HF 619

as introduced - 88th Legislature (2013 - 2014) Posted on 03/13/2013 11:18am

A bill for an act
relating to human services; modifying medical assistance payment procedures
for multiple services provided on the same day; modifying the health care home
certification process for federally qualified health centers; amending Minnesota
Statutes 2012, sections 256B.0625, by adding a subdivision; 256B.0751,
subdivision 4.

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

Section 1.

Minnesota Statutes 2012, section 256B.0625, is amended by adding a
subdivision to read:

new text begin Subd. 61. new text end

new text begin Payment for multiple services provided on the same day. new text end

new text begin The
commissioner shall not prohibit payment, including supplemental payments, for mental
health services or dental services provided to a patient by a clinic or health care
professional solely because the mental health or dental services were provided on the same
day as other covered health services furnished by the same provider.
new text end

Sec. 2.

Minnesota Statutes 2012, section 256B.0751, subdivision 4, is amended to read:

Subd. 4.

Alternative models and waivers of requirements.

(a) Nothing in this
section shall preclude the continued development of existing medical or health care
home projects currently operating or under development by the commissioner of human
services or preclude the commissioner from establishing alternative models and payment
mechanisms for persons who are enrolled in integrated Medicare and Medicaid programs
under section 256B.69, subdivisions 23 and 28, are enrolled in managed care long-term
care programs under section 256B.69, subdivision 6b, are dually eligible for Medicare and
medical assistance, are in the waiting period for Medicare, or who have other primary
coverage.

(b) The commissioner of health shall waive health care home certification
requirements if an applicant demonstrates that compliance with a certification requirement
will create a major financial hardship or is not feasible, and the applicant establishes an
alternative way to accomplish the objectives of the certification requirement.

new text begin (c) The commissioner of health shall modify the health care homes application for
certification to add an item allowing an applicant to indicate status as a federally qualified
health center, as defined in section 145.9269, subdivision 1, or a federally qualified health
center look-alike. The commissioner shall certify, as a health care home, each applicant
that indicates this status on a completed application for certification, without requiring
the applicant to meet the standards in Minnesota Rules, part 4764.0040. In order to
retain certification, a federally qualified health center or federally qualified health center
look-alike certified under this paragraph must seek annual recertification by submitting a
letter of intent stating its desire to be recertified but is not required to meet the standards
for recertification in Minnesota Rules, part 4764.0040.
new text end