HF 984

2nd Engrossment - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:43am

A bill for an act
relating to human services; authorizing medical assistance coverage of primary
care health care providers performing primary caries prevention services as part
of the child and teen checkup program; amending Minnesota Statutes 2008,
section 256B.0625, subdivision 14.

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

Section 1.

Minnesota Statutes 2008, section 256B.0625, subdivision 14, is amended to
read:

Subd. 14.

Diagnostic, screening, and preventive services.

(a) Medical assistance
covers diagnostic, screening, and preventive services.

(b) "Preventive services" include services related to pregnancy, including:

(1) services for those conditions which may complicate a pregnancy and which may
be available to a pregnant woman determined to be at risk of poor pregnancy outcome;

(2) prenatal HIV risk assessment, education, counseling, and testing; and

(3) alcohol abuse assessment, education, and counseling on the effects of alcohol
usage while pregnant. Preventive services available to a woman at risk of poor pregnancy
outcome may differ in an amount, duration, or scope from those available to other
individuals eligible for medical assistance.

(c) "Screening services" include, but are not limited to, blood lead tests.

new text begin (d) The commissioner shall encourage, at the time of the child and teen checkup or
at an episodic care visit, the primary care health care provider to perform primary caries
preventive services. Primary caries preventive services include, at a minimum:
new text end

new text begin (1) a general visual examination of the child's mouth without using probes or other
dental equipment or taking radiographs;
new text end

new text begin (2) a risk assessment using the factors established by the American Academies
of Pediatrics and Pediatric Dentistry; and
new text end

new text begin (3) the application of a fluoride varnish beginning at age 1 to those children assessed
by the provider as being high risk in accordance with best practices as defined by the
Department of Human Services.
new text end

new text begin At each checkup, if primary caries preventive services are provided, the provider must
provide to the child's parent or legal guardian: information on caries etiology and
prevention; and information on the importance of finding a dental home for their child by
the age of 1. The provider must also advise the parent or legal guardian to contact the
child's managed care plan or the Department of Human Services in order to secure a
dental appointment with a dentist. The provider must indicate in the child's medical record
that the parent or legal guardian was provided with this information and document any
primary caries prevention services provided to the child.
new text end