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Minnesota Legislature

Office of the Revisor of Statutes

245.494 STATE LEVEL COORDINATION.
    Subdivision 1. Children's Cabinet. The Children's Cabinet, in consultation with the
Integrated Fund Task Force, shall:
(1) assist local children's mental health collaboratives in meeting the requirements of
sections 245.491 to 245.495, by seeking consultation and technical assistance from national
experts and coordinating presentations and assistance from these experts to local children's mental
health collaboratives;
(2) assist local children's mental health collaboratives in identifying an economically viable
operational target population;
(3) develop methods to reduce duplication and promote coordinated services including
uniform forms for reporting, billing, and planning of services;
(4) by September 1, 1994, develop a model multiagency plan of care that can be used by
local children's mental health collaboratives in place of an individual education plan, individual
family community support plan, individual family support plan, and an individual treatment plan;
(5) assist in the implementation and operation of local children's mental health collaboratives
by facilitating the integration of funds, coordination of services, and measurement of results,
and by providing other assistance as needed;
(6) develop procedures and provide technical assistance to allow local children's mental
health collaboratives to integrate resources for children's mental health services with other
resources available to serve children in the target population in order to maximize federal
participation and improve efficiency of funding;
(7) ensure that local children's mental health collaboratives and the services received through
these collaboratives meet the requirements set out in sections 245.491 to 245.495;
(8) identify base level funding from state and federal sources across systems;
(9) explore ways to access additional federal funds and enhance revenues available to address
the needs of the target population;
(10) develop a mechanism for identifying the state share of funding for services to children
in the target population and for making these funds available on a per capita basis for services
provided through the local children's mental health collaborative to children in the target
population. Each year beginning January 1, 1994, forecast the growth in the state share and
increase funding for local children's mental health collaboratives accordingly;
(11) identify barriers to integrated service systems that arise from data practices and make
recommendations including legislative changes needed in the Data Practices Act to address
these barriers; and
(12) annually review the expenditures of local children's mental health collaboratives to
ensure that funding for services provided to the target population continues from sources other
than the federal funds earned under sections 245.491 to 245.495 and that federal funds earned are
spent consistent with sections 245.491 to 245.495.
    Subd. 2. Children's Cabinet report. By February 1, 1996, the Children's Cabinet, under
section 4.045, in consultation with a representative of the Minnesota District Judges Association
Juvenile Committee, must submit a report to the legislature on the status of the local children's
mental health collaboratives. The report must include the number of local children's mental
health collaboratives, the amount and type of resources committed to local children's mental
health collaboratives, the additional federal revenue received as a result of local children's
mental health collaboratives, the services provided, the number of children served, outcome
indicators, the identification of barriers to additional collaboratives and funding integration, and
recommendations for further improving service coordination and funding integration.
    Subd. 3. Duties of the commissioner of human services. The commissioner of human
services, in consultation with the Integrated Fund Task Force, shall:
(1) in the first quarter of 1994, in areas where a local children's mental health collaborative has
been established, based on an independent actuarial analysis, identify all medical assistance and
MinnesotaCare resources devoted to mental health services for children in the target population
including inpatient, outpatient, medication management, services under the rehabilitation option,
and related physician services in the total health capitation of prepaid plans under contract with
the commissioner to provide medical assistance services under section 256B.69;
(2) assist each children's mental health collaborative to determine an actuarially feasible
operational target population;
(3) ensure that a prepaid health plan that contracts with the commissioner to provide medical
assistance or MinnesotaCare services shall pass through the identified resources to a collaborative
or collaboratives upon the collaboratives meeting the requirements of section 245.4933 to
serve the collaborative's operational target population. The commissioner shall, through an
independent actuarial analysis, specify differential rates the prepaid health plan must pay the
