SF 302

as introduced - 88th Legislature (2013 - 2014) Posted on 02/08/2013 08:57am

A bill for an act
relating to human services; modifying dental reimbursement provisions;
amending Minnesota Statutes 2012, section 256B.76, subdivision 2.

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

Section 1.

Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:

Subd. 2.

Dental reimbursement.

(a) Effective for services rendered on or after
deleted text begin October 1, 1992 deleted text end new text begin January 1, 2014 new text end , the commissioner shall make payments for dental
services deleted text begin as follows:
deleted text end

deleted text begin (1) dental services shall be paid deleted text end at the lower of new text begin :
new text end

deleted text begin (i) deleted text end new text begin (1) new text end submitted charges deleted text begin , deleted text end new text begin ; new text end or

deleted text begin (ii) 25 percent above the rate in effect on June 30, 1992; and
deleted text end

(2) deleted text begin dental rates shall be converted from the 50th percentile of 1982 to the 50th
percentile of 1989, less the percent in aggregate necessary to equal the above increases deleted text end new text begin 75
percent of the statewide median rate for all charges in effect during calendar year 2011 new text end .

deleted text begin (b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
deleted text end

deleted text begin (c) Effective for services rendered on or after January 1, 2000, payment rates for
dental services shall be increased by three percent over the rates in effect on December
31, 1999.
deleted text end

deleted text begin (d) Effective for services provided on or after January 1, 2002, payment for
diagnostic examinations and dental x-rays provided to children under age 21 shall be the
lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
deleted text end

deleted text begin (e) deleted text end new text begin (b) new text end The deleted text begin increases deleted text end new text begin compensation new text end listed in deleted text begin paragraphs (b) and (c) deleted text end new text begin paragraph (a)
new text end shall be implemented January 1, deleted text begin 2000 deleted text end new text begin 2014 new text end , for managed care.

deleted text begin (f) Effective for dental services rendered on or after October 1, 2010, by a
state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based
on the Medicare principles of reimbursement. This payment shall be effective for services
rendered on or after January 1, 2011, to recipients enrolled in managed care plans or
county-based purchasing plans.
deleted text end

deleted text begin (g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
year, a supplemental state payment equal to the difference between the total payments
in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
services for the operation of the dental clinics.
deleted text end

deleted text begin (h) If the cost-based payment system for state-operated dental clinics described in
paragraph (f) does not receive federal approval, then state-operated dental clinics shall be
designated as critical access dental providers under subdivision 4, paragraph (b), and shall
receive the critical access dental reimbursement rate as described under subdivision 4,
paragraph (a).
deleted text end

deleted text begin (i) Effective for services rendered on or after September 1, 2011, through June 30,
2013, payment rates for dental services shall be reduced by three percent. This reduction
does not apply to state-operated dental clinics in paragraph (f).
deleted text end