Bill Text: MN HF280 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Intermediate care facilities for the developmentally disabled (ICF/DD) cost division modified.
Spectrum: Bipartisan Bill
Status: (Introduced - Dead) 2013-01-31 - Introduction and first reading, referred to Health and Human Services Finance [HF280 Detail]
Download: Minnesota-2013-HF280-Introduced.html
1.2relating to human services; modifying the division of cost for intermediate care
1.3facilities for persons with developmental disabilities;amending Minnesota
1.4Statutes 2012, section 256B.19, subdivision 1.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes 2012, section 256B.19, subdivision 1, is amended to read:
1.7 Subdivision 1. Division of cost. The state and county share of medical assistance
1.8costs not paid by federal funds shall be as follows:
1.9(1) beginning January 1, 1992, 50 percent state funds and 50 percent county funds
1.10for the cost of placement of severely emotionally disturbed children in regional treatment
1.11centers;
1.12(2) beginning January 1, 2003, 80 percent state funds and 20 percent county funds
1.13for the costs of nursing facility placements of persons with disabilities under the age of 65
1.14that have exceeded 90 days. This clause shall be subject to chapter 256G and shall not
1.15apply to placements in facilities not certified to participate in medical assistance;
1.16(3) beginning July 1, 2004, 90 percent state funds and ten percent county funds for
1.17the costs of placements that have exceeded 90 days in intermediate care facilities for
1.18persons with developmental disabilities that have seven or more beds, except beginning
1.19July 1, 2013, 100 percent state funds shall be used for the costs of placements that have
1.20exceeded 90 days in intermediate care facilities for persons with developmental disabilities
1.21that have seven or more beds and are apartment-style with each separate unit having its
1.22own kitchen, bathroom, dining, living area, and four or less single person bedrooms, and
1.23private entrance to the unit with a secondary door connected to a common hallway. This
1.24provision includes pass-through payments made under section256B.5015 ; and
2.1(4) beginning July 1, 2004, when state funds are used to pay for a nursing facility
2.2placement due to the facility's status as an institution for mental diseases (IMD), the
2.3county shall pay 20 percent of the nonfederal share of costs that have exceeded 90 days.
2.4This clause is subject to chapter 256G.
2.5For counties that participate in a Medicaid demonstration project under sections
2.6256B.69
and
256B.71 , the division of the nonfederal share of medical assistance expenses
2.7for payments made to prepaid health plans or for payments made to health maintenance
2.8organizations in the form of prepaid capitation payments, this division of medical
2.9assistance expenses shall be 95 percent by the state and five percent by the county of
2.10financial responsibility.
2.11In counties where prepaid health plans are under contract to the commissioner to
2.12provide services to medical assistance recipients, the cost of court ordered treatment
2.13ordered without consulting the prepaid health plan that does not include diagnostic
2.14evaluation, recommendation, and referral for treatment by the prepaid health plan is the
2.15responsibility of the county of financial responsibility.
1.3facilities for persons with developmental disabilities;amending Minnesota
1.4Statutes 2012, section 256B.19, subdivision 1.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes 2012, section 256B.19, subdivision 1, is amended to read:
1.7 Subdivision 1. Division of cost. The state and county share of medical assistance
1.8costs not paid by federal funds shall be as follows:
1.9(1) beginning January 1, 1992, 50 percent state funds and 50 percent county funds
1.10for the cost of placement of severely emotionally disturbed children in regional treatment
1.11centers;
1.12(2) beginning January 1, 2003, 80 percent state funds and 20 percent county funds
1.13for the costs of nursing facility placements of persons with disabilities under the age of 65
1.14that have exceeded 90 days. This clause shall be subject to chapter 256G and shall not
1.15apply to placements in facilities not certified to participate in medical assistance;
1.16(3) beginning July 1, 2004, 90 percent state funds and ten percent county funds for
1.17the costs of placements that have exceeded 90 days in intermediate care facilities for
1.18persons with developmental disabilities that have seven or more beds, except beginning
1.19July 1, 2013, 100 percent state funds shall be used for the costs of placements that have
1.20exceeded 90 days in intermediate care facilities for persons with developmental disabilities
1.21that have seven or more beds and are apartment-style with each separate unit having its
1.22own kitchen, bathroom, dining, living area, and four or less single person bedrooms, and
1.23private entrance to the unit with a secondary door connected to a common hallway. This
1.24provision includes pass-through payments made under section
2.1(4) beginning July 1, 2004, when state funds are used to pay for a nursing facility
2.2placement due to the facility's status as an institution for mental diseases (IMD), the
2.3county shall pay 20 percent of the nonfederal share of costs that have exceeded 90 days.
2.4This clause is subject to chapter 256G.
2.5For counties that participate in a Medicaid demonstration project under sections
2.7for payments made to prepaid health plans or for payments made to health maintenance
2.8organizations in the form of prepaid capitation payments, this division of medical
2.9assistance expenses shall be 95 percent by the state and five percent by the county of
2.10financial responsibility.
2.11In counties where prepaid health plans are under contract to the commissioner to
2.12provide services to medical assistance recipients, the cost of court ordered treatment
2.13ordered without consulting the prepaid health plan that does not include diagnostic
2.14evaluation, recommendation, and referral for treatment by the prepaid health plan is the
2.15responsibility of the county of financial responsibility.
