HF 2769

as introduced - 88th Legislature (2013 - 2014) Posted on 03/06/2014 01:12pm

A bill for an act
relating to human services; requiring state prepaid health care programs to
contract for services on a single-plan basis; requiring a report; amending
Minnesota Statutes 2012, section 256B.69, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2012, section 256B.69, is amended by adding a
subdivision to read:

new text begin Subd. 35. new text end

new text begin Single-plan contracts. new text end

new text begin (a) The commissioner, by January 1, 2016, or
upon federal approval, whichever is later, shall provide the services required under this
section and section 256L.12 through managed care or county-based purchasing plans on a
county by county, single-plan basis. The commissioner shall exempt services provided
under the Minnesota senior health options and Minnesota disability health options
programs, and services provided to persons with disabilities by Medicare-approved special
needs plans under subdivision 28, from the requirements of this subdivision.
new text end

new text begin (b) The commissioner shall issue a request for proposals by January 1, 2015, to
provide prepaid medical assistance and prepaid MinnesotaCare services in each county.
The request for proposals must specify the eligibility groups and subgroups for which
plans may submit monthly capitation rate bids. The monthly capitation bid must cover all
services required under this section and section 256L.12.
new text end

new text begin (c) The commissioner shall award a two-year single-plan contract to provide
services in each county to the plan submitting the proposal with the best value, based upon
an evaluation of relative cost and quality and consumer satisfaction. The amount of the
winning capitation bid is public information.
new text end

new text begin (d) The plan awarded the contract must provide the commissioner with information
on provider payment rates, in the form and manner specified by the commissioner. The
commissioner shall make this information available to the public and interested parties.
new text end

new text begin (e) The commissioner shall present to the legislature, by February 1, 2015, an
implementation plan and draft legislation containing any statutory changes necessary to
implement this subdivision.
new text end

new text begin (f) The commissioner shall seek all federal waivers and approvals necessary
to provide services through single-plan contracts in counties defined as metropolitan
statistical areas, and to otherwise implement this subdivision.
new text end