HF 412

as introduced - 87th Legislature (2011 - 2012) Posted on 02/09/2011 08:53am

A bill for an act
relating to human services; requiring increases in managed care and county-based
purchasing plan provider payment rates; requiring plans to use generally accepted
accounting principles; amending Minnesota Statutes 2010, section 256B.69,
subdivision 9, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2010, section 256B.69, is amended by adding a
subdivision to read:

new text begin Subd. 5l. new text end

new text begin Provider payment rates. new text end

new text begin (a) Effective January 1, 2012, managed care and
county-based purchasing plans shall increase payment rates to providers under contract or
employed by the plan by 15 percent from the rates in effect on December 31, 2011.
new text end

new text begin (b) The commissioner shall not adjust managed care and county-based purchasing
plan capitation rates to reflect the rate changes required by this subdivision.
new text end

new text begin (c) The commissioner shall require managed care and county-based purchasing plans
to submit to the commissioner, in the form and manner specified by the commissioner, all
data needed to verify compliance with this subdivision. Data provided to the commissioner
under this subdivision are public data as defined under section 13.02.
new text end

Sec. 2.

Minnesota Statutes 2010, section 256B.69, subdivision 9, is amended to read:

Subd. 9.

Reporting.

(a) Each demonstration provider shall submit information as
required by the commissioner, including data required for assessing client satisfaction,
quality of care, cost, and utilization of services for purposes of project evaluation. The
commissioner shall also develop methods of data reporting and collection in order to
provide aggregate enrollee information on encounters and outcomes to determine access
and quality assurance. Required information shall be specified before the commissioner
contracts with a demonstration provider.

(b) Aggregate nonpersonally identifiable health plan encounter data, aggregate
spending data for major categories of service as reported to the commissioners of
health and commerce under section 62D.08, subdivision 3, clause (a), and criteria for
service authorization and service use are public data that the commissioner shall make
available and use in public reports. The commissioner shall require each health plan and
county-based purchasing plan to provide:

(1) encounter data for each service provided, using standard codes and unit of
service definitions set by the commissioner, in a form that the commissioner can report by
age, eligibility groups, and health plan; and

(2) criteria, written policies, and procedures required to be disclosed under section
62M.10, subdivision 7, and Code of Federal Regulations, title 42, part 438.210(b)(1), used
for each type of service for which authorization is required.

new text begin (c) All financial reporting, including administrative expenses, under this section or
section 256B.692, must be reported in compliance with generally accepted accounting
principles.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2012.
new text end