Minnesota Legislature
HF 2141
as introduced - 87th Legislature (2011 - 2012) Posted on 02/10/2012 11:59am
Current Version - as introduced
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A bill for an act
relating to human services; modifying the state health care program participation
requirement for certain volunteer dental service providers; amending Minnesota
Statutes 2010, section 256B.0644.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2010, section 256B.0644, is amended to read:
256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
PROGRAMS.
(a) A vendor of medical care, as defined in section 256B.02, subdivision 7, and a
health maintenance organization, as defined in chapter 62D, must participate as a provider
or contractor in the medical assistance programdeleted text begin , general assistance medical care program,deleted text end
and MinnesotaCare as a condition of participating as a provider in health insurance plans
and programs or contractor for state employees established under section 43A.18, the
public employees insurance program under section 43A.316, for health insurance plans
offered to local statutory or home rule charter city, county, and school district employees,
the workers' compensation system under section 176.135, and insurance plans provided
through the Minnesota Comprehensive Health Association under sections 62E.01 to
62E.19. The limitations on insurance plans offered to local government employees shall
not be applicable in geographic areas where provider participation is limited by managed
care contracts with the Department of Human Services.
(b) For providers other than health maintenance organizations, participation in the
medical assistance program means that:
(1) the provider accepts new medical assistancedeleted text begin , general assistance medical care,deleted text end
and MinnesotaCare patients;
(2) for providers other than dental service providers, at least 20 percent of the
provider's patients are covered by medical assistancedeleted text begin , general assistance medical care,deleted text end
and MinnesotaCare as their primary source of coverage; or
(3) for dental service providersdeleted text begin ,deleted text end new text begin : (i)new text end at least ten percent of the provider's patients
are covered by medical assistancedeleted text begin , general assistance medical care,deleted text end and MinnesotaCare
as their primary source of coveragedeleted text begin , ordeleted text end new text begin ; (ii)new text end the provider accepts new medical assistance
and MinnesotaCare patients who are children with special health care needsnew text begin ; or (iii) the
provider sees patients on a volunteer basis for a nonprofit organization that provides dental
services to a predominantly low-income populationnew text end .
new text begin (c)new text end For purposes of this section, "children with special health care needs" means
children up to age 18 who: (i) require health and related services beyond that required
by children generally; and (ii) have or are at risk for a chronic physical, developmental,
behavioral, or emotional condition, including: bleeding and coagulation disorders;
immunodeficiency disorders; cancer; endocrinopathy; developmental disabilities;
epilepsy, cerebral palsy, and other neurological diseases; visual impairment or deafness;
Down syndrome and other genetic disorders; autism; fetal alcohol syndrome; and other
conditions designated by the commissioner after consultation with representatives of
pediatric dental providers and consumers.
deleted text begin (c)deleted text end new text begin (d)new text end Patients seen on a volunteer basis by the provider at a location other than
the provider's usual place of practice may be considered in meeting the participation
requirement in this section. The commissioner shall establish participation requirements
for health maintenance organizations. The commissioner shall provide lists of participating
medical assistance providers on a quarterly basis to the commissioner of management and
budget, the commissioner of labor and industry, and the commissioner of commerce. Each
of the commissioners shall develop and implement procedures to exclude as participating
providers in the program or programs under their jurisdiction those providers who do
not participate in the medical assistance program. The commissioner of management
and budget shall implement this section through contracts with participating health and
dental carriers.
deleted text begin
(d) For purposes of paragraphs (a) and (b), participation in the general assistance
medical care program applies only to pharmacy providers.
deleted text end