as introduced - 90th Legislature (2017 - 2018) Posted on 02/16/2017 09:11am
Version List Authors and Status
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:
Minnesota Statutes 2016, section 256B.0625, subdivision 56, is amended to
(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.
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(b) Reimbursement must be made in 15-minute increments and allowed for up to 60
days deleted text beginposthospital dischargedeleted text endnew text beginnew text end based upon the specific identified emergency
department visit deleted text beginordeleted text endnew text beginnew text end inpatient admitting eventnew text beginnew text end. In-reach
community-based service coordination shall seek to connect frequent usersnew text beginnew text end 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, deleted text beginanddeleted text end other
nonmedically necessary health care utilizationnew text beginnew text end. 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 new text beginnew text endand for up to a
defined amount of time in the individual's living environment, reducing the individual's
need for readmittancenew text beginnew text end.
(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 deleted text beginsectiondeleted text endnew text beginnew text end 256B.0753deleted text begin,deleted text endnew text beginnew text end 256B.0755deleted text begin, or 256B.0625, subdivision 20deleted text end.
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