Bill Text: MN HF1075 | 2011-2012 | 87th Legislature | Introduced
Bill Title: Single public health care program plan recommendation required, eligibility and enrollment processes simplified, systems automated, and report required.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2011-03-14 - Introduction and first reading, referred to Health and Human Services Finance [HF1075 Detail]
Download: Minnesota-2011-HF1075-Introduced.html
1.2relating to human services; requiring the commissioner to recommend a
1.3plan to establish a single public health care program; simplifying eligibility
1.4and enrollment processes; automating systems; requiring a report;amending
1.5Minnesota Statutes 2010, section 256.014, by adding a subdivision.
1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.7 Section 1. Minnesota Statutes 2010, section 256.014, is amended by adding a
1.8subdivision to read:
1.9 Subd. 5. Simplification of eligibility and enrollment process. (a) The
1.10commissioner shall partner with counties, a service delivery authority established under
1.11chapter 402A, the Office of Enterprise Technology, and other state agencies and service
1.12delivery partners to simplify and streamline human services eligibility and enrollment
1.13processes. Primary objectives for the simplification effort include significantly improved
1.14eligibility processing productivity resulting in reduced time for eligibility determination
1.15and enrollment, increased customer service for persons applying for and receiving
1.16services, increased program integrity, and greater administrative flexibility.
1.17(b) The commissioner shall develop a service-oriented business architecture for
1.18a fully automated medical, cash support, food support, and child care eligibility and
1.19enrollment process that aligns with and supports the business processes and technology
1.20tools of any developed health insurance exchange. The commissioner shall use the
1.21eligibility and enrollment business architecture to create an integrated and collaborative
1.22service delivery framework for evolving or maintaining existing information technology
1.23and acquiring new information technology. The agency's plan and program for creating
1.24the business architecture and integrated service delivery framework shall include counties,
1.25service delivery authorities, the Office of Enterprise Technology, collaborative partners,
2.1and end users in the delivery of human services and the governance of these efforts.
2.2Governance will include an Enterprise Architecture Board which shall be chaired by the
2.3commissioner's chief information officer or chief architect.
2.4(c) The commissioner's chief information officer or chief architect shall ensure
2.5agency compliance with the prompt, efficient, and effective implementation of the
2.6provisions in this subdivision. The chief information officer or chief architect, along with
2.7at least one of the county representatives appointed by the Association of Minnesota
2.8Counties, shall report to the legislature on implementation progress every six months
2.9beginning January 15, 2012.
2.10(d) The chief information officer or chief architect shall work with the Minnesota
2.11Association of County Social Service Administrators and the Office of Enterprise
2.12Technology to develop collaborative task forces to support implementation of the
2.13provisions in this subdivision. Specific mandated projects included as part of an integrated
2.14eligibility and enrollment service delivery framework include, but are not limited to the
2.15following.
2.16(1) The commissioner shall develop an applicant screening tool to determine
2.17potential eligibility as part of the online application process. This provision shall be fully
2.18operational by January 1, 2012.
2.19(2) The commissioner shall use electronic databases to verify application and
2.20renewal data as required by law. Exceptions to electronic verification shall be limited and
2.21defined by the commissioner. This provision shall be fully operational by July 1, 2012.
2.22(3) The commissioner shall create a self-service Web site which will allow
2.23individuals to apply for services, renew eligibility, and access online accounts. Online
2.24accounts shall be accessible by applicants, enrollees, and third parties acting on behalf
2.25of applicants and enrollees. At a minimum, online accounts shall contain date of
2.26application, application data, status of eligibility determinations, premium and spend down
2.27amounts and due dates, recertification dates, and required verifications and supplemental
2.28information. This provision shall be fully operational by July 1, 2012.
