Minnesota Administrative Rules
9530.7015 CLIENT ELIGIBILITY; BEHAVIORAL HEALTH FUND.
Subpart 1.
Client eligibility to have treatment totally paid under the behavioral health fund.
A client who meets the criteria established in item A, B, C, or D shall be eligible to have chemical dependency treatment paid for totally with funds from the behavioral health fund.
B.
The client is eligible for medical assistance as determined under parts 9505.0010 to 9505.0140.
Subp. 2a.
Third-party payment source and client eligibility for the behavioral health fund.
Clients who meet the financial eligibility requirement in subpart 1 and who have a third-party payment source are eligible for the behavioral health fund if the third party payment source pays less than 100 percent of the treatment services determined according to parts 9530.6600 to 9530.6655.
Subp. 4.
Client ineligible to have treatment paid for from the behavioral health fund.
A client who meets the criteria in item A or B shall be ineligible to have chemical dependency treatment services paid for with behavioral health funds.
A.
The client has an income that exceeds current household size and income guidelines for entitled persons as defined in Minnesota Statutes, section 254B.04, subdivision 1, and as determined by the local agency under part 9530.7020, subpart 1.
B.
The client has an available third-party payment source that will pay the total cost of the client's treatment.
Subp. 5.
Eligibility of clients disenrolled from prepaid health plans.
A client who is disenrolled from a state prepaid health plan during a treatment episode is eligible for continued treatment service that is paid for by the behavioral health fund, until the treatment episode is completed or the client is re-enrolled in a state prepaid health plan if the client meets the criteria in item A or B. The client must:
A.
continue to be enrolled in MinnesotaCare, medical assistance, or general assistance medical care; or
Subp. 6.
County responsibility.
When a county commits a client under Minnesota Statutes, chapter 253B, to a regional treatment center for chemical dependency treatment services and the client is ineligible for the behavioral health fund, the county is responsible for the payment to the regional treatment center according to Minnesota Statutes, section 254B.05, subdivision 4.
History:
12 SR 53; 15 SR 1540; L 2006 c 212 art 1 s 25; 32 SR 2268
Published Electronically:
October 13, 2021
Official Publication of the State of Minnesota
Revisor of Statutes