as introduced - 82nd Legislature (2001 - 2002) Posted on 12/15/2009 12:00am
1.1 A bill for an act 1.2 relating to human services; adjusting inpatient 1.3 hospital rates for certain diagnosis-related groups 1.4 for facilities located outside of the metropolitan 1.5 area; amending Minnesota Statutes 2000, section 1.6 256.969, by adding a subdivision. 1.7 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.8 Section 1. Minnesota Statutes 2000, section 256.969, is 1.9 amended by adding a subdivision to read: 1.10 Subd. 26. [GREATER MINNESOTA PAYMENT ADJUSTMENT AFTER JUNE 1.11 30, 2001.] (a) For admissions occurring after June 30, 2001, the 1.12 commissioner shall pay all medical assistance inpatient 1.13 fee-for-service admissions for the diagnosis-related groups 1.14 specified in paragraph (b) at hospitals located outside of the 1.15 seven-county metropolitan area at the higher of: 1.16 (1) the hospital's current payment rate for the diagnostic 1.17 category to which the diagnosis-related group belongs, exclusive 1.18 of disproportionate population adjustments received under 1.19 subdivision 9 and hospital payment adjustments received under 1.20 subdivision 23; or 1.21 (2) the average payment rate for that diagnostic category 1.22 for hospitals located within the seven-county metropolitan area, 1.23 exclusive of disproportionate population adjustments received 1.24 under subdivision 9 and hospital payment adjustments received 1.25 under subdivision 23. 1.26 (b) The reimbursement increases provided in paragraph (a) 2.1 apply to the following diagnosis-related groups as they fall 2.2 within the diagnostic categories: 2.3 (1) 370 C-section with complicating diagnosis; 2.4 (2) 371 C-section without complicating diagnosis; 2.5 (3) 372 vaginal delivery with complicating diagnosis; 2.6 (4) 373 vaginal delivery without complicating diagnosis; 2.7 (5) 386 extreme immaturity, weight greater than 1,500 2.8 grams; 2.9 (6) 388 full-term neonates with other problems; 2.10 (7) 390 prematurity without major problems; 2.11 (8) 391 normal newborn case; 2.12 (9) 385 neonate, died or transferred to another health care 2.13 facility; 2.14 (10) 425 acute adjustment reaction and psychosocial 2.15 dysfunctioning; 2.16 (11) 430 psychosis; 2.17 (12) 431 childhood mental disorders; and 2.18 (13) 164-167 appendectomy.