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HF 921

1st Engrossment - 91st Legislature (2019 - 2020) Posted on 04/01/2019 05:39pm

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - 1st Engrossment

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A bill for an act
relating to health care; requiring commissioner of human services to contract with
dental administrators to administer dental services to recipients of medical
assistance and MinnesotaCare; proposing coding for new law in Minnesota Statutes,
chapter 256B.

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

Section 1.

new text begin [256B.0375] CONTRACT FOR DENTAL ADMINISTRATION SERVICES.
new text end

new text begin (a) Notwithstanding sections 256B.69 and 256L.12, effective January 1, 2020, the
commissioner shall contract with a dental administrator to administer dental services for
all recipients of medical assistance and MinnesotaCare.
new text end

new text begin (b) The dental administrator must provide administrative services including but not
limited to:
new text end

new text begin (1) provider recruitment, contracting, and assistance;
new text end

new text begin (2) recipient outreach and assistance;
new text end

new text begin (3) utilization management and review for medical necessity of dental services;
new text end

new text begin (4) dental claims processing;
new text end

new text begin (5) coordination with other services;
new text end

new text begin (6) management of fraud and abuse;
new text end

new text begin (7) monitoring of access to dental services;
new text end

new text begin (8) performance measurement;
new text end

new text begin (9) quality improvement and evaluation requirements; and
new text end

new text begin (10) management of third-party liability requirements.
new text end