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SF 3322 Senate Long Description

4E Relating to human services; improving management of state health care programs; providing for the classification of data provided to the commissioner of human services by managed care plans; modifying managed care contract provisions to include the attainment of performance targets; limiting managed care administrative expenses; providing for the treatment of investment earnings; requiring administrative expense reporting; requiring the reporting of provider payment rates; requiring counties electing to purchase medical assistance (MA) and general assistance medical care (GAMC) to satisfy the commissioner of health of the requirements for assurance of fiscal solvency applicable to health maintenance organizations, requiring the commissioner to collect from county-based purchasing plans certain fees; providing for the expenditure of revenues; requiring managed care plans to demonstrate submitted data regarding attainment of performance targets accuracy; requiring the commissioner to continue to use single-health plan, county-based purchasing arrangements for medical assistance and general assistance medical care programs and products for counties in single-health plan, county-based purchasing arrangements, clarifying applicability; requiring the commissioner of human services to report to the legislature on the financial management of health care programs; requiring the commissioner of health to report to the legislature by a certain date on certain health plan and county based purchasing requirements; requiring the commissioner of human services to report to the legislature by a certain date on the expansion of the duties of the ombudsman for managed care; requiring the commissioner of human services in cooperation with the commissioner of health to report by a certain date on recommendations on the adoption of a single method to compute and publicly report managed health care performance measures; requiring the commissioner of human services to explore the feasibility of using or coordinating with the credentialing collaborative among payers, providers and hospitals in order to streamline the provider enrollment process for Minnesota health care programs, legislative report requirement; increasing the health maintenance organization renewal fee; appropriating money to the commissioners of health and human services for implementation, studies and reporting
(Ch. 364, 2008)