1.1 	A bill for an act
1.2 	relating to human services; increasing the medical assistance reimbursement rate 
1.3 	for critical access mental health services provided by certain providers;amending 
1.4 	Minnesota Statutes 2018, section 256B.763.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2018, section 256B.763, is amended to read:
1.7 	256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.
1.8 	(a) For services defined in paragraph (b) and rendered on or after July 1, 2007, payment 
1.9 	rates shall be increased by 23.7 percent over the rates in effect on January 1, 2006, for:
1.10 	(1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;
1.11 	(2) community mental health centers under section 256B.0625, subdivision 5; and
1.12 	(3) mental health clinics and centers certified under Minnesota Rules, parts 9520.0750 
1.13 	to 9520.0870, or hospital outpatient psychiatric departments that are designated as essential 
1.14 	community providers under section 62Q.19.
1.15 	(b) This increase applies to group skills training when provided as a component of 
1.16 	children's therapeutic services and support, psychotherapy, medication management, 
1.17 	evaluation and management, diagnostic assessment, explanation of findings, psychological 
1.18 	testing, neuropsychological services, direction of behavioral aides, and inpatient consultation.
1.19 	(c) This increase does not apply to rates that are governed by section 256B.0625, 
1.20 	subdivision 30, or 256B.761, paragraph (b), other cost-based rates, rates that are negotiated 
1.21 	with the county, rates that are established by the federal government, or rates that increased 
1.22 	between January 1, 2004, and January 1, 2005.
2.1 	(d) The commissioner shall adjust rates paid to prepaid health plans under contract with 
2.2 	the commissioner to reflect the rate increases provided in paragraphs (a), (e), and (f), and 
2.3 	(h). The prepaid health plan must pass this rate increase to the providers identified in 
2.4 	paragraphs (a), (e), (f), and (g), and (h).
2.5 	(e) Payment rates shall be increased by 23.7 percent over the rates in effect on December 
2.6 	31, 2007, for:
2.7 	(1) medication education services provided on or after January 1, 2008, by adult 
2.8 	rehabilitative mental health services providers certified under section 256B.0623; and
2.9 	(2) mental health behavioral aide services provided on or after January 1, 2008, by 
2.10 	children's therapeutic services and support providers certified under section 256B.0943.
2.11 	(f) For services defined in paragraph (b) and rendered on or after January 1, 2008, by 
2.12 	children's therapeutic services and support providers certified under section 256B.0943 and 
2.13 	not already included in paragraph (a), payment rates shall be increased by 23.7 percent over 
2.14 	the rates in effect on December 31, 2007.
2.15 	(g) Payment rates shall be increased by 2.3 percent over the rates in effect on December 
2.16 	31, 2007, for individual and family skills training provided on or after January 1, 2008, by 
2.17 	children's therapeutic services and support providers certified under section 256B.0943.
2.18 	(h) For services described in paragraphs (b), (e), and (g) and rendered on or after July 
2.19 	1, 2017, payment rates for mental health clinics and centers certified under Minnesota Rules, 
2.20 	parts 9520.0750 to 9520.0870, that are not designated as essential community providers 
2.21 	under section 62Q.19 shall be equal to payment rates for mental health clinics and centers 
2.22 	certified under Minnesota Rules, parts 9520.0750 to 9520.0870, that are designated as 
2.23 	essential community providers under section 62Q.19. In order to receive increased payment 
2.24 	rates under this paragraph, a provider must demonstrate a commitment to serve low-income 
2.25 	and underserved populations by:
2.26 	(1) charging for services on a sliding-fee schedule based on current poverty income 
2.27 	guidelines; and
2.28 	(2) not restricting access or services because of a client's financial limitation.
2.29 	(i) Payment rates for services defined in paragraph (b) and rendered on or after January 
2.30 	1, 2020, shall be increased by 23.7 percent over the rates in effect on December 31, 2019, 
2.31 	for critical access services provided by the following noncritical access providers: 
2.32 	independent clinical social workers licensed under chapter 148E; marriage and family 
2.33 	therapists licensed under sections 148B.04 to 148B.39; psychologists licensed under sections 
3.1 	148.88 to 148.98; and professional clinical counselors licensed under sections 148B.50 to 
3.2 	148B.593.