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SF 224

1st Engrossment - 86th Legislature (2009 - 2010) Posted on 02/09/2010 02:12am

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

Current Version - 1st Engrossment

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A bill for an act
relating to health care; modifying medical transportation requirements;
modifying reimbursement; amending Minnesota Statutes 2008, section
256B.0625, subdivision 17, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2008, section 256B.0625, subdivision 17, is amended to
read:


Subd. 17.

Transportation costs.

(a) Medical assistance covers new text begin medical
new text end transportation costs incurred solely for obtaining emergency medical care or transportation
costs incurred by eligible persons in obtaining emergency or nonemergency medical
care when paid directly to an ambulance company, common carrier, or other recognized
providers of transportation services.new text begin Medical transportation must be provided by:
new text end

new text begin (1) an ambulance, as defined in section 144E.001, subdivision 2;
new text end

new text begin (2) special transportation; or
new text end

new text begin (3) common carrier including, but not limited to, bus, taxicab, other commercial
carrier, or private automobile.
new text end

(b) Medical assistance covers special transportation, as defined in Minnesota Rules,
part 9505.0315, subpart 1, item F, if the recipient has a physical or mental impairment that
would prohibit the recipient from safely accessing and using a bus, taxi, other commercial
transportation, or private automobile.

The commissioner may use an order by the recipient's attending physician to certify that
the recipient requires special transportation services. Special transportation deleted text begin includesdeleted text end new text begin
providers shall perform
new text end driver-assisted deleted text begin service todeleted text end new text begin services fornew text end eligible individuals.
Driver-assisted service includes passenger pickup at and return to the individual's
residence or place of business, assistance with admittance of the individual to the medical
facility, and assistance in passenger securement or in securing of wheelchairs or stretchers
in the vehicle. Special transportation providers must obtain written documentation
from the health care service provider who is serving the recipient being transported,
identifying the time that the recipient arrived. Special transportation providers may not
bill for separate base rates for the continuation of a trip beyond the original destination.
Special transportation providers must take recipients to the nearest appropriate health
care provider, using the most direct route deleted text begin availabledeleted text end . The deleted text begin maximumdeleted text end new text begin minimumnew text end medical
assistance reimbursement rates for special transportation services are:

(1) new text begin (i) new text end $17 for the base rate and $1.35 per mile for new text begin special transportation new text end services to
eligible persons who need a wheelchair-accessible van;

deleted text begin (2)deleted text end new text begin (ii) new text end $11.50 for the base rate and $1.30 per mile fornew text begin special transportationnew text end services
to eligible persons who do not need a wheelchair-accessible van; and

deleted text begin (3)deleted text end new text begin (iii) new text end $60 for the base rate and $2.40 per mile, and an attendant rate of $9 per trip,
for new text begin special transportation new text end services to eligible persons who need a stretcher-accessible
vehiclenew text begin ;
new text end

new text begin (2) the base rates for special transportation services in areas defined under RUCA
to be super rural shall be equal to the reimbursement rate established in clause (1) plus
22.6 percent; and
new text end

new text begin (3) for special transportation services in areas defined under RUCA to be rural
or super rural areas:
new text end

new text begin (i) for a trip equal to 17 miles or less, mileage reimbursement shall be equal to 150
percent of the respective mileage rate in clause (1); and
new text end

new text begin (ii) for a trip between 18 and 50 miles, mileage reimbursement shall be equal to 125
percent of the respective mileage rate in clause (1).
new text end

new text begin (c) For purposes of reimbursement rates for special transportation services under
paragraph (b), the zip code of the recipient's place of residence shall determine whether
the urban, rural, or super rural reimbursement rate applies
new text end .

new text begin (d) For purposes of this subdivision, "rural urban commuting area" or "RUCA"
means a census-tract based classification system under which a geographical area is
determined to be urban, rural, or super rural.
new text end

Sec. 2.

Minnesota Statutes 2008, section 256B.0625, is amended by adding a
subdivision to read:


new text begin Subd. 18b. new text end

new text begin Broker dispatching prohibition. new text end

new text begin The commissioner shall not use a
broker or coordinator for any purpose related to transportation services under subdivision
18.
new text end