Minnesota Legislature
SF 655
as introduced - 89th Legislature (2015 - 2016) Posted on 08/24/2015 01:46pm
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A bill for an act
relating to human services; modifying medical assistance payments to federally
qualified health centers and rural health clinics; amending Minnesota Statutes
2014, section 256B.0625, subdivision 57.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2014, 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 federally qualified health centers
and rural health clinics 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