Minnesota Session Laws - 1983, Regular Session

  

                         Laws of Minnesota 1983 

                        CHAPTER 295--S.F.No. 1003
           An act relating to public welfare; establishing a 
          medical assistance social health maintenance 
          organization demonstration project; proposing new law 
          coded in Minnesota Statutes, chapter 256B.  
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
    Section 1.  [256B.71] [SOCIAL HEALTH MAINTENANCE 
ORGANIZATION DEMONSTRATION.] 
    Subdivision 1.  [PURPOSE.] The commissioner of public 
welfare may participate in social health maintenance 
organization demonstration projects to determine if prepayment 
combined with the delivery of alternative services is an 
effective method of delivering services while containing costs.  
    Subd. 2.  [CASE MANAGEMENT.] Each participating provider 
approved by the commissioner shall serve as case manager for 
recipients enrolled in its plan.  The participating provider 
shall authorize and arrange for the provision of all needed 
health services including but not limited to the full range of 
services listed in section 256B.02, subdivision 8, in order to 
ensure that appropriate health care is delivered to enrollees.  
    Subd. 3.  [ENROLLMENT OF MEDICAL ASSISTANCE RECIPIENTS.] 
Medical assistance recipients may voluntarily enroll in the 
social health maintenance organization projects.  However, once 
a recipient enrolls in a project, he or she must remain enrolled 
for a period of six months.  
    Subd. 4.  [PAYMENT FOR SERVICES.] Notwithstanding section 
256.966 and chapter 256B, the method of payment utilized for the 
social health maintenance organization projects shall be the 
method developed by the commissioner of public welfare in 
consultation with local project staff and the federal Department 
of Health and Human Services, Health Care Financing 
Administration, Office of Demonstrations.  This subdivision 
applies only to the payment method for the social health 
maintenance organization projects.  
    Subd. 5.  [PREADMISSION SCREENING.] Except as applicable to 
the projects' operation, the provisions of section 256B.091 are 
waived for the purposes of this section for recipients enrolled 
with participating providers.  
    Sec. 2.  [EFFECTIVE DATE.] 
     This act is effective the day following final enactment. 
    Approved June 7, 1983