SF 3203

as introduced - 89th Legislature (2015 - 2016) Posted on 03/25/2016 09:54am

A bill for an act
relating to human services; modifying the timeline and procedure for periodic
data matching; amending Minnesota Statutes 2015 Supplement, section
256B.0561, subdivisions 2, 4.

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

Section 1.

Minnesota Statutes 2015 Supplement, section 256B.0561, subdivision 2,
is amended to read:

Subd. 2.

Periodic data matching.

(a) Beginning deleted text begin March 1, 2016 deleted text end new text begin July 1, 2017 new text end ,
the commissioner shall conduct periodic data matching to identify recipients who,
based on available electronic data, may not meet eligibility criteria for the public health
care program in which the recipient is enrolled. The commissioner shall conduct data
matching for medical assistance or MinnesotaCare recipients at least once during a
recipient's 12-month period of eligibility new text begin , but is not required to conduct data matching
on all recipients during the same time period. The commissioner may instead conduct
data matching on a random sample of recipients, or may limit data matching to a subset of
medical assistance or MinnesotaCare recipients based upon the date of initial program
enrollment, the estimated probability of a recipient being found ineligible, or other factors new text end .

(b) If data matching indicates a recipient may no longer qualify for medical
assistance or MinnesotaCare, the commissioner must notify the recipient and allow the
recipient no more than 30 days to confirm the information obtained through the periodic
data matching or provide a reasonable explanation for the discrepancy to the state or
county agency directly responsible for the recipient's case. If a recipient does not respond
within the advance notice period or does not respond with information that demonstrates
eligibility or provides a reasonable explanation for the discrepancy within the 30-day time
period, the commissioner shall terminate the recipient's eligibility in the manner provided
for by the laws and regulations governing the health care program for which the recipient
has been identified as being ineligible.

(c) The commissioner shall not terminate eligibility for a recipient who is
cooperating with the requirements of paragraph (b) and needs additional time to provide
information in response to the notification.

(d) Any termination of eligibility for benefits under this section may be appealed
as provided for in sections 256.045 to 256.0451, and the laws governing the health care
programs for which eligibility is terminated.

Sec. 2.

Minnesota Statutes 2015 Supplement, section 256B.0561, subdivision 4,
is amended to read:

Subd. 4.

Report.

By deleted text begin September deleted text end new text begin December new text end 1, 2017, and each deleted text begin September deleted text end new text begin December
new text end 1 thereafter, the commissioner shall submit a report to the chairs and ranking minority
members of the house and senate committees with jurisdiction over human services
finance that includes the number of cases affected by periodic data matching under this
section, new text begin the method and rationale for choosing those cases, new text end the number of recipients
identified as possibly ineligible as a result of a periodic data match, and the number of
recipients whose eligibility was terminated as a result of a periodic data match. The
report must also specify, for recipients whose eligibility was terminated, how many cases
were closed due to failure to cooperate.