HF 2550

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/02/2023 02:11pm

A bill for an act
relating to human services; increasing the medical assistance reimbursement rate
for critical access mental health services provided by certain providers; amending
Minnesota Statutes 2022, section 256B.763.

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

Section 1.

Minnesota Statutes 2022, section 256B.763, is amended to read:

256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.

(a) For services defined in paragraph (b) and rendered on or after July 1, 2007, payment
rates shall be increased by 23.7 percent over the rates in effect on January 1, 2006, for:

(1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;

(2) community mental health centers under section 256B.0625, subdivision 5; and

(3) mental health clinics certified under section 245I.20, or hospital outpatient psychiatric
departments that are designated as essential community providers under section 62Q.19.

(b) This increase applies to group skills training when provided as a component of
children's therapeutic services and support, psychotherapy, medication management,
evaluation and management, diagnostic assessment, explanation of findings, psychological
testing, neuropsychological services, direction of behavioral aides, and inpatient consultation.

(c) This increase does not apply to rates that are governed by section 256B.0625,
subdivision 30, or 256B.761, paragraph (b), other cost-based rates, rates that are negotiated
with the county, rates that are established by the federal government, or rates that increased
between January 1, 2004, and January 1, 2005.

(d) Payment rates shall be increased by 23.7 percent over the rates in effect on December
31, 2007, for:

(1) medication education services provided on or after January 1, 2008, by adult
rehabilitative mental health services providers certified under section 256B.0623; and

(2) mental health behavioral aide services provided on or after January 1, 2008, by
children's therapeutic services and support providers certified under section 256B.0943.

(e) For services defined in paragraph (b) and rendered on or after January 1, 2008, by
children's therapeutic services and support providers certified under section 256B.0943 and
not already included in paragraph (a), payment rates shall be increased by 23.7 percent over
the rates in effect on December 31, 2007.

(f) Payment rates shall be increased by 2.3 percent over the rates in effect on December
31, 2007, for individual and family skills training provided on or after January 1, 2008, by
children's therapeutic services and support providers certified under section 256B.0943.

(g) For services described in paragraphs (b), (d), and (f) and rendered on or after July
1, 2017, payment rates for mental health clinics certified under section 245I.20 that are not
designated as essential community providers under section 62Q.19 shall be equal to payment
rates for mental health clinics certified under section 245I.20 that are designated as essential
community providers under section 62Q.19. In order to receive increased payment rates
under this paragraph, a provider must demonstrate a commitment to serve low-income and
underserved populations by:

(1) charging for services on a sliding-fee schedule based on current poverty income
guidelines; and

(2) not restricting access or services because of a client's financial limitation.

(h) For services identified under this section that are rendered by providers identified
under this section, managed care plans and county-based purchasing plans shall reimburse
the providers at a rate that is at least equal to the fee-for-service payment rate. The
commissioner shall monitor the effect of this requirement on the rate of access to the services
delivered by mental health providers.

new text begin (i) Payment rates for services defined in paragraph (b) and rendered on or after January
1, 2024, must be increased by 23.7 percent over the rates in effect on December 31, 2023,
for critical access services provided by the following noncritical access providers:
independent clinical social workers licensed under chapter 148E; marriage and family
therapists and professional clinical counselors licensed under chapter 148B; and psychologists
licensed under sections 148.88 to 148.981.
new text end