collaborative based upon severity, functioning, and other risk factors, taking into consideration
the fee-for-service experience of children excluded from prepaid medical assistance participation;
(4) ensure that a children's mental health collaborative that enters into an agreement with
a prepaid health plan under contract with the commissioner shall accept medical assistance
recipients in the operational target population on a first-come, first-served basis up to the
collaborative's operating capacity or as determined in the agreement between the collaborative
and the commissioner;
(5) ensure that a children's mental health collaborative that receives resources passed
through a prepaid health plan under contract with the commissioner shall be subject to the quality
assurance standards, reporting of utilization information, standards set out in sections 245.487 to
245.4889, and other requirements established in Minnesota Rules, part 9500.1460;
(6) ensure that any prepaid health plan that contracts with the commissioner, including a
plan that contracts under section 256B.69, must enter into an agreement with any collaborative
operating in the same service delivery area that:
(i) meets the requirements of section 245.4933;
(ii) is willing to accept the rate determined by the commissioner to provide medical
assistance services; and
(iii) requests to contract with the prepaid health plan;
(7) ensure that no agreement between a health plan and a collaborative shall terminate the
legal responsibility of the health plan to assure that all activities under the contract are carried
out. The agreement may require the collaborative to indemnify the health plan for activities that
are not carried out;
(8) ensure that where a collaborative enters into an agreement with the commissioner
to provide medical assistance and MinnesotaCare services a separate capitation rate will be
determined through an independent actuarial analysis which is based upon the factors set forth
in clause (3) to be paid to a collaborative for children in the operational target population who
are eligible for medical assistance but not included in the prepaid health plan contract with the
commissioner;
(9) ensure that in counties where no prepaid health plan contract to provide medical
assistance or MinnesotaCare services exists, a children's mental health collaborative that meets
the requirements of section 245.4933 shall:
(i) be paid a capitated rate, actuarially determined, that is based upon the collaborative's
operational target population;
(ii) accept medical assistance or MinnesotaCare recipients in the operational target
population on a first-come, first-served basis up to the collaborative's operating capacity or as
determined in the contract between the collaborative and the commissioner; and
(iii) comply with quality assurance standards, reporting of utilization information, standards
set out in sections 245.487 to 245.4889, and other requirements established in Minnesota Rules,
part 9500.1460;
(10) subject to federal approval, in the development of rates for local children's mental health
collaboratives, the commissioner shall consider, and may adjust, trend and utilization factors, to
reflect changes in mental health service utilization and access;
(11) consider changes in mental health service utilization, access, and price, and determine
the actuarial value of the services in the maintenance of rates for local children's mental health
collaborative provided services, subject to federal approval;
(12) provide written notice to any prepaid health plan operating within the service delivery
area of a children's mental health collaborative of the collaborative's existence within 30 days of
the commissioner's receipt of notice of the collaborative's formation;
(13) ensure that in a geographic area where both a prepaid health plan including those
established under either section 256B.69 or 256L.12 and a local children's mental health
collaborative exist, medical assistance and MinnesotaCare recipients in the operational target
population who are enrolled in prepaid health plans will have the choice to receive mental health
services through either the prepaid health plan or the collaborative that has a contract with the
prepaid health plan, according to the terms of the contract;
(14) develop a mechanism for integrating medical assistance resources for mental health
service with MinnesotaCare and any other state and local resources available for services for
children in the operational target population, and develop a procedure for making these resources
available for use by a local children's mental health collaborative;
(15) gather data needed to manage mental health care including evaluation data and data
necessary to establish a separate capitation rate for children's mental health services if that option
is selected;
(16) by January 1, 1994, develop a model contract for providers of mental health managed
care that meets the requirements set out in sections 245.491 to 245.495 and 256B.69, and utilize
this contract for all subsequent awards, and before January 1, 1995, the commissioner of human
services shall not enter into or extend any contract for any prepaid plan that would impede the
implementation of sections 245.491 to 245.495;
