SF 2785

as introduced - 90th Legislature (2017 - 2018) Posted on 03/22/2018 10:18am

A bill for an act
relating to human services; increasing the medical assistance reimbursement rate
for critical access mental health services provided by certain providers; amending
Minnesota Statutes 2017 Supplement, section 256B.763.

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

Section 1.

Minnesota Statutes 2017 Supplement, section 256B.763, is amended to read:

256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.

(a) For services defined in paragraph (b) and rendered on or after July 1, 2007, payment
rates shall be increased by 23.7 percent over the rates in effect on January 1, 2006, for:

(1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;

(2) community mental health centers under section 256B.0625, subdivision 5; and

(3) mental health clinics and centers certified under Minnesota Rules, parts 9520.0750
to 9520.0870, or hospital outpatient psychiatric departments that are designated as essential
community providers under section 62Q.19.

(b) This increase applies to group skills training when provided as a component of
children's therapeutic services and support, psychotherapy, medication management,
evaluation and management, diagnostic assessment, explanation of findings, psychological
testing, neuropsychological services, direction of behavioral aides, and inpatient consultation.

(c) This increase does not apply to rates that are governed by section 256B.0625,
subdivision 30, or 256B.761, paragraph (b), other cost-based rates, rates that are negotiated
with the county, rates that are established by the federal government, or rates that increased
between January 1, 2004, and January 1, 2005.

(d) The commissioner shall adjust rates paid to prepaid health plans under contract with
the commissioner to reflect the rate increases provided in paragraphs (a), (e), deleted text begin and deleted text end (f) new text begin , and
(h) new text end . The prepaid health plan must pass this rate increase to the providers identified in
paragraphs (a), (e), (f), deleted text begin and deleted text end (g) new text begin , and (h) new text end .

(e) Payment rates shall be increased by 23.7 percent over the rates in effect on December
31, 2007, for:

(1) medication education services provided on or after January 1, 2008, by adult
rehabilitative mental health services providers certified under section 256B.0623; and

(2) mental health behavioral aide services provided on or after January 1, 2008, by
children's therapeutic services and support providers certified under section 256B.0943.

(f) For services defined in paragraph (b) and rendered on or after January 1, 2008, by
children's therapeutic services and support providers certified under section 256B.0943 and
not already included in paragraph (a), payment rates shall be increased by 23.7 percent over
the rates in effect on December 31, 2007.

(g) Payment rates shall be increased by 2.3 percent over the rates in effect on December
31, 2007, for individual and family skills training provided on or after January 1, 2008, by
children's therapeutic services and support providers certified under section 256B.0943.

(h) For services described in paragraphs (b), (e), and (g) and rendered on or after July
1, 2017, payment rates for mental health clinics and centers certified under Minnesota Rules,
parts 9520.0750 to 9520.0870, that are not designated as essential community providers
under section 62Q.19 shall be equal to payment rates for mental health clinics and centers
certified under Minnesota Rules, parts 9520.0750 to 9520.0870, that are designated as
essential community providers under section 62Q.19. In order to receive increased payment
rates under this paragraph, a provider must demonstrate a commitment to serve low-income
and underserved populations by:

(1) charging for services on a sliding-fee schedule based on current poverty income
guidelines; and

(2) not restricting access or services because of a client's financial limitation.

new text begin (i) Payment rates for services defined in paragraph (b) and rendered on or after January
1, 2019, shall be increased by 23.7 percent over the rates in effect on December 31, 2018,
for critical access services provided by the following noncritical access providers:
independent clinical social workers licensed under chapter 148E; marriage and family
therapists licensed under sections 148B.04 to 148B.39; psychologists licensed under sections
148.88 to 148.98; and professional clinical counselors licensed under sections 148B.50 to
148B.593.
new text end