2.29(4) The commissioner shall create a statewide electronic document management
2.30system architecture that provides for seamless electronic transfer of all documents
2.31required for eligibility and enrollment processes. All entities processing eligibility and
2.32enrollment within the state shall use the electronic management system to accept and
2.33transfer eligibility and enrollment documents. Processing entities include the state,
2.34counties, service delivery authorities established under chapter 402A, any health insurance
2.35exchange, and authorized third parties. The electronic document management system
2.36architecture must interface with existing document management systems and automated
3.1eligibility systems. Documents produced by the agency must contain bar codes that must
3.2be used by all entities processing eligibility. This provision shall be fully operational
3.3by January 1, 2013.
3.4(5) The commissioner shall create recertification forms preprinted with name, case
3.5number information, eligibility data, and a bar code for use with the statewide electronic
3.6document management system. This provision shall be fully operational by January
3.71, 2013.
3.8(6) The commissioner shall create a statewide interactive voice response system that
3.9provides case information for applicants, enrollees, and authorized third parties. This
3.10provision shall be fully operational by January 1, 2014.
3.11(7) The commissioner shall create a centralized customer contact center that
3.12applicants, enrollees, and authorized third parties can use to receive program information,
3.13application assistance, and case information, report changes, make cost-sharing payments,
3.14and conduct other eligibility and enrollment transactions. This provision shall be fully
3.15operational by January 1, 2014.
3.16(e) The provisions in paragraph (d) shall be fully integrated as part of any automated
3.17eligibility system. The commissioner shall seek federal financial participation to fund
3.18development of the automated eligibility system.
3.19(f) In order to support an integrated service delivery framework, create maximum
3.20efficiencies, increase transparency, and reduce consumer confusion on health care options,
3.21the commissioner shall make recommendations on simplifying current Minnesota health
3.22care programs to one program. This program must have clearly defined bright-line
3.23eligibility standards and consistent rules, administrative processes, technology, and
3.24infrastructure support that align with federal standards, rules, and administrative processes.
3.25An established minimum federal poverty guidelines base shall be consistent with the 2014
3.26minimum federal eligibility standard of 133 percent of the federal poverty guidelines
3.27for medical assistance. Recommended program design must include benefit design,
3.28service delivery, and cost sharing. Recommendations must also include financing options,
3.29including a proposed reallocation of the Health Care Access Fund. The commissioner
3.30shall seek input from Minnesota health care program service delivery stakeholders and
3.31present recommendations to the legislature by January 15, 2012.
1.3plan to establish a single public health care program; simplifying eligibility
1.4and enrollment processes; automating systems; requiring a report;amending
1.5Minnesota Statutes 2010, section 256.014, by adding a subdivision.
1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.7 Section 1. Minnesota Statutes 2010, section 256.014, is amended by adding a
1.8subdivision to read:
1.9 Subd. 5. Simplification of eligibility and enrollment process. (a) The
1.10commissioner shall partner with counties, a service delivery authority established under
1.11chapter 402A, the Office of Enterprise Technology, and other state agencies and service
1.12delivery partners to simplify and streamline human services eligibility and enrollment
1.13processes. Primary objectives for the simplification effort include significantly improved
1.14eligibility processing productivity resulting in reduced time for eligibility determination
1.15and enrollment, increased customer service for persons applying for and receiving
1.16services, increased program integrity, and greater administrative flexibility.
1.17(b) The commissioner shall develop a service-oriented business architecture for
1.18a fully automated medical, cash support, food support, and child care eligibility and
1.19enrollment process that aligns with and supports the business processes and technology
1.20tools of any developed health insurance exchange. The commissioner shall use the
1.21eligibility and enrollment business architecture to create an integrated and collaborative
1.22service delivery framework for evolving or maintaining existing information technology
1.23and acquiring new information technology. The agency's plan and program for creating
1.24the business architecture and integrated service delivery framework shall include counties,
1.25service delivery authorities, the Office of Enterprise Technology, collaborative partners,
2.1and end users in the delivery of human services and the governance of these efforts.
2.2Governance will include an Enterprise Architecture Board which shall be chaired by the
2.3commissioner's chief information officer or chief architect.
