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SF 3424

as introduced - 91st Legislature (2019 - 2020) Posted on 03/05/2020 09:44am

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 provisions governing medical assistance
coverage of health home services; amending Minnesota Statutes 2018, section
256B.0757, subdivision 8; Minnesota Statutes 2019 Supplement, section
256B.0757, subdivisions 1, 2, 2a, 4.

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

Section 1.

Minnesota Statutes 2019 Supplement, section 256B.0757, subdivision 1, is
amended to read:


Subdivision 1.

Provision of coverage.

(a) The commissioner new text beginnew text enddeleted text beginshalldeleted text endnew text begin mustnew text end provide medical
assistance coverage of health home services for eligible individuals with chronic conditions
who select a designated provider as the individual's health home.

(b) The commissioner deleted text beginshalldeleted text end new text beginmust new text endimplement this section in compliance with the
requirements of the state option to provide health homes for enrollees with chronic conditions,
as provided under deleted text beginthe Patient Protection and Affordable Care Act, Public Law 111-148,
sections 2703 and 3502
deleted text endnew text begin United States Code, title 42, section 1396w-4new text end. Terms used in this
section have the meaning provided deleted text beginin that act.deleted text endnew text begin in United States Code, title 42, section
1396w-4, unless otherwise defined in this section.
new text end

(c) The commissioner deleted text beginshalldeleted text end new text beginmust new text endestablish health homes to serve populations with serious
mental illness who meet the eligibility requirements described under subdivision 2. The
health home services provided by health homes deleted text beginshalldeleted text end new text beginmust new text endfocus on both the behavioral and
the physical health of these populations.

Sec. 2.

Minnesota Statutes 2019 Supplement, section 256B.0757, subdivision 2, is amended
to read:


Subd. 2.

Eligible individual.

(a) The commissioner may elect to develop health home
models in accordance with United States Code, title 42, section 1396w-4.

(b) An individual is eligible fornew text begin behavioralnew text end health home services under this section if
the individual is eligible for medical assistance under this chapter and has a condition that
meets the definition of mental illness as described in section 245.462, subdivision 20,
paragraph (a), or emotional disturbance as defined in section 245.4871, subdivision 15,
clause (2). The commissioner deleted text beginshalldeleted text endnew text begin mustnew text end establish criteria for determining continued
eligibility.

new text begin (c) An individual is eligible for medical recuperative health home services under this
section if the person has a chronic condition as defined in United States Code, title 42,
section 1396w-4(h), and if the person lacks a permanent place of residence at the time of
discharge from an emergency department or hospital.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective upon federal approval. The commissioner
must notify the revisor of statutes when federal approval has been obtained.
new text end

Sec. 3.

Minnesota Statutes 2019 Supplement, section 256B.0757, subdivision 2a, is
amended to read:


Subd. 2a.

new text beginBehavioral health home new text enddischarge criteria.

(a) An individual may be
discharged from behavioral health home services if:

(1) the behavioral health home services provider is unable to locate, contact, and engage
the individual for a period of greater than three months after persistent efforts by the
behavioral health home services provider; or

(2) the individual is unwilling to participate in behavioral health home services as
demonstrated by the individual's refusal to meet with the behavioral health home services
provider, or refusal to identify the individual's health and wellness goals or the activities or
support necessary to achieve these goals.

(b) Before discharge from behavioral health home services, the behavioral health home
services provider must offer a face-to-face meeting with the individual, the individual's
identified supports, and the behavioral health home services provider to discuss options
available to the individual, including maintaining behavioral health home services.

Sec. 4.

Minnesota Statutes 2019 Supplement, section 256B.0757, subdivision 4, is amended
to read:


Subd. 4.

Designated provider.

Health home services are voluntary and an eligible
individual may choose any designated provider. The commissioner deleted text beginshalldeleted text endnew text begin mustnew text end establish
designated providers to serve as health homes and provide the services described in
subdivision 3 to individuals eligible under subdivision 2. The commissioner deleted text beginshalldeleted text endnew text begin mustnew text end
apply for grants as provided under deleted text beginsection 3502 of the Patient Protection and Affordable
Care Act
deleted text endnew text begin United States Code, title 42, section 1396w-4(c)(3),new text end to establish health homes and
provide capitated payments to designated providers. For purposes of this section, "designated
provider" means a provider, clinical practice or clinical group practice, rural clinic,
community health center, community mental health center, or any other entity that is
determined by the commissioner to be qualified to be a health home for eligible individuals.
This determination must be based on documentation evidencing that the designated provider
has the systems and infrastructure in place to provide health home services and satisfies the
qualification standards established by the commissioner in consultation with stakeholders
and approved by the Centers for Medicare and Medicaid Services.

Sec. 5.

Minnesota Statutes 2018, section 256B.0757, subdivision 8, is amended to read:


Subd. 8.

Evaluation and continued development.

(a) For continued certification under
this section, health homes must meet process, outcome, and quality standards developed
and specified by the commissioner. The commissioner deleted text beginshalldeleted text endnew text begin mustnew text end collect data from health
homes as necessary to monitor compliance with certification standards.

(b) The commissioner may contract with a private entity to evaluate patient and family
experiences, health care utilization, and costs.

deleted text begin (c) The commissioner shall utilize findings from the implementation of behavioral health
homes to determine populations to serve under subsequent health home models for individuals
with chronic conditions.
deleted text end