HF 2231

1st Engrossment - 91st Legislature (2019 - 2020) Posted on 03/28/2019 03:37pm

A bill for an act
relating to human services; modifying rates for substance use treatment; directing
commissioner of human services to establish continuum of care-based rate
methodology; requiring a report; amending Minnesota Statutes 2018, section
254B.12, subdivision 3.

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

Section 1.

Minnesota Statutes 2018, section 254B.12, subdivision 3, is amended to read:

Subd. 3.

Chemical dependency provider rate increase.

For the chemical dependency
services listed in section 254B.05, subdivision 5, and provided on or after July 1, deleted text begin 2017 deleted text end new text begin 2019 new text end ,
payment rates shall be increased by deleted text begin one deleted text end new text begin ....... new text end percent over the rates in effect on January 1,
deleted text begin 2017 deleted text end new text begin 2019 new text end , for vendors who meet the requirements of section 254B.05.

Sec. 2. new text begin DIRECTION TO COMMISSIONER; CONTINUUM OF CARE-BASED
RATE METHODOLOGY.
new text end

new text begin Subdivision 1. new text end

new text begin Rate methodology. new text end

new text begin (a) The commissioner of human services shall develop
a comprehensive rate methodology for the consolidated chemical dependency treatment
fund that reimburses substance use disorder treatment providers for the full continuum of
care. The continuum of care-based rate methodology must replace the current rates with a
uniform statewide methodology that accurately reflects provider expenses for providing
required elements of substance use disorder outpatient and residential services.
new text end

new text begin (b) The continuum of care-based rate methodology must include:
new text end

new text begin (1) payment methodologies for substance use disorder treatment services provided under
the consolidated chemical dependency treatment fund: (i) by a state-operated vendor and,
if the criteria for patient placement is equivalent, by private vendors; or (ii) for persons who
have been civilly committed to the commissioner, present the most complex and difficult
care needs, and are a potential threat to the community;
new text end

new text begin (2) compensation to providers who provide culturally competent consultation resources;
and
new text end

new text begin (3) cost-based reimbursement for substance use disorder providers that use sustainable
business models that individualize care and retain individuals in ongoing care at the lowest
medically appropriate level.
new text end

new text begin (c) The commissioner of human services may contract with a health care policy consultant
or other entity to:
new text end

new text begin (1) provide stakeholder facilitation and provider outreach services to develop the
continuum of care-based rate methodology; and
new text end

new text begin (2) provide technical services to develop the continuum of care-based rate methodology.
new text end

new text begin (d) The commissioner of human services must develop comprehensive substance use
disorder billing guidance for the continuum of care-based rate methodology.
new text end

new text begin (e) In developing the continuum of care-based rate methodology, the commissioner of
human services must consult with the following stakeholders:
new text end

new text begin (1) representatives of at least one provider operating residential treatment services, one
provider operating out-patient treatment services, one provider operating an opioid treatment
program, and one provider operating both residential and out-patient treatment services;
new text end

new text begin (2) representatives of providers who operate in the seven-county metropolitan area and
providers who operate in greater Minnesota; and
new text end

new text begin (3) representatives of both for-profit and nonprofit providers.
new text end

new text begin Subd. 2. new text end

new text begin Reports. new text end

new text begin (a) By November 1, 2020, the commissioner of human services shall
report to the legislature on any modifications to the licensure standards necessary to align
provider qualifications with the continuum of care-based rate methodology.
new text end

new text begin (b) The commissioner of human services shall propose legislation for the 2021 legislative
session necessary to fully implement the continuum of care-based rate methodology.
new text end