Minnesota Legislature
HF 2544
as introduced - 93rd Legislature (2023 - 2024) Posted on 03/20/2023 04:50pm
Bill Text Versions
| Engrossments | ||
|---|---|---|
| Introduction | Posted on 03/02/2023 |
Current Version - as introduced
1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 2.31 2.32 3.1 3.2
3.3 3.4
3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31
4.1 4.2
A bill for an act
relating to human services; establishing payment rates for substance use disorder
treatment services with medications for opioid use disorder; proposing coding for
new law in Minnesota Statutes, chapter 254B.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
new text begin
[254B.121] RATE METHODOLOGY; SUBSTANCE USE DISORDER
TREATMENT SERVICES WITH MEDICATIONS FOR OPIOID USE DISORDER.
new text end
new text begin Subdivision 1. new text end
new text begin Rates established. new text end
new text begin
Notwithstanding sections 254B.03, subdivision 9,
paragraph (a), clause (2); 254B.05, subdivision 5, paragraph (a); and 254B.12, subdivision
1, the commissioner shall use the rates in this section for substance use disorder treatment
services with medications for opioid use disorder under section 254B.05, subdivision 5,
paragraph (b), clause (6).
new text end
new text begin Subd. 2. new text end
new text begin Rate updates. new text end
new text begin
Effective each January 1, the commissioner must update the
rates for the services specified in this section to equal the corresponding Minnesota specific
locality adjusted Medicare rates for the same or comparable services in the calendar year
in which the services are provided.
new text end
new text begin Subd. 3. new text end
new text begin No medication bundle. new text end
new text begin
The weekly rate for substance use counseling, individual
and group therapy, and toxicology testing without administering or dispensing a medication
is $194.21.
new text end
new text begin Subd. 4. new text end
new text begin Methadone take-home. new text end
new text begin
The weekly rate for dispensing a seven-day take-home
supply of methadone is $39.29.
new text end
new text begin Subd. 5. new text end
new text begin Methadone bundle. new text end
new text begin
The weekly rate for administering or dispensing a seven-day
supply of methadone, substance use counseling, individual and group therapy, and toxicology
testing is $244.56.
new text end
new text begin Subd. 6. new text end
new text begin Naltrexone injectable bundle. new text end
new text begin
For a week in which a naltrexone injection is
administered, the weekly rate for the naltrexone injection, substance use counseling,
individual and group therapy, and toxicology testing is $1,552.69.
new text end
new text begin Subd. 7. new text end
new text begin Buprenorphine take-home. new text end
new text begin
The weekly rate for dispensing a seven-day
take-home supply of buprenorphine is $80.53.
new text end
new text begin Subd. 8. new text end
new text begin Buprenorphine bundle. new text end
new text begin
The weekly rate for administering or dispensing a
seven-day supply of buprenorphine, substance use counseling, individual and group therapy,
and toxicology testing is $285.80.
new text end
new text begin Subd. 9. new text end
new text begin Buprenorphine injectable bundle. new text end
new text begin
For a week in which a buprenorphine
injection is administered, the weekly rate for the buprenorphine injection, substance use
counseling, individual and group therapy, and toxicology testing is $1,948.22.
new text end
new text begin Subd. 10. new text end
new text begin Buprenorphine implant insertion bundle. new text end
new text begin
For a week in which a
buprenorphine implant is inserted, the weekly rate for the buprenorphine implantation,
substance use counseling, individual and group therapy, and toxicology testing is $5,403.44.
new text end
new text begin Subd. 11. new text end
new text begin Buprenorphine implant removal bundle. new text end
new text begin
For a week in which a
buprenorphine implant is removed, the weekly rate for the buprenorphine implant removal,
substance use counseling, individual and group therapy, and toxicology testing is $473.94.
new text end
new text begin Subd. 12. new text end
new text begin Buprenorphine implantation and removal bundle. new text end
new text begin
For a week in which a
buprenorphine implant is both inserted and removed, the weekly rate for the buprenorphine
implantation, implant removal, substance use counseling, individual and group therapy, and
toxicology testing is $5,634.20.
new text end
new text begin Subd. 13. new text end
new text begin Intake activity add-on. new text end
new text begin
For a week in which both substance use disorder
treatment services with medications for opioid use disorder are provided and intake activities
occur, the weekly add-on for the intake activities is $188.99.
new text end
new text begin Subd. 14. new text end
new text begin Periodic assessment add-on. new text end
new text begin
For a week in which both substance use disorder
treatment services with medications for opioid use disorder are provided and a periodic
assessment is conducted, the weekly add-on for the periodic assessment is $116.14.
new text end
new text begin Subd. 15. new text end
new text begin Additional counseling add-on. new text end
new text begin
For a week in which both substance use
disorder treatment services with medications for opioid use disorder are provided and
additional counseling exceeding the minimum number of minutes required under a bundled
rate are provided, the weekly add-on for each additional 30 minutes of counseling is $32.59.
new text end
new text begin EFFECTIVE DATE. new text end
new text begin
This section is effective July 1, 2023, and applies to services
rendered on or after that date.
new text end
Sec. 2.
new text begin
[254B.1215] RATE METHODOLOGY; OFFICE-BASED OPIOID USE
DISORDER TREATMENT.
new text end
new text begin Subdivision 1. new text end
new text begin Rates established. new text end
new text begin
Notwithstanding sections 254B.03, subdivision 9,
paragraph (a), clause (2); 254B.05, subdivision 5, paragraph (a); and 254B.12, subdivision
1, the commissioner shall use the rates in this section for office-based substance use disorder
treatment services with medications for opioid use disorder under section 254B.05,
subdivision 5, paragraph (b), clause (6).
new text end
new text begin Subd. 2. new text end
new text begin Rate updates. new text end
new text begin
The commissioner must update the rates for the services specified
in this section to equal the corresponding Minnesota specific locality adjusted Medicare
rates for the same or comparable services in the calendar year in which the services are
provided.
new text end
new text begin Subd. 3. new text end
new text begin Initial monthly bundle. new text end
new text begin
The initial monthly rate for office-based development
of a treatment plan, care coordination, and at least 70 minutes of individual therapy, group
therapy, or counseling is $430.87.
new text end
new text begin Subd. 4. new text end
new text begin Subsequent monthly bundle. new text end
new text begin
For any month directly following a month in
which a payment was made under this section for services provided to an individual, the
subsequent monthly rate for office-based care coordination and at least 60 minutes of
individual therapy, group therapy, or counseling is $383.45.
new text end
new text begin Subd. 5. new text end
new text begin Presumptive drug tests. new text end
new text begin
The rate for medically necessary presumptive drug
tests to detect the presence or absence of a drug or drug class conducted in conjunction with
office-based substance use disorder treatment services with medications for opioid use
disorder are specified in clauses (1) to (3):
new text end
new text begin
(1) the rate for a presumptive drug test using a device or procedure capable of being
read by direct optical observation is $12.60 per test;
new text end
new text begin
(2) the rate for a presumptive drug test using a device or procedure read by
instrument-assisted direct optical observation is $17.14 per test; and
new text end
new text begin
(3) the rate for a presumptive drug test using a chemistry analyzer is $62.14 per test.
new text end
new text begin EFFECTIVE DATE. new text end
new text begin
This section is effective July 1, 2023, and applies to services
rendered on or after that date.
new text end