as introduced - 86th Legislature (2009 - 2010) Posted on 05/14/2010 11:51am
A bill for an act
relating to human services; changing provisions for medical assistance; amending
Minnesota Statutes 2008, section 256B.69, by adding a subdivision.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2008, section 256B.69, is amended by adding a
subdivision to read:
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(a) Notwithstanding any other law to the contrary, the
total net income received by a managed care plan for providing covered services under the
medical assistance program must not exceed six percent of the total revenues the managed
care plan receives from the program. For purposes of this paragraph, "net income" means
total revenues received by the managed care plan under the program minus expenses and
other adjustments, all as required to be defined for purposes of the managed care plan's
annual statement of revenue, expenses, and net income, prepared using the appropriate
National Association of Insurance Commissioners Blank and related instructions for
health maintenance organizations, as required and amended by Minnesota Rules, part
4685.1940. The managed care plan shall refund any amounts of net income in excess of
six percent to the commissioner, no later than 30 days after the end of each month.
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(b) For services rendered under paragraph (a), allowable administrative costs for a
managed care plan are the per-enrollee dollar amount allowed in 2009.
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(c) The commissioner shall deposit in the general fund all savings in costs to the
state achieved under this subdivision.
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This section is effective the day following final enactment.
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