HF 1305

as introduced - 79th Legislature (1995 - 1996) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to human services; downsizing certain 
  1.3             facilities for persons with developmental disabilities.
  1.4   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.5      Section 1.  [FACILITIES FOR PERSONS WITH DEVELOPMENTAL 
  1.6   DISABILITIES; DOWNSIZE.] 
  1.7      Subdivision 1.  [DECERTIFICATION; DOWNSIZING.] The 
  1.8   commissioner of human services shall approve decertification for 
  1.9   up to 48 ICF/MR beds resulting in partial license reductions for 
  1.10  five facilities located in Olmsted, Wabasha, Dakota, and 
  1.11  Fillmore counties.  Downsizing plans shall be determined in 
  1.12  accordance with Minnesota Statutes, section 252.28, including 
  1.13  criteria for determining how individuals to be relocated are 
  1.14  selected for alternative services.  The plans shall include: 
  1.15     (1) alternative services for the people being relocated; 
  1.16     (2) time lines for reallocating and decertification; and 
  1.17     (3) each facility's aggregate investment-per-bed limit 
  1.18  before downsizing which is their aggregate investment-per-bed 
  1.19  limit during and after downsizing. 
  1.20     Subd. 2.  [PAYMENT RATE ADJUSTMENT; TOTAL REVENUE.] (a) 
  1.21  Each facility, licensed for more than 16 beds, may request a 
  1.22  payment rate adjustment four times during the downsizing period 
  1.23  to reflect the changes expected in costs and resident days.  The 
  1.24  department of human services shall review each request for 
  2.1   compliance with the reimbursement rule to determine an allowed 
  2.2   payment rate.  The allowed payment rate shall be subjected to 
  2.3   the total revenue test.  Total revenue before downsizing must be 
  2.4   prorated down to reflect the time period covered by the rate 
  2.5   adjustment request.  If the allowed payment rate requested 
  2.6   produces revenue in excess of the prorated revenue amount, the 
  2.7   excess shall be divided by resident days for the request period 
  2.8   and deducted from the allowed requested payment rate adjustment. 
  2.9      (b) After the downsizing is completed, all facilities 
  2.10  regardless of license capacity must file a cost report covering 
  2.11  the downsizing period.  This report will be desk audited to 
  2.12  determine an allowed payment rate for the downsizing period.  
  2.13  This settle-up payment rate must also be subjected to the total 
  2.14  revenue test.  If the downsizing period is not a one-year 
  2.15  period, the total revenue test will be prorated to reflect the 
  2.16  actual length of the downsizing period. 
  2.17     (c) Total revenue before downsizing is determined by 
  2.18  multiplying the payment rate in effect the day before the 
  2.19  downsizing period begins by the number of resident days for the 
  2.20  reporting year preceding the start of the downsizing project. 
  2.21     Subd. 3.  [MEDICAL ASSISTANCE RATE.] For purposes of this 
  2.22  project, the medical assistance rate for home and 
  2.23  community-based services must not exceed an average of $250.