Skip to main content Skip to office menu Skip to footer
Capital IconMinnesota Legislature

SF 1626

2nd Engrossment - 87th Legislature (2011 - 2012) Posted on 04/23/2012 10:02am

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

Current Version - 2nd Engrossment

Line numbers 1.1 1.2 1.3 1.4 1.5 1.6
1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 2.1 2.2 2.3
2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 2.31 2.32 2.33 2.34 2.35 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19

A bill for an act
relating to human services; providing for and regulating coverage of volunteer
dental services under medical assistance; making technical changes; amending
Minnesota Statutes 2010, sections 256B.0625, by adding a subdivision;
256B.0644.

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

Section 1.

Minnesota Statutes 2010, section 256B.0625, is amended by adding a
subdivision to read:


new text begin Subd. 9a. new text end

new text begin Volunteer dental services. new text end

new text begin (a) A dentist not already enrolled as a medical
assistance provider who is providing volunteer dental services for an enrolled medical
assistance dental provider that is a nonprofit entity or government owned and not receiving
payment for the services provided shall complete and submit a volunteer agreement form
developed by the commissioner. The volunteer agreement shall be used to enroll the
dentist in medical assistance only for the purpose of providing volunteer dental services.
The volunteer agreement must specify that a volunteer dentist:
new text end

new text begin (1) will not be listed in the Minnesota health care programs provider directory;
new text end

new text begin (2) will not receive payment for the services the volunteer dentist provides to
Minnesota health care program clients; and
new text end

new text begin (3) is not required to serve Minnesota health care program clients when providing
nonvolunteer services in a private practice.
new text end

new text begin (b) A volunteer dentist enrolled under this subdivision as a fee-for-service provider
shall not otherwise be enrolled in or receive payments from Minnesota health care
programs as a fee-for-service provider.
new text end

new text begin (c) The volunteer dentist shall be notified by the dental provider for which they
are providing services that medical assistance is being billed for the volunteer services
provided.
new text end

Sec. 2.

Minnesota Statutes 2010, section 256B.0644, is amended to read:


256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
PROGRAMS.

(a) A vendor of medical care, as defined in section 256B.02, subdivision 7, and a
health maintenance organization, as defined in chapter 62D, must participate as a provider
or contractor in the medical assistance programdeleted text begin, general assistance medical care program,deleted text end
and MinnesotaCare as a condition of participating as a provider in health insurance plans
and programs or contractor for state employees established under section 43A.18, the
public employees insurance program under section 43A.316, for health insurance plans
offered to local statutory or home rule charter city, county, and school district employees,
the workers' compensation system under section 176.135, and insurance plans provided
through the Minnesota Comprehensive Health Association under sections 62E.01 to
62E.19. The limitations on insurance plans offered to local government employees shall
not be applicable in geographic areas where provider participation is limited by managed
care contracts with the Department of Human Services.

(b) For providers other than health maintenance organizations, participation in the
medical assistance program means that:

(1) the provider accepts new medical assistancedeleted text begin, general assistance medical care,deleted text end
and MinnesotaCare patients;

(2) for providers other than dental service providers, at least 20 percent of the
provider's patients are covered by medical assistancedeleted text begin, general assistance medical care,deleted text end
and MinnesotaCare as their primary source of coverage; or

(3) for dental service providers, at least ten percent of the provider's patients are
covered by medical assistancedeleted text begin, general assistance medical care,deleted text end and MinnesotaCare as
their primary source of coverage, or the provider accepts new medical assistance and
MinnesotaCare patients who are children with special health care needs. For purposes
of this section, "children with special health care needs" means children up to age 18
who: (i) require health and related services beyond that required by children generally;
and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional
condition, including: bleeding and coagulation disorders; immunodeficiency disorders;
cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other
neurological diseases; visual impairment or deafness; Down syndrome and other genetic
disorders; autism; fetal alcohol syndrome; and other conditions designated by the
commissioner after consultation with representatives of pediatric dental providers and
consumers.

(c) Patients seen on a volunteer basis by the provider at a location other than
the provider's usual place of practice may be considered in meeting the participation
requirement in this section. The commissioner shall establish participation requirements
for health maintenance organizations. The commissioner shall provide lists of participating
medical assistance providers on a quarterly basis to the commissioner of management and
budget, the commissioner of labor and industry, and the commissioner of commerce. Each
of the commissioners shall develop and implement procedures to exclude as participating
providers in the program or programs under their jurisdiction those providers who do
not participate in the medical assistance program. The commissioner of management
and budget shall implement this section through contracts with participating health and
dental carriers.

(d) deleted text beginFor purposes of paragraphs (a) and (b), participation in the general assistance
medical care program applies only to pharmacy providers.
deleted text endnew text begin A volunteer dentist who has
signed a volunteer agreement under section 256B.0625, subdivision 9a, shall not be
considered to be participating in medical assistance or MinnesotaCare for the purpose
of this section.
new text end