1E Modifying certain provisions under the medical assistance (MA), general assistance medical care and MinnesotaCare programs; eliminating the requirement for prepaid health plans to notify the ombudsman upon the filing of complaints relating to denial of services; expanding the definition of third party payer under the medical assistance program to entities under contract with recipients to cover medical costs; authorizing the reduction of excess assets for medical assistance eligibility purposes; modifying the monthly deadline for recipient spenddown payments and clarifying the reporting requirements for recipients receiving fixed unearned, excluded or fluctuating low income; providing for the determination of the period of eligibility before application; requiring and providing for notice to the department of human services of monetary claims against persons, entities or corporations liable for medical care costs; expanding medical assistance eligibility for pregnant women; clarifying the exemption from the medical assistance prepayment demonstration project for persons enrolled in cost effective individual health plans; providing GAMC eligibility for individuals refusing to provide a social security number for medical assistance purposes due to religious objections; defining gross individual or gross family income under the MinnesotaCare program and requiring the commissioner of human services to use reasonable methods to calculate gross earned and unearned income; requiring individuals and families applying for MinnesotaCare coverage to provide social security numbers, exempting persons refusing due to religious objections; requiring application for other benefits to be eligible for MinnesotaCare; modifying the effective date of coverage for persons added to families receiving covered health services and for eligibility upon renewal; modifying MinnesotaCare eligibility for certain children; creating an exception to the exclusion of health insurance paid for by medical assistance from the four month requirement; providing for reenrollment of members of the military voluntarily disenrolling due to active duty; requiring determination of the sliding fee scale for premiums payment purposes to be based on the age of monthly gross income; limiting cost liability of the department of human services for persons prevailing in certain actions; requiring the comissioner to develop a planning process to implement an additional managed care arrangement to provide medical assistance services to recipients enrolled in the medical assistance fee for service program, excluding continuing care services and requiring an advisory committee and the seeking of federal funds; requiring the commissioners of health and commerce in consultation with the commissioner of employee relations (DOER) to convene a work group to study health plan coverage of routine care associated with clinical trials, requiring use of the cancer only model voluntary agreement as a starting point for discussions and for the establishment of voluntary agreement guidelines for coverage of costs incurred in all high quality clinical trials, specifying certain work group membership representation requirements and requiring a report to the legislature by a certain date; requiring the commissioner of human services to allow certain exceptions to exceed the state set budget formula for the consumer directed community supports option for home and community based waiver programs for persons with developmental disabilities under certain county of financial responsibility determination conditions, expenses allowed to include costs associated with physical activities to maintain or improve health and functioning, waiver amendment requirement, requiring the commissioner to include in the independent evaluation of the option for persons with disabilities under a certain age ongoing regular participation by stakeholder representatives, recommendations for changes to unallowable items and a review of the statewide caseload changes for disability waiver programs occurring since implementation of the state set budget methodology and report to the legislature by a certain date
(je, ja)