Bill Text: MN SF487 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Medical assistance (MA) payment procedures for multiple services provided on the same day and health care home certification process for federally qualified health centers provisions modifications
Sponsorship: Bipartisan Bill
Status: (Introduced - Dead) 2013-02-14 - Referred to Health, Human Services and Housing [SF487 Detail]
Download: Minnesota-2013-SF487-Introduced.html
1.2relating to human services; modifying medical assistance payment procedures
1.3for multiple services provided on the same day; modifying the health care home
1.4certification process for federally qualified health centers; amending Minnesota
1.5Statutes 2012, sections 256B.0625, by adding a subdivision; 256B.0751,
1.6subdivision 4.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.8 Section 1. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
1.9subdivision to read:
1.10 Subd. 61. Payment for multiple services provided on the same day. The
1.11commissioner shall not prohibit payment, including supplemental payments, for mental
1.12health services or dental services provided to a patient by a clinic or health care
1.13professional solely because the mental health or dental services were provided on the same
1.14day as other covered health services furnished by the same provider.
1.15 Sec. 2. Minnesota Statutes 2012, section 256B.0751, subdivision 4, is amended to read:
1.16 Subd. 4. Alternative models and waivers of requirements. (a) Nothing in this
1.17section shall preclude the continued development of existing medical or health care
1.18home projects currently operating or under development by the commissioner of human
1.19services or preclude the commissioner from establishing alternative models and payment
1.20mechanisms for persons who are enrolled in integrated Medicare and Medicaid programs
1.21under section256B.69, subdivisions 23 and 28, are enrolled in managed care long-term
1.22care programs under section256B.69 , subdivision 6b, are dually eligible for Medicare and
1.23medical assistance, are in the waiting period for Medicare, or who have other primary
1.24coverage.
2.1(b) The commissioner of health shall waive health care home certification
2.2requirements if an applicant demonstrates that compliance with a certification requirement
2.3will create a major financial hardship or is not feasible, and the applicant establishes an
2.4alternative way to accomplish the objectives of the certification requirement.
2.5(c) The commissioner of health shall modify the health care homes application for
2.6certification to add an item allowing an applicant to indicate status as a federally qualified
2.7health center, as defined in section 145.9269, subdivision 1, or a federally qualified health
2.8center look-alike. The commissioner shall certify, as a health care home, each applicant
2.9that indicates this status on a completed application for certification, without requiring
2.10the applicant to meet the standards in Minnesota Rules, part 4764.0040. In order to
2.11retain certification, a federally qualified health center or federally qualified health center
2.12look-alike certified under this paragraph must seek annual recertification by submitting a
2.13letter of intent stating its desire to be recertified but is not required to meet the standards
2.14for recertification in Minnesota Rules, part 4764.0040.
1.3for multiple services provided on the same day; modifying the health care home
1.4certification process for federally qualified health centers; amending Minnesota
1.5Statutes 2012, sections 256B.0625, by adding a subdivision; 256B.0751,
1.6subdivision 4.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.8 Section 1. Minnesota Statutes 2012, section 256B.0625, is amended by adding a
1.9subdivision to read:
1.10 Subd. 61. Payment for multiple services provided on the same day. The
1.11commissioner shall not prohibit payment, including supplemental payments, for mental
1.12health services or dental services provided to a patient by a clinic or health care
1.13professional solely because the mental health or dental services were provided on the same
1.14day as other covered health services furnished by the same provider.
1.15 Sec. 2. Minnesota Statutes 2012, section 256B.0751, subdivision 4, is amended to read:
1.16 Subd. 4. Alternative models and waivers of requirements. (a) Nothing in this
1.17section shall preclude the continued development of existing medical or health care
1.18home projects currently operating or under development by the commissioner of human
1.19services or preclude the commissioner from establishing alternative models and payment
1.20mechanisms for persons who are enrolled in integrated Medicare and Medicaid programs
1.21under section
1.22care programs under section
1.23medical assistance, are in the waiting period for Medicare, or who have other primary
1.24coverage.
2.1(b) The commissioner of health shall waive health care home certification
2.2requirements if an applicant demonstrates that compliance with a certification requirement
2.3will create a major financial hardship or is not feasible, and the applicant establishes an
2.4alternative way to accomplish the objectives of the certification requirement.
2.5(c) The commissioner of health shall modify the health care homes application for
2.6certification to add an item allowing an applicant to indicate status as a federally qualified
2.7health center, as defined in section 145.9269, subdivision 1, or a federally qualified health
2.8center look-alike. The commissioner shall certify, as a health care home, each applicant
2.9that indicates this status on a completed application for certification, without requiring
2.10the applicant to meet the standards in Minnesota Rules, part 4764.0040. In order to
2.11retain certification, a federally qualified health center or federally qualified health center
2.12look-alike certified under this paragraph must seek annual recertification by submitting a
2.13letter of intent stating its desire to be recertified but is not required to meet the standards
2.14for recertification in Minnesota Rules, part 4764.0040.
