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SF 1003

as introduced - 90th Legislature (2017 - 2018) Posted on 02/16/2017 09:11am

KEY: stricken = removed, old language. underscored = added, new language.

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Current Version - as introduced

A bill for an act
relating to human services; expanding medical assistance coverage to
community-based service coordination in jails;amending Minnesota Statutes 2016,
section 256B.0625, subdivision 56.

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

Section 1.

Minnesota Statutes 2016, section 256B.0625, subdivision 56, is amended to
read:


Subd. 56.

Medical service coordination.

(a)(1) Medical assistance covers in-reach
community-based service coordination that is performed through a hospital emergency
department as an eligible procedure under a state health care program for a frequent user.
A frequent user is defined as an individual who has frequented the hospital emergency
department for services three or more times in the previous four consecutive months. In-reach
community-based service coordination includes navigating services to address a client's
mental health, chemical health, social, economic, and housing needs, or any other activity
targeted at reducing the incidence of emergency room and other nonmedically necessary
health care utilization.

(2) Medical assistance covers in-reach community-based service coordination that is
performed through a hospital emergency department or inpatient psychiatric unit for a child
or young adult up to age 21 with a serious emotional disturbance who has frequented the
hospital emergency room two or more times in the previous consecutive three months or
been admitted to an inpatient psychiatric unit two or more times in the previous consecutive
four months, or is being discharged to a shelter.

(3) Medical assistance covers in-reach community-based service coordination that is
performed at a jail for purposes of diverting a person from being incarcerated. Jail in-reach
community-based service coordination includes navigating services to address a client's
mental health, chemical health, social, economic, and housing needs, or any other activity
targeted at reducing the incidence of jail utilization.

(b) Reimbursement must be made in 15-minute increments and allowed for up to 60
days posthospital discharge postdischarge based upon the specific identified emergency
department visit or, inpatient admitting event, or postarrest prior to incarceration. In-reach
community-based service coordination shall seek to connect frequent users and all users
under paragraph (a), clause (3),
with existing covered services available to them, including,
but not limited to, targeted case management, waiver case management, or care coordination
in a health care home. For children and young adults with a serious emotional disturbance,
in-reach community-based service coordination includes navigating and arranging for
community-based services prior to discharge to address a client's mental health, chemical
health, social, educational, family support and housing needs, or any other activity targeted
at reducing multiple incidents of emergency room use, inpatient readmissions, and other
nonmedically necessary health care utilization, and jail incarceration. In-reach services shall
seek to connect them with existing covered services, including targeted case management,
waiver case management, care coordination in a health care home, children's therapeutic
services and supports, crisis services, and respite care. Eligible in-reach service coordinators
must hold a minimum of a bachelor's degree in social work, public health, corrections, or
a related field. The commissioner shall submit any necessary application for waivers to the
Centers for Medicare and Medicaid Services to implement this subdivision.

(c)(1) For the purposes of this subdivision, "in-reach community-based service
coordination" means the practice of a community-based worker with training, knowledge,
skills, and ability to access a continuum of services, including housing, transportation,
chemical and mental health treatment, employment, education, and peer support services,
by working with an organization's staff to transition an individual back into the individual's
living environment. In-reach community-based service coordination includes working with
the individual during their discharge or postarrest prior to incarceration and for up to a
defined amount of time in the individual's living environment, reducing the individual's
need for readmittance, or reincarceration.

(2) Hospitals utilizing in-reach service coordinators shall report annually to the
commissioner on the number of adults, children, and adolescents served; the postdischarge
services which they accessed; and emergency department/psychiatric hospitalization
readmissions. The commissioner shall ensure that services and payments provided under
in-reach care coordination do not duplicate services or payments provided under section
sections
256B.0753, and 256B.0755, or 256B.0625, subdivision 20.

(3) Providers of in-reach service coordination in jails shall annually report to the
commissioner on the number of individuals served, and number of the community-based
services that were accessed under the individual diversion plan and subsequent to jail
incarceration. The commissioner shall ensure that services and payments provided under
in-reach care coordination do not duplicate services or payments provided under sections
256B.0753 and 256B.0755.

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700 State Office Building, 100 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 ♦ Phone: (651) 296-2868 ♦ TTY: 1-800-627-3529 ♦ Fax: (651) 296-0569