HF 2094

as introduced - 87th Legislature (2011 - 2012) Posted on 02/23/2012 02:59pm

A bill for an act
relating to human services; modifying the Minnesota health care program
provider requirements for critical access dental provider clinics; amending
Minnesota Statutes 2011 Supplement, section 256B.76, subdivision 4.

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

Section 1.

Minnesota Statutes 2011 Supplement, section 256B.76, subdivision 4, is
amended to read:

Subd. 4.

Critical access dental providers.

(a) Effective for dental services
rendered on or after January 1, 2002, the commissioner shall increase reimbursements
to dentists and dental clinics deemed by the commissioner to be critical access dental
providers. For dental services rendered on or after July 1, 2007, the commissioner shall
increase reimbursement by 30 percent above the reimbursement rate that would otherwise
be paid to the critical access dental provider. The commissioner shall pay the managed
care plans and county-based purchasing plans in amounts sufficient to reflect increased
reimbursements to critical access dental providers as approved by the commissioner.

(b) The commissioner shall designate the following dentists and dental clinics as
critical access dental providers:

(1) nonprofit community clinics that:

(i) have nonprofit status in accordance with chapter 317A;

(ii) have tax exempt status in accordance with the Internal Revenue Code, section
501(c)(3);

(iii) are established to provide oral health services to patients who are low income,
uninsured, have special needs, and are underserved;

(iv) have professional staff familiar with the cultural background of the clinic's
patients;

(v) charge for services on a sliding fee scale designed to provide assistance to
low-income patients based on current poverty income guidelines and family size;

(vi) do not restrict access or services because of a patient's financial limitations
or public assistance status; and

(vii) have free care available as needed;

(2) federally qualified health centers, rural health clinics, and public health clinics;

(3) county owned and operated hospital-based dental clinics;

(4) a dental clinic or dental group owned and operated by a nonprofit corporation in
accordance with chapter 317A with more than 10,000 patient encounters per year with
patients who are uninsured or covered by medical assistance, general assistance medical
care, or MinnesotaCare; and

(5) a dental clinic owned and operated by the University of Minnesota or the
Minnesota State Colleges and Universities system.

(c) The commissioner may designate a dentist or dental clinic as a critical access
dental provider if the dentist or dental clinic is willing to provide care to patients covered
by medical assistance, general assistance medical care, or MinnesotaCare at a level which
significantly increases access to dental care in the service area.

(d) deleted text begin Notwithstanding paragraph (a), critical access payments must not be made for
dental services provided from April 1, 2010, through June 30, 2010. deleted text end new text begin A dental clinic that
has been designated by the commissioner as a critical access dental provider under this
subdivision may use the director's provider identification number when submitting a claim
for services rendered by a volunteer provider if the following requirements are met:
new text end

new text begin (1) the dental director of the clinic or program is enrolled and has an active
Minnesota health care program provider number;
new text end

new text begin (2) the billed services are performed by a volunteer or team of volunteers who are
licensed and in good standing under chapter 150A;
new text end

new text begin (3) the clinic maintains dental records for each claim submitted that include the
names, license numbers, and signatures of the volunteer dental professionals rendering
each service; and
new text end

new text begin (4) all services billed under the clinic director's provider identification number are
performed under the direction of the clinic or program's dental director.
new text end