The decision by the Iowa Legislature to revamp the state’s mental health care system has counties struggling to determine their role in the new landscape.
The state will pay for Medicaid-related services, which means counties will receive less in reimbursements.
In response, Des Moines County established waiting lists for a wide variety of services.
CPC Administrator Ken Hyndman says the idea was to reduce spending in case the county’s budget runs short without certain state reimbursements.