Bill Text: MN SF302 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Medical assistance (MA) dental reimbursement provisions modifications
Spectrum: Moderate Partisan Bill (Democrat 4-1)
Status: (Introduced - Dead) 2013-02-06 - Referred to Finance [SF302 Detail]
Download: Minnesota-2013-SF302-Introduced.html
1.2relating to human services; modifying dental reimbursement provisions;
1.3amending Minnesota Statutes 2012, section 256B.76, subdivision 2.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:
1.6 Subd. 2. Dental reimbursement. (a) Effective for services rendered on or after
1.7October 1, 1992 January 1, 2014, the commissioner shall make payments for dental
1.8servicesas follows:
1.9(1) dental services shall be paid at the lower of:
1.10(i) (1) submitted charges,; or
1.11(ii) 25 percent above the rate in effect on June 30, 1992; and
1.12 (2)dental rates shall be converted from the 50th percentile of 1982 to the 50th
1.13percentile of 1989, less the percent in aggregate necessary to equal the above increases 75
1.14percent of the statewide median rate for all charges in effect during calendar year 2011.
1.15(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
1.16shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
1.17(c) Effective for services rendered on or after January 1, 2000, payment rates for
1.18dental services shall be increased by three percent over the rates in effect on December
1.1931, 1999.
1.20(d) Effective for services provided on or after January 1, 2002, payment for
1.21diagnostic examinations and dental x-rays provided to children under age 21 shall be the
1.22lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
1.23(e) (b) The increases compensation listed in paragraphs (b) and (c) paragraph (a)
1.24shall be implemented January 1,2000 2014, for managed care.
2.1(f) Effective for dental services rendered on or after October 1, 2010, by a
2.2state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based
2.3on the Medicare principles of reimbursement. This payment shall be effective for services
2.4rendered on or after January 1, 2011, to recipients enrolled in managed care plans or
2.5county-based purchasing plans.
2.6(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
2.7in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
2.8year, a supplemental state payment equal to the difference between the total payments
2.9in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
2.10services for the operation of the dental clinics.
2.11(h) If the cost-based payment system for state-operated dental clinics described in
2.12paragraph (f) does not receive federal approval, then state-operated dental clinics shall be
2.13designated as critical access dental providers under subdivision 4, paragraph (b), and shall
2.14receive the critical access dental reimbursement rate as described under subdivision 4,
2.15paragraph (a).
2.16(i) Effective for services rendered on or after September 1, 2011, through June 30,
2.172013, payment rates for dental services shall be reduced by three percent. This reduction
2.18does not apply to state-operated dental clinics in paragraph (f).
1.3amending Minnesota Statutes 2012, section 256B.76, subdivision 2.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:
1.6 Subd. 2. Dental reimbursement. (a) Effective for services rendered on or after
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1.14percent of the statewide median rate for all charges in effect during calendar year 2011.
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1.24shall be implemented January 1,
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