Division of Mental Health and Disability Services (MHDS)
State Payment Program
The purpose of the State Payment Program (SPP) is to provide eligible adult Iowans who do not have legal settlement, with access to local services authorized through County Management Plans. The purpose is to maintain and improve the self-sufficiency of adults with a mental illness, intellectual disability, and/or a developmental disability. The county purchases local services and the SPP reimburses the county.
Persons should first contact their county Central Point of Coordination (CPC) office to apply.
The legal basis for the program is Code of Iowa, Section 222.60, Section 331.440 (7)-Repeal of Section 331.440 effective July 1, 2013, and Iowa Administrative Code, 441 -- Chapter 153.51 through 153.59. Financial and service eligibility is based on the County Management Plan of the county where the member resides. The program uses 100% state funds.
SPP Secure Web site (MHDSSPP) and MHDSSPP Web application user guide
For more information about the State Payment Program Contact:
Your county Central Point of Coordination Administrator (CPC Administrator List)
State Payment Program FAQ's
Q. What is a "state" case?
A. A "state" case is any Iowa resident who has not acquired legal settlement in any Iowa county. The concept of legal settlement is outlined in Iowa Code 252.16. County Central Points of Coordination (CPC) or their designees determine the legal settlement of persons who apply for county managed disability system services. When a person has no legal settlement, no county is fiscally responsible for certain of the person's mental health needs, and some of those responsibilities may fall to the State, thus the term "state" case. A person could be a "state" case but never become known to state officials if they never applied for a state funded program that uses a legal settlement designation for who pays.
Q. How is a "state" case different from a "State Payment Program" case?
A. The State Payment Program (SPP) is a specific DHS program which funds services for eligible adults (those who do not have a county of legal settlement) with mental illness, mental retardation, or developmental disability. A person must apply for benefits from the State Payment Program before they are considered eligible. Being a "state" case (a person is without legal settlement) is one of the eligibility requirements for SPP. The SPP is not a "state Central Point of Coordination (CPC)" office. The SPP does not fund things that are funded by other DHS programs, such as: state cases for Title XIX case management only, ICF/MR, HCBS Waivers.
Q. Who locally handles the State Payment Program applications?
A. Applications for services to be funded through the State Payment Program (SPP) are handled by the local Central Point of Coordination ("CPC") in your county of residence, or by some providers such as the local Community Mental Health Center, or sometimes by a Targeted Case Manager.
Q. Who should I talk to if there are problems with a State Payment Program application?
A.If there are problems with the State Payment Program (SPP) application, first contact the CPC for your county. CPC Administrator List
Q. What are the rules that govern the State Payment Program?
A. Administrative rules for the State Payment Program are found in the Iowa Administrative Code 441-153(234), Division IV (153.51 through 153.59).