(17) develop revenue enhancement or rebate mechanisms and procedures to certify
expenditures made through local children's mental health collaboratives for services including
administration and outreach that may be eligible for federal financial participation under medical
assistance and other federal programs;
(18) ensure that new contracts and extensions or modifications to existing contracts under
section 256B.69 do not impede implementation of sections 245.491 to 245.495;
(19) provide technical assistance to help local children's mental health collaboratives certify
local expenditures for federal financial participation, using due diligence in order to meet
implementation timelines for sections 245.491 to 245.495 and recommend necessary legislation
to enhance federal revenue, provide clinical and management flexibility, and otherwise meet the
goals of local children's mental health collaboratives and request necessary state plan amendments
to maximize the availability of medical assistance for activities undertaken by the local children's
mental health collaborative;
(20) take all steps necessary to secure medical assistance reimbursement under the
rehabilitation option for family community support services and therapeutic support of foster care
and for individualized rehabilitation services;
(21) provide a mechanism to identify separately the reimbursement to a county for child
welfare targeted case management provided to children served by the local collaborative for
purposes of subsequent transfer by the county to the integrated fund;
(22) ensure that family members who are enrolled in a prepaid health plan and whose
children are receiving mental health services through a local children's mental health collaborative
file complaints about mental health services needed by the family members, the commissioner
shall comply with section 256B.031, subdivision 6. A collaborative may assist a family to make a
complaint; and
(23) facilitate a smooth transition for children receiving prepaid medical assistance or
MinnesotaCare services through a children's mental health collaborative who become enrolled in
a prepaid health plan.
    Subd. 4. Rulemaking. The commissioners of human services, health, corrections, and
education shall adopt or amend rules as necessary to implement sections 245.491 to 245.495.
    Subd. 5. Rule modification. By January 15, 1994, the commissioner shall report to the
legislature the extent to which claims for federal reimbursement for case management as set out in
Minnesota Rules, parts 9520.0900 to 9520.0926 and 9505.0322, as they pertain to mental health
case management are consistent with the number of children eligible to receive this service.
The report shall also identify how the commissioner intends to increase the numbers of eligible
children receiving this service, including recommendations for modifying rules or statutes to
improve access to this service and to reduce barriers to its provision.
In developing these recommendations, the commissioner shall:
(1) review experience and consider alternatives to the reporting and claiming requirements,
such as the rate of reimbursement, the claiming unit of time, and documenting and reporting
procedures set out in Minnesota Rules, parts 9520.0900 to 9520.0926 and 9505.0322, as they
pertain to mental health case management;
(2) consider experience gained from implementation of child welfare targeted case
management;
(3) determine how to adjust the reimbursement rate to reflect reductions in caseload size;
(4) determine how to ensure that provision of targeted child welfare case management does
not preclude an eligible child's right, or limit access, to case management services for children
with severe emotional disturbance as set out in Minnesota Rules, parts 9520.0900 to 9520.0926
and 9505.0322, as they pertain to mental health case management;
(5) determine how to include cost and time data collection for contracted providers for rate
setting, claims, and reimbursement purposes;
(6) evaluate the need for cost control measures where there is no county share; and
(7) determine how multiagency teams may share the reimbursement.
The commissioner shall conduct a study of the cost of county staff providing case
management services under Minnesota Rules, parts 9520.0900 to 9520.0926 and 9505.0322, as
they pertain to mental health case management. If the average cost of providing case management
services to children with severe emotional disturbance is determined by the commissioner to
be greater than the average cost of providing child welfare targeted case management, the
commissioner shall ensure that a higher reimbursement rate is provided for case management
services under Minnesota Rules, parts 9520.0900 to 9520.0926 and 9505.0322, to children with
severe emotional disturbance. The total medical assistance funds expended for this service in the
biennium ending in state fiscal year 1995 shall not exceed the amount projected in the state
Medicaid forecast for case management for children with serious emotional disturbances.
History: 1Sp1993 c 1 art 7 s 16; 1995 c 207 art 8 s 23,24; art 11 s 3,11; 1997 c 187 art 1 s
16; 1998 c 398 art 5 s 55; 2003 c 130 s 12; 1Sp2003 c 14 art 11 s 11; 2007 c 147 art 8 s 38