1.1 	A bill for an act
1.2 	relating to human services; modifying dental reimbursement for the medical 
1.3 	assistance program; amending Minnesota Statutes 2010, section 256B.76, 
1.4 	subdivision 2.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2010, section 256B.76, subdivision 2, is amended to read:
1.7 		Subd. 2.Dental reimbursement.  (a) Effective for services rendered on or after 
1.8 	October 1, 1992, the commissioner shall make payments for dental services as follows:
1.9 	(1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25 
1.10 	percent above the rate in effect on June 30, 1992; and
1.11 	(2) dental rates shall be converted from the 50th percentile of 1982 to the 50th 
1.12 	percentile of 1989, less the percent in aggregate necessary to equal the above increases.
1.13 	(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments 
1.14 	shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
1.15 	(c) Effective for services rendered on or after January 1, 2000, payment rates for 
1.16 	dental services shall be increased by three percent over the rates in effect on December 
1.17 	31, 1999.
1.18 	(d) Effective for services provided on or after January 1, 2002, payment for 
1.19 	diagnostic examinations and dental x-rays provided to children under age 21 shall be the 
1.20 	lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
1.21 	(e) Effective for services provided on or after January 1, 2012, payment rates for 
1.22 	dental services shall be the lower of:
2.1 	(1) 70 percent of the statewide average dental fee based on a statewide dental fee 
2.2 	schedule set at the 80th percentile of the Ingenix table of dental fees for Minnesota in 
2.3 	2010; or
2.4 	(2) the submitted charge.
2.5 	(f) The ~~increases~~increase listed in ~~paragraphs (b) and (c)~~paragraph (e) shall be 
2.6 	implemented January 1, ~~2000~~ 2012, for managed care.
2.7 	~~(f)~~(g) Effective for dental services rendered on or after October 1, 2010, by a 
2.8 	state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based 
2.9 	on the Medicare principles of reimbursement. This payment shall be effective for services 
2.10 	rendered on or after January 1, 2011, to recipients enrolled in managed care plans or 
2.11 	county-based purchasing plans.
2.12 	~~(g)~~(h) Beginning in fiscal year 2011, if the payments to state-operated dental clinics 
2.13 	in paragraph ~~(f)~~ (g), including state and federal shares, are less than $1,850,000 per fiscal 
2.14 	year, a supplemental state payment equal to the difference between the total payments 
2.15 	in paragraph ~~(f)~~(g) and $1,850,000 shall be paid from the general fund to state-operated 
2.16 	services for the operation of the dental clinics.
2.17 	~~(h)~~(i) If the cost-based payment system for state-operated dental clinics described 
2.18 	in paragraph ~~(f)~~(g) does not receive federal approval, then state-operated dental clinics 
2.19 	shall be designated as critical access dental providers under subdivision 4, paragraph 
2.20 	(b), and shall receive the critical access dental reimbursement rate as described under 
2.21 	subdivision 4, paragraph (a).