HF 551

as introduced - 91st Legislature (2019 - 2020) Posted on 01/31/2019 02:23pm

A bill for an act
relating to human services; establishing network access standards based on
appointment wait times for managed care and county-based purchasing plans;
amending Minnesota Statutes 2018, section 256B.69, by adding a subdivision.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2018, section 256B.69, is amended by adding a subdivision
to read:

new text begin Subd. 6e. new text end

new text begin Access standards; appointment wait times. new text end

new text begin (a) Managed care and
county-based purchasing plans must comply with the access standards for appointment wait
times specified in this subdivision.
new text end

new text begin (b) Appointment wait times for primary care services must not exceed 45 days from the
date of an enrollee's request for routine and preventive care and 24 hours for urgent care.
new text end

new text begin (c) Appointment wait times for specialty care services must be in accordance with the
time frame appropriate for the needs of the enrollee or the generally accepted community
standards.
new text end

new text begin (d) Appointment wait times for dental, optometry, lab, and x-ray services must not
exceed 60 days for regular appointments and 48 hours for urgent care. For purposes of this
paragraph, regular appointments for dental care means preventive care and initial
appointments for restorative visits.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for managed care and county-based
purchasing contracts entered into on or after January 1, 2020.
new text end