HF 4203

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/07/2024 03:45pm

A bill for an act
relating to human services; authorizing an informed choice and expedited service
authorization for technology systems demonstration partnership for people receiving
home and community-based services; amending Minnesota Statutes 2022, section
256B.4905, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2022, section 256B.4905, is amended by adding a subdivision
to read:

new text begin Subd. 13. new text end

new text begin Informed choice and expedited service authorization for technology
systems demonstration partnership. new text end

new text begin (a) The commissioner shall authorize one or more
risk-based demonstration partnerships between a lead agency and an enrolled medical
assistance provider of technology systems for home and community-based waiver services
recipients. The goal of the demonstration partnership is to serve at least 500 people enrolled
in a medical assistance waiver under section 256B.0913, 256B.092, 256B.093, or 256B.49,
or chapter 256S, to evaluate the benefits of informed choice and expedited service
authorizations for existing waiver benefits related to technology systems, including but not
limited to:
new text end

new text begin (1) environmental accessibility adaptations;
new text end

new text begin (2) specialized supplies and equipment; and
new text end

new text begin (3) client and caregiver training in the home.
new text end

new text begin (b) As a condition of participation, each lead agency shall identify and prioritize eligible
individuals who desire to participate in the demonstration partnership authorized by this
subdivision, using eligibility criteria that may include:
new text end

new text begin (1) significant clinical acuity due to one or more chronic medical conditions;
new text end

new text begin (2) multiple emergency room visits or inpatient admissions during the prior 365 days;
new text end

new text begin (3) a behavioral or complex chronic condition diagnosis;
new text end

new text begin (4) challenges in finding nonemergency medical transportation in the individual's region;
or
new text end

new text begin (5) an inability to find available primary care providers.
new text end

new text begin (c) As a condition of participation, a lead agency shall provide expedited review and
approval for service authorizations, provide evidence-based cost data and quality analysis
to the commissioner, and collect stakeholder feedback on the use of technology systems
from home and community-based waiver services recipients, family caregivers, and any
other interested partners.
new text end

Sec. 2. new text begin TECHNOLOGY SYSTEMS DEMONSTRATION; IMPLEMENTATION
TIMELINES, STAKEHOLDER INPUT, AND OUTCOMES REPORTING.
new text end

new text begin (a) By October 1, 2024, the commissioner of human services shall approve one or more
risk-based demonstration partnerships described in Minnesota Statutes, section 256B.4905,
subdivision 13, for services beginning January 1, 2025, for medical assistance home and
community-based waiver services recipients in at least five counties.
new text end

new text begin (b) The commissioner may use the existing waiver gaps analysis, as described in
Minnesota Statutes, section 144A.351, to conduct ongoing stakeholder input and feedback
on the potential for using technology to meet identified service gaps.
new text end

new text begin (c) The commissioner may report back to the legislative committees with jurisdiction
over human services policy and finance on the evaluation, outcomes, and results of
demonstrations established under Minnesota Statutes, section 256B.4905, subdivision 13,
including recommendations regarding the impacts, costs, and benefits of expanding the
demonstration to a larger proportion of Medicaid home and community-based waiver services
recipients.
new text end