HF 3847

as introduced - 86th Legislature (2009 - 2010) Posted on 05/13/2010 08:51am

A bill for an act
relating to human services; establishing a proposal to provide grants to
organizations providing care coordination services to medical assistance
recipients with HIV or who are at risk of contracting HIV; appropriating money;
proposing coding for new law in Minnesota Statutes, chapter 256B.

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

Section 1.

new text begin [256B.0757] HIV CARE COORDINATION GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Grants. new text end

new text begin The commissioner shall award grants to providers, including
nonprofit organizations and public health agencies, for the provision of needs assessments
and early intervention services; assistance in procuring financial, medical, legal, social,
and pastoral services; counseling and therapy; home care services and supplies; advocacy;
and case management services to individuals who have the human immunodeficiency virus
(HIV) or who are at risk of contracting HIV and who are eligible for medical assistance.
new text end

new text begin Subd. 2. new text end

new text begin HIV care coordination. new text end

new text begin (a) For purposes of this subdivision, "care
coordination" includes coordination of outpatient medical care, specialty care, inpatient
care, dental care, mental health care, and medical case management.
new text end

new text begin (b) The commissioner shall increase medical assistance reimbursement to each
provider that receives a grant under subdivision 1 and meets one of the following:
new text end

new text begin (1) the provider is recognized by the National Committee on Quality Assurance as a
patient-centered medical home; or
new text end

new text begin (2) the commissioner determines that the provider meets the following aspects of
care:
new text end

new text begin (i) adoption of written standards for patient access and patient communication;
new text end

new text begin (ii) use of data to show that standards for patient access and patient communication
are satisfied;
new text end

new text begin (iii) use of paper or electronic charting tools to organize clinical information;
new text end

new text begin (iv) use of data to identify diagnoses and conditions among the provider's patients
that have a lasting detrimental effect on health;
new text end

new text begin (v) adoption and implementation of guidelines that are based on evidence for
treatment and management of HIV-related conditions;
new text end

new text begin (vi) active support of patient self-management;
new text end

new text begin (vii) systematic tracking of patient test results and systematic identification of
patient test results that are abnormal;
new text end

new text begin (viii) systematic tracking of referrals using a paper or electronic system;
new text end

new text begin (ix) measuring the quality of the performance of the provider and of individuals who
perform services on behalf of the provider, including with respect to provision of clinical
services, patient outcomes, and patient safety; and
new text end

new text begin (x) reporting to employees and contractors of the provider and to other persons on
the quality of the performance of the provider and of individuals who perform services
on behalf of the provider.
new text end

new text begin (c) The proposal must specify increases in reimbursement rates for providers that
satisfy the conditions under paragraph (b), and must provide for payment of a monthly
per-patient care coordination fee to those providers. The commissioner shall set the
increases in reimbursement rates and the monthly per-patient care coordination fee so that
together they provide sufficient incentive for providers to satisfy one of the conditions
under paragraph (b). The proposal must specify effective dates for the increases in
reimbursement rates and the monthly per-patient care coordination fee that are no sooner
than July 1, 2011.
new text end

new text begin (d) The commissioner shall, subject to federal approval, implement the proposal
beginning July 1, 2011.
new text end

new text begin (e) The commissioner shall apply to the federal government for all applicable grants
and demonstrations under the Patient Protection and Affordable Health Care Act, Public
Law 111-148, that would provide federal funding for care coordination demonstration
projects or higher federal match for care coordination fees.
new text end

Sec. 2. new text begin APPROPRIATIONS.
new text end

new text begin $....... is appropriated in fiscal year 2011 from the general fund to the commissioner
of human services to award as grants in accordance with Minnesota Statutes, section
256B.0757.
new text end