Minnesota Legislature
SF 1151
as introduced - 91st Legislature (2019 - 2020) Posted on 02/14/2019 02:32pm
Current Version - as introduced
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A bill for an act
relating to health care; requiring commissioner of human services to contract with
dental administrators to administer dental services to recipients of medical
assistance and MinnesotaCare; proposing coding for new law in Minnesota Statutes,
chapter 256B.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
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[256B.0375] CONTRACT FOR DENTAL ADMINISTRATION SERVICES.
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(a) Notwithstanding sections 256B.69 and 256L.12, effective January 1, 2020, the
commissioner shall contract with up to two dental administrators to administer dental services
for all recipients of medical assistance and MinnesotaCare.
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(b) The dental administrator must provide administrative services including but not
limited to:
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(1) provider recruitment, contracting, and assistance;
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(2) recipient outreach and assistance;
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(3) utilization management and review for medical necessity of dental services;
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(4) dental claims processing;
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(5) coordination with other services;
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(6) management of fraud and abuse;
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(7) monitoring of access to dental services;
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(8) performance measurement;
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(9) quality improvement and evaluation requirements; and
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(10) management of third-party liability requirements.
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(c) Payments to contracted dental providers shall be at the rates established under section
256B.76.
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