125A.744 STATEWIDE DATA MANAGEMENT SYSTEM TO MAXIMIZE MEDICAL
Subdivision 1. Definition.
For purposes of this section, cooperative unit has the meaning
given in section
123A.24, subdivision 2
Subd. 2. Statewide data management system.
The commissioner of education, in
cooperation with the commissioner of human services, shall develop a statewide data management
system using the educational data reporting system or other existing data management system
for school districts and cooperative units to use to maximize medical assistance reimbursement
for health and health-related services provided under individual education plans and individual
family service plans. The system must be appropriately integrated with state and local existing
and developing human services and education data systems. The statewide data management
system must enable school district and cooperative unit staff to:
(1) establish medical assistance billing systems or improve existing systems;
(2) understand the appropriate medical assistance billing codes for services provided under
individual education plans and individual family service plans;
(3) comply with the Individuals with Disabilities Education Act, Public Law 105-17;
(4) contract with billing agents; and
(5) carry out other activities necessary to maximize medical assistance reimbursement.
Subd. 3. Implementation.
Consistent with section
256B.0625, subdivision 26
districts may enroll as medical assistance providers or subcontractors and bill the Department of
Human Services under the medical assistance fee for service claims processing system for special
education services which are covered services under chapter 256B, which are provided in the
school setting for a medical assistance recipient, and for whom the district has secured informed
consent consistent with section
13.05, subdivision 4
, paragraph (d), and section
, paragraph (p), to bill for each type of covered service. School districts shall be
reimbursed by the commissioner of human services for the federal share of individual education
plan health-related services that qualify for reimbursement by medical assistance, minus up to five
percent retained by the commissioner of human services for administrative costs, not to exceed
$350,000 per fiscal year. The commissioner may withhold up to five percent of each payment to a
school district. Following the end of each fiscal year, the commissioner shall settle up with each
school district in order to ensure that collections from each district for departmental administrative
costs are made on a pro rata basis according to federal earnings for these services in each district.
A school district is not eligible to enroll as a home care provider or a personal care provider
organization for purposes of billing home care services under sections
until the commissioner of human services issues a bulletin instructing county public
health nurses on how to assess for the needs of eligible recipients during school hours. To use
private duty nursing services or personal care services at school, the recipient or responsible
party must provide written authorization in the care plan identifying the chosen provider and the
daily amount of services to be used at school.
History: 1998 c 397 art 11 s 3; 1998 c 398 art 2 s 2; 1999 c 245 art 4 s 4; 2003 c 130 s 12