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SF 2145

as introduced - 88th Legislature (2013 - 2014) Posted on 03/04/2014 09:00am

KEY: stricken = removed, old language.
underscored = added, new language.
Version List Authors and Status
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Current Version - as introduced

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A bill for an act
 relating to human services; exempting federally qualified health centers and rural
health clinics from payment limits for Medicare crossover claims; amending
Minnesota Statutes 2012, section 256B.0625, subdivision 57.

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

Section 1.

Minnesota Statutes 2012, section 256B.0625, subdivision 57, is amended to
read:


Subd. 57.

Payment for Part B Medicare crossover claims.

new text begin (a) new text end Effective for
services provided on or after January 1, 2012, medical assistance payment for an enrollee's
cost-sharing associated with Medicare Part B is limited to an amount up to the medical
assistance total allowed, when the medical assistance rate exceeds the amount paid by
Medicare.

new text begin (b)new text end Excluded from this limitation are payments for mental health services and
payments for dialysis services provided to end-stage renal disease patients. The exclusion
for mental health services does not apply to payments for physician services provided by
psychiatrists and advanced practice nurses with a specialty in mental health.

new text begin (c) Excluded from this limitation are payments to federally qualified health centers
and rural health clinics. Medical assistance payments to these providers shall equal the
difference between the provider rate specified in United States Code, title 42, section
1396a(bb), and the amount paid by Medicare.
 new text end