HF 1124

as introduced - 82nd Legislature (2001 - 2002) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act
  1.2             relating to human services; adjusting inpatient 
  1.3             hospital rates for certain diagnosis-related groups 
  1.4             for facilities located outside of the metropolitan 
  1.5             area; amending Minnesota Statutes 2000, section 
  1.6             256.969, by adding a subdivision. 
  1.7   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.8      Section 1.  Minnesota Statutes 2000, section 256.969, is 
  1.9   amended by adding a subdivision to read: 
  1.10     Subd. 26.  [GREATER MINNESOTA PAYMENT ADJUSTMENT AFTER JUNE 
  1.11  30, 2001.] (a) For admissions occurring after June 30, 2001, the 
  1.12  commissioner shall pay all medical assistance inpatient 
  1.13  fee-for-service admissions for the diagnosis-related groups 
  1.14  specified in paragraph (b) at hospitals located outside of the 
  1.15  seven-county metropolitan area at the higher of:  
  1.16     (1) the hospital's current payment rate for the diagnostic 
  1.17  category to which the diagnosis-related group belongs, exclusive 
  1.18  of disproportionate population adjustments received under 
  1.19  subdivision 9 and hospital payment adjustments received under 
  1.20  subdivision 23; or 
  1.21     (2) the average payment rate for that diagnostic category 
  1.22  for hospitals located within the seven-county metropolitan area, 
  1.23  exclusive of disproportionate population adjustments received 
  1.24  under subdivision 9 and hospital payment adjustments received 
  1.25  under subdivision 23. 
  1.26     (b) The reimbursement increases provided in paragraph (a) 
  2.1   apply to the following diagnosis-related groups as they fall 
  2.2   within the diagnostic categories: 
  2.3      (1) 370 C-section with complicating diagnosis; 
  2.4      (2) 371 C-section without complicating diagnosis; 
  2.5      (3) 372 vaginal delivery with complicating diagnosis; 
  2.6      (4) 373 vaginal delivery without complicating diagnosis; 
  2.7      (5) 386 extreme immaturity, weight greater than 1,500 
  2.8   grams; 
  2.9      (6) 388 full-term neonates with other problems; 
  2.10     (7) 390 prematurity without major problems; 
  2.11     (8) 391 normal newborn case; 
  2.12     (9) 385 neonate, died or transferred to another health care 
  2.13  facility; 
  2.14     (10) 425 acute adjustment reaction and psychosocial 
  2.15  dysfunctioning; 
  2.16     (11) 430 psychosis; 
  2.17     (12) 431 childhood mental disorders; and 
  2.18     (13) 164-167 appendectomy.