Minnesota Session Laws - 2000, Regular Session

                            CHAPTER 315-S.F.No. 2868 
                  An act relating to human services; providing time 
                  lines for the transition to a new case-mix system 
                  based upon the federal minimum data set; requiring 
                  education and training programs and a report to the 
                  legislature; amending Minnesota Statutes 1999 
                  Supplement, section 256B.435, by adding a subdivision. 
        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
           Section 1.  Minnesota Statutes 1999 Supplement, section 
        256B.435, is amended by adding a subdivision to read: 
           Subd. 8.  [CASE-MIX ADJUSTMENTS BASED UPON THE MINIMUM DATA 
        SET.] The performance-based contracting system must include 
        case-mix adjustments that are based upon the federally mandated 
        minimum data set assessment instrument.  These case-mix 
        adjustments must be incorporated into the performance-based 
        contracting system beginning on or after July 1, 2001, but no 
        later than January 1, 2002, and must have a budget neutral 
        financial impact on each facility at the time of implementation, 
        relative to case-mix adjustments based upon the current state 
        case-mix. 
           Sec. 2.  [NURSING HOME CASE-MIX SYSTEM TRANSITION PLAN.] 
           (a) The commissioner of human services, in consultation 
        with the commissioner of health and the advisory committee 
        established under Minnesota Statutes, section 256B.434, 
        subdivision 13, shall report to the legislature by January 15, 
        2001, on plans for the transition to and implementation of a 
        case-mix system based upon the minimum data set assessment 
        instrument.  The report must: 
           (1) identify the specific case-mix adjustment system to be 
        used under performance-based contracting, and provide a 
        description and analysis of the differences between this 
        case-mix adjustment system and the current case-mix system; 
           (2) provide a schedule for the transition to and 
        implementation of the case-mix system that is consistent with 
        the time lines specified in section 1; 
           (3) provide a schedule for case-mix assessments; 
           (4) describe the procedures for the reconsideration of 
        case-mix determinations and auditing of assessments that will be 
        used under the new case-mix system; 
           (5) include a plan for training and educating nursing 
        facility providers and residents; 
           (6) identify any changes in preadmission screening and home 
        and community-based programs necessary to conform to changes in 
        the case-mix system; 
           (7) identify the process to be used to ensure budget 
        neutrality at the facility level at the time of implementation; 
        and 
           (8) provide draft legislation for any statutory changes 
        necessary to implement the new case-mix system. 
           (b) The commissioner, in cooperation with the commissioner 
        of health, shall: 
           (1) make available to nursing facility employees training 
        on the implementation and administration of the new case-mix 
        system; and 
           (2) make available to nursing facility residents and 
        consumers easily understandable information on the new case-mix 
        system and the impact of the transition on nursing facility 
        residents. 
           Presented to the governor March 30, 2000 
           Signed by the governor April 3, 2000, 2:14 p.m.