SF 959

as introduced - 91st Legislature (2019 - 2020) Posted on 02/07/2019 02:54pm

A bill for an act
relating to health care; requiring certain medical assistance enrollees upon eligibility
renewal to receive services through fee-for-service; amending Minnesota Statutes
2018, section 256B.056, subdivision 7a.

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

Section 1.

Minnesota Statutes 2018, section 256B.056, subdivision 7a, is amended to read:

Subd. 7a.

Periodic renewal of eligibility.

(a) The commissioner shall make an annual
redetermination of eligibility based on information contained in the enrollee's case file and
other information available to the agency, including but not limited to information accessed
through an electronic database, without requiring the enrollee to submit any information
when sufficient data is available for the agency to renew eligibility.

(b) If the commissioner cannot renew eligibility in accordance with paragraph (a), the
commissioner must provide the enrollee with a prepopulated renewal form containing
eligibility information available to the agency and permit the enrollee to submit the form
with any corrections or additional information to the agency and sign the renewal form via
any of the modes of submission specified in section 256B.04, subdivision 18.

(c) An enrollee who is terminated for failure to complete the renewal process may
subsequently submit the renewal form and required information within four months after
the date of termination and have coverage reinstated without a lapse, if otherwise eligible
under this chapter. new text begin An enrollee who is terminated under this paragraph and subsequently
submits a renewal form shall receive services through the fee-for-service system until the
enrollee's next eligibility redetermination.
new text end

(d) new text begin Notwithstanding section 256B.69, upon renewal, any enrollee who has not received
any health care service in the previous year shall not be enrolled in a managed care plan or
county-based purchasing plan upon renewal and shall receive services through the
fee-for-service system until the next eligibility redetermination.
new text end

new text begin (e) new text end Notwithstanding paragraph (a), individuals eligible under subdivision 5 shall be
required to renew eligibility every six months.