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Minnesota Legislature

Office of the Revisor of Statutes

SF 640

as introduced - 85th Legislature (2007 - 2008) Posted on 12/15/2009 12:00am

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - as introduced

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A bill for an act
relating to human services; modifying the definition of participation in a state
health care program for certain pediatric dentists; amending Minnesota Statutes
2006, section 256B.0644.

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

Section 1.

Minnesota Statutes 2006, section 256B.0644, is amended to read:


256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
PROGRAMS.

new text begin (a) new text endA vendor of medical care, as defined in section 256B.02, subdivision 7, and a
health maintenance organization, as defined in chapter 62D, must participate as a provider
or contractor in the medical assistance program, general assistance medical care program,
and MinnesotaCare as a condition of participating as a provider in health insurance plans
and programs or contractor for state employees established under section 43A.18, the
public employees insurance program under section 43A.316, for health insurance plans
offered to local statutory or home rule charter city, county, and school district employees,
the workers' compensation system under section 176.135, and insurance plans provided
through the Minnesota Comprehensive Health Association under sections 62E.01 to
62E.19. The limitations on insurance plans offered to local government employees shall
not be applicable in geographic areas where provider participation is limited by managed
care contracts with the Department of Human Services.

new text begin (b) new text endFor providers other than health maintenance organizations, participation in the
medical assistance program means thatnew text begin:
new text end

(1) the provider accepts new medical assistance, general assistance medical care,
and MinnesotaCare patients deleted text beginordeleted text endnew text begin;new text end

(2) for providers other than dental service providers, at least 20 percent of the
provider's patients are covered by medical assistance, general assistance medical care, and
MinnesotaCare as their primary source of coveragedeleted text begin, ordeleted text endnew text begin;new text end

(3) for dental service providers, at least ten percent of the provider's patients are
covered by medical assistance, general assistance medical care, and MinnesotaCare as
their primary source of coveragenew text begin; or
new text end

new text begin (4) the provider accepts new medical assistance, general assistance medical care, and
MinnesotaCare patients who are children with special health care needs. For purposes of
this section, "children with special health care needs" means children up to age 18 who: (i)
require health and related services beyond that required by children generally; and (ii) have
or are at risk for a chronic physical, developmental, behavioral, or emotional condition,
including: bleeding and coagulation disorders; immunodeficiency disorders; cancer;
endocrinopathy; mental retardation; epilepsy, cerebral palsy, and other neurological
diseases; visual impairment or deafness; Down syndrome and other genetic disorders;
autism; fetal alcohol syndrome; and other conditions designated by the commissioner after
consultation with representatives of pediatric dental providers and consumers
new text end.

new text begin (c) new text endPatients seen on a volunteer basis by the provider at a location other than the
provider's usual place of practice may be considered in meeting deleted text beginthisdeleted text endnew text begin thenew text end participation
requirementnew text begin in this sectionnew text end. The commissioner shall establish participation requirements
for health maintenance organizations. The commissioner shall provide lists of
participating medical assistance providers on a quarterly basis to the commissioner of
employee relations, the commissioner of labor and industry, and the commissioner of
commerce. Each of the commissioners shall develop and implement procedures to exclude
as participating providers in the program or programs under their jurisdiction those
providers who do not participate in the medical assistance program. The commissioner
of employee relations shall implement this section through contracts with participating
health and dental carriers.