SF 3170

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/02/2025 10:10 a.m.

A bill for an act
relating to human services; requiring Tribally licensed residential substance use
disorder treatment providers to enroll in the substance use disorder demonstration
project; amending Minnesota Statutes 2024, section 256B.0759, subdivision 2.

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

Section 1.

Minnesota Statutes 2024, section 256B.0759, subdivision 2, is amended to read:

Subd. 2.

Provider participation.

(a) Programs licensed by the Department of Human
Services as nonresidential substance use disorder treatment programs that receive payment
under this chapter must enroll as demonstration project providers and meet the requirements
of subdivision 3 by January 1, 2025. Programs that do not meet the requirements of this
paragraph are ineligible for payment for services provided under section 256B.0625.

(b) Programs licensed by the Department of Human Services as residential treatment
programs according to section 245G.21 that receive payment under this chapter must enroll
as demonstration project providers and meet the requirements of subdivision 3 by January
1, 2024. Programs that do not meet the requirements of this paragraph are ineligible for
payment for services provided under section 256B.0625.

(c) Programs licensed by the Department of Human Services as residential treatment
programs according to section 245G.21 that receive payment under this chapter, are licensed
as a hospital under sections 144.50 to 144.581, and provide only ASAM 3.7 medically
monitored inpatient level of care are not required to enroll as demonstration project providers.
Programs meeting these criteria must submit evidence of providing the required level of
care to the commissioner to be exempt from enrolling in the demonstration.

(d) Programs licensed by the Department of Human Services as withdrawal management
programs according to chapter 245F that receive payment under this chapter must enroll as
demonstration project providers and meet the requirements of subdivision 3 by January 1,
2024. Programs that do not meet the requirements of this paragraph are ineligible for payment
for services provided under section 256B.0625.

(e) Out-of-state residential substance use disorder treatment programs that receive
payment under this chapter must enroll as demonstration project providers and meet the
requirements of subdivision 3 by January 1, 2024. Programs that do not meet the requirements
of this paragraph are ineligible for payment for services provided under section 256B.0625.

(f) Tribally licensed programs new text begin , except Tribally licensed residential treatment programs, new text end
may elect to participate in the demonstration project and meet the requirements of subdivision
3. The Department of Human Services must consult with Tribal Nations to discuss
participation new text begin of nonresidential programs new text end in the substance use disorder demonstration project. new text begin
Tribally licensed residential treatment programs must enroll as demonstration project
providers and meet the requirements of subdivision 3 by January 1, 2028. Residential
treatment programs that do not meet the requirements of this paragraph are ineligible for
payment for services provided under section 256B.0625.
new text end

(g) The commissioner shall allow providers enrolled in the demonstration project before
July 1, 2021, to receive applicable rate enhancements authorized under subdivision 4 for
all services provided on or after the date of enrollment, except that the commissioner shall
allow a provider to receive applicable rate enhancements authorized under subdivision 4
for services provided on or after July 22, 2020, to fee-for-service enrollees, and on or after
January 1, 2021, to managed care enrollees, if the provider meets all of the following
requirements:

(1) the provider attests that during the time period for which the provider is seeking the
rate enhancement, the provider took meaningful steps in their plan approved by the
commissioner to meet the demonstration project requirements in subdivision 3; and

(2) the provider submits attestation and evidence, including all information requested
by the commissioner, of meeting the requirements of subdivision 3 to the commissioner in
a format required by the commissioner.

(h) The commissioner may recoup any rate enhancements paid under paragraph (g) to
a provider that does not meet the requirements of subdivision 3 by July 1, 2021.