SF 1924

1st Engrossment - 86th Legislature (2009 - 2010) Posted on 02/09/2010 02:24am

A bill for an act
relating to human services; requiring the commissioner of human services
to collect and report information on managed care plan and county-based
purchasing plan provider reimbursement rates; requiring a report; amending
Minnesota Statutes 2008, section 256B.69, subdivision 9b.

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

Section 1.

Minnesota Statutes 2008, section 256B.69, subdivision 9b, is amended to
read:

Subd. 9b.

Reporting provider payment rates.

(a) According to guidelines
developed by the commissioner, in consultation with new text begin health care providers, new text end managed care
plans new text begin , new text end and county-based purchasing plans, each managed care plan and county-based
purchasing plan must new text begin annually new text end provide to the commissioner deleted text begin , at the commissioner's request,
detailed or aggregate deleted text end information on reimbursement rates paid by the managed care plan
under this section or the county-based purchasing plan under section 256B.692 to provider
types and vendors for administrative services under contract with the plan.

new text begin (b) Each managed care plan and county-based purchasing plan must annually
provide to the commissioner, in the form and manner specified by the commissioner:
new text end

new text begin (1) aggregate provider payment data, categorized by subspecialty and primary care;
new text end

new text begin (2) evidence that increases in payments made to the plan under this section are
passed through to health care providers, including information on the proportion of the
increases paid to providers, categorized by subspecialty and primary care; and
new text end

new text begin (3) specific information on the methodology used to establish provider
reimbursement rates paid by the managed health care plan and county-based purchasing
plan.
new text end

new text begin Data provided to the commissioner under this subdivision must allow the
commissioner to conduct the analyses required under paragraph (d).
new text end

deleted text begin (b) deleted text end new text begin (c) new text end Data provided to the commissioner under this subdivision are nonpublic
data as defined in section 13.02.

new text begin (d) The commissioner shall analyze data provided under this subdivision by
procedure code, provider type, provider size, and geographic location of the provider. The
commissioner shall also array aggregate provider reimbursement rates across all plans by
subspecialty and primary care category. The commissioner shall report this information to
the legislature annually, beginning December 15, 2010, and each December 15 thereafter.
The commissioner shall also make this information available on the agency's Web site to
managed care and county-based purchasing plans, health care providers, and the public.
new text end