HF 438

as introduced - 80th Legislature (1997 - 1998) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to human services; exempting dentists from 
  1.3             the state health care program participation 
  1.4             requirement; amending Minnesota Statutes 1996, section 
  1.5             256B.0644. 
  1.6   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.7      Section 1.  Minnesota Statutes 1996, section 256B.0644, is 
  1.8   amended to read: 
  1.9      256B.0644 [PARTICIPATION REQUIRED FOR REIMBURSEMENT UNDER 
  1.10  OTHER STATE HEALTH CARE PROGRAMS.] 
  1.11     A vendor of medical care, as defined in section 256B.02, 
  1.12  subdivision 7, and a health maintenance organization, as defined 
  1.13  in chapter 62D, must participate as a provider or contractor in 
  1.14  the medical assistance program, general assistance medical care 
  1.15  program, and MinnesotaCare as a condition of participating as a 
  1.16  provider in health insurance plans and programs or contractor 
  1.17  for state employees established under section 43A.18, the public 
  1.18  employees insurance program under section 43A.316, for health 
  1.19  insurance plans offered to local statutory or home rule charter 
  1.20  city, county, and school district employees, the workers' 
  1.21  compensation system under section 176.135, and insurance plans 
  1.22  provided through the Minnesota comprehensive health association 
  1.23  under sections 62E.01 to 62E.16.  Dentists licensed under 
  1.24  chapter 150A are not considered vendors of medical care for 
  1.25  purposes of this section and are exempt from the requirements of 
  2.1   this section.  The limitations on insurance plans offered to 
  2.2   local government employees shall not be applicable in geographic 
  2.3   areas where provider participation is limited by managed care 
  2.4   contracts with the department of human services.  For providers 
  2.5   other than health maintenance organizations, participation in 
  2.6   the medical assistance program means that (1) the provider 
  2.7   accepts new medical assistance, general assistance medical care, 
  2.8   and MinnesotaCare patients or (2) at least 20 percent of the 
  2.9   provider's patients are covered by medical assistance, general 
  2.10  assistance medical care, and MinnesotaCare as their primary 
  2.11  source of coverage.  The commissioner shall establish 
  2.12  participation requirements for health maintenance 
  2.13  organizations.  The commissioner shall provide lists of 
  2.14  participating medical assistance providers on a quarterly basis 
  2.15  to the commissioner of employee relations, the commissioner of 
  2.16  labor and industry, and the commissioner of commerce.  Each of 
  2.17  the commissioners shall develop and implement procedures to 
  2.18  exclude as participating providers in the program or programs 
  2.19  under their jurisdiction those providers who do not participate 
  2.20  in the medical assistance program.  The commissioner of employee 
  2.21  relations shall implement this section through contracts with 
  2.22  participating health and dental carriers.