Minnesota Legislature
HF 636
1st Engrossment - 85th Legislature (2007 - 2008) Posted on 12/15/2009 12:00am
Bill Text Versions
| Engrossments | ||
|---|---|---|
| Introduction | Posted on 02/02/2007 | |
| 1st Engrossment | Posted on 03/12/2007 |
Current Version - 1st Engrossment
1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27
A bill for an act
relating to human services; modifying the definition of participation in a state
health care program for certain pediatric dentists; amending Minnesota Statutes
2006, section 256B.0644.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2006, section 256B.0644, is amended to read:
256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
PROGRAMS.
new text begin (a) new text end A vendor of medical care, as defined in section 256B.02, subdivision 7, and a
health maintenance organization, as defined in chapter 62D, must participate as a provider
or contractor in the medical assistance program, general assistance medical care program,
and MinnesotaCare as a condition of participating as a provider in health insurance plans
and programs or contractor for state employees established under section 43A.18, the
public employees insurance program under section 43A.316, for health insurance plans
offered to local statutory or home rule charter city, county, and school district employees,
the workers' compensation system under section 176.135, and insurance plans provided
through the Minnesota Comprehensive Health Association under sections 62E.01 to
62E.19. The limitations on insurance plans offered to local government employees shall
not be applicable in geographic areas where provider participation is limited by managed
care contracts with the Department of Human Services.
new text begin (b) new text end For providers other than health maintenance organizations, participation in the
medical assistance program means thatnew text begin :
new text end
(1) the provider accepts new medical assistance, general assistance medical care,
and MinnesotaCare patients deleted text begin ordeleted text end new text begin ;new text end
(2) for providers other than dental service providers, at least 20 percent of the
provider's patients are covered by medical assistance, general assistance medical care, and
MinnesotaCare as their primary source of coveragedeleted text begin , ordeleted text end new text begin ; ornew text end
(3) for dental service providers, at least ten percent of the provider's patients are
covered by medical assistance, general assistance medical care, and MinnesotaCare as
their primary source of coveragenew text begin , or the provider accepts new medical assistance and
MinnesotaCare patients who are children with special health care needs. For purposes
of this section, "children with special health care needs" means children up to age 18
who: (i) require health and related services beyond that required by children generally;
and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional
condition, including: bleeding and coagulation disorders; immunodeficiency disorders;
cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other
neurological diseases; visual impairment or deafness; Down syndrome and other genetic
disorders; autism; fetal alcohol syndrome; and other conditions designated by the
commissioner after consultation with representatives of pediatric dental providers and
consumersnew text end .
new text begin (c) new text end Patients seen on a volunteer basis by the provider at a location other than the
provider's usual place of practice may be considered in meeting deleted text begin thisdeleted text end new text begin thenew text end participation
requirementnew text begin in this sectionnew text end . The commissioner shall establish participation requirements
for health maintenance organizations. The commissioner shall provide lists of
participating medical assistance providers on a quarterly basis to the commissioner of
employee relations, the commissioner of labor and industry, and the commissioner of
commerce. Each of the commissioners shall develop and implement procedures to exclude
as participating providers in the program or programs under their jurisdiction those
providers who do not participate in the medical assistance program. The commissioner
of employee relations shall implement this section through contracts with participating
health and dental carriers.