1997 Minnesota Statutes

     256B.75 Hospital outpatient reimbursement. 

    For outpatient hospital facility fee payments for services 
 rendered on or after October 1, 1992, the commissioner of human 
 services shall pay the lower of (1) submitted charge, or (2) 32 
 percent above the rate in effect on June 30, 1992, except for 
 those services for which there is a federal maximum allowable 
 payment.  Services for which there is a federal maximum 
 allowable payment shall be paid at the lower of (1) submitted 
 charge, or (2) the federal maximum allowable payment.  Total 
 aggregate payment for outpatient hospital facility fee services 
 shall not exceed the Medicare upper limit.  If it is determined 
 that a provision of this section conflicts with existing or 
 future requirements of the United States government with respect 
 to federal financial participation in medical assistance, the 
 federal requirements prevail.  The commissioner may, in the 
 aggregate, prospectively reduce payment rates to avoid reduced 
 federal financial participation resulting from rates that are in 
 excess of the Medicare upper limitations. 

    HIST: 1992 c 513 art 7 s 130