2.4(c) The commissioner's chief information officer or chief architect shall ensure
2.5agency compliance with the prompt, efficient, and effective implementation of the
2.6provisions in this subdivision. The chief information officer or chief architect, along with
2.7at least one of the county representatives appointed by the Association of Minnesota
2.8Counties, shall report to the legislature on implementation progress every six months
2.9beginning January 15, 2012.
2.10(d) The chief information officer or chief architect shall work with the Minnesota
2.11Association of County Social Service Administrators and the Office of Enterprise
2.12Technology to develop collaborative task forces to support implementation of the
2.13provisions in this subdivision. Specific mandated projects included as part of an integrated
2.14eligibility and enrollment service delivery framework include, but are not limited to the
2.15following.
2.16(1) The commissioner shall develop an applicant screening tool to determine
2.17potential eligibility as part of the online application process. This provision shall be fully
2.18operational by January 1, 2012.
2.19(2) The commissioner shall use electronic databases to verify application and
2.20renewal data as required by law. Exceptions to electronic verification shall be limited and
2.21defined by the commissioner. This provision shall be fully operational by July 1, 2012.
2.22(3) The commissioner shall create a self-service Web site which will allow
2.23individuals to apply for services, renew eligibility, and access online accounts. Online
2.24accounts shall be accessible by applicants, enrollees, and third parties acting on behalf
2.25of applicants and enrollees. At a minimum, online accounts shall contain date of
2.26application, application data, status of eligibility determinations, premium and spend down
2.27amounts and due dates, recertification dates, and required verifications and supplemental
2.28information. This provision shall be fully operational by July 1, 2012.
2.29(4) The commissioner shall create a statewide electronic document management
2.30system architecture that provides for seamless electronic transfer of all documents
2.31required for eligibility and enrollment processes. All entities processing eligibility and
2.32enrollment within the state shall use the electronic management system to accept and
2.33transfer eligibility and enrollment documents. Processing entities include the state,
2.34counties, service delivery authorities established under chapter 402A, any health insurance
2.35exchange, and authorized third parties. The electronic document management system
2.36architecture must interface with existing document management systems and automated
3.1eligibility systems. Documents produced by the agency must contain bar codes that must
3.2be used by all entities processing eligibility. This provision shall be fully operational
3.3by January 1, 2013.
3.4(5) The commissioner shall create recertification forms preprinted with name, case
3.5number information, eligibility data, and a bar code for use with the statewide electronic
3.6document management system. This provision shall be fully operational by January
3.71, 2013.
3.8(6) The commissioner shall create a statewide interactive voice response system that
3.9provides case information for applicants, enrollees, and authorized third parties. This
3.10provision shall be fully operational by January 1, 2014.
3.11(7) The commissioner shall create a centralized customer contact center that
3.12applicants, enrollees, and authorized third parties can use to receive program information,
3.13application assistance, and case information, report changes, make cost-sharing payments,
3.14and conduct other eligibility and enrollment transactions. This provision shall be fully
3.15operational by January 1, 2014.
3.16(e) The provisions in paragraph (d) shall be fully integrated as part of any automated
3.17eligibility system. The commissioner shall seek federal financial participation to fund
3.18development of the automated eligibility system.
3.19(f) In order to support an integrated service delivery framework, create maximum
3.20efficiencies, increase transparency, and reduce consumer confusion on health care options,
3.21the commissioner shall make recommendations on simplifying current Minnesota health
3.22care programs to one program. This program must have clearly defined bright-line
3.23eligibility standards and consistent rules, administrative processes, technology, and
3.24infrastructure support that align with federal standards, rules, and administrative processes.
3.25An established minimum federal poverty guidelines base shall be consistent with the 2014
3.26minimum federal eligibility standard of 133 percent of the federal poverty guidelines
3.27for medical assistance. Recommended program design must include benefit design,
3.28service delivery, and cost sharing. Recommendations must also include financing options,
3.29including a proposed reallocation of the Health Care Access Fund. The commissioner
3.30shall seek input from Minnesota health care program service delivery stakeholders and
3.31present recommendations to the legislature by January 15, 2012.
