confidential, which means this record is not available as a matter of right for examination and copying by members of the public under applicable provisions of the law. Confidential records include records or information contained in records that the agency is prohibited by law from making available for examination by members of the public, and records or information contained in records that are specified as confidential by the Iowa Code or other provision of law, but that may be disclosed upon order of a court, the lawful custodian of the record, or by another person duly authorized to release the record. Community Services Staff has been trained in confidential issues and will read and sign the confidentiality policy with a copy maintained in their personnel file kept in the Black Hawk County Human Resource Office.
Before any information is released by Community Services, an “Authorization to Obtain and/or Disclose Information” must be signed by the individual or legal representative and documented in the individual’s record.
Community Services will adhere to all Federal, State, and Local laws governing personal health information to assure security of Private Health Information. Community Services is considered a “Covered Entity” according to HIPAA guidelines and Black Hawk County a “Hybrid Entity”. Only the “minimum necessary information” will be disclosed both internally and externally to assure that only the requested information is disclosed to the appropriate person and to assure security in regards to Private Health Information.
All ordinances, resolutions or parts of ordinances and resolutions in conflict with the provisions of these policies are hereby repealed.
If any section, provision, or part of these policies shall be judged invalid or unconstitutional, such adjudication shall not affect the validity of these policies as a whole or any section, provision or part thereof not judged invalid or unconstitutional. It shall be up to the discretion of the Board of Supervisors to limit or make changes for the services provided as stated in these regulations.
The Black Hawk County Board of Supervisors and/or the Community Services Director reserve the right of granting an exception to policy in any situation as deemed appropriate with any section or sections of the policies contained herein.
Claims submitted against Black Hawk County Substance Abuse funds must be received by Community Services within 90 days of service provision. The claims shall include the following information: