256B.03 PAYMENTS TO VENDORS.
Subdivision 1. General limit.
All payments for medical assistance hereunder must be made
to the vendor. The maximum payment for new vendors enrolled in the medical assistance program
after the base year shall be determined from the average usual and customary charge of the
same vendor type enrolled in the base year.
Subd. 2.[Repealed, 2000 c 449 s 15
Subd. 3. Tribal purchasing model.
(a) Notwithstanding subdivision 1 and sections
256D.03, subdivision 4
, paragraph (i), the commissioner may make payments to
federally recognized Indian tribes with a reservation in the state to provide medical assistance
and general assistance medical care to Indians, as defined under federal law, who reside on or
near the reservation. The payments may be made in the form of a block grant or other payment
mechanism determined in consultation with the tribe. Any alternative payment mechanism agreed
upon by the tribes and the commissioner under this subdivision is not dependent upon county or
health plan agreement but is intended to create a direct payment mechanism between the state
and the tribe for the administration of the medical assistance and general assistance medical care
programs, and for covered services.
(b) A tribe that implements a purchasing model under this subdivision shall report to the
commissioner at least annually on the operation of the model. The commissioner and the tribe
shall cooperatively determine the data elements, format, and timetable for the report.
(c) For purposes of this subdivision, "Indian tribe" means a tribe, band, or nation, or other
organized group or community of Indians that is recognized as eligible for the special programs
and services provided by the United States to Indians because of their status as Indians and for
which a reservation exists as is consistent with Public Law 100-485, as amended.
(d) Payments under this subdivision may not result in an increase in expenditures that would
not otherwise occur in the medical assistance program under this chapter or the general assistance
medical care program under chapter 256D.
History: Ex1967 c 16 s 3; 1981 c 360 art 2 s 27,54; 1Sp1981 c 2 s 13; 1Sp1981 c 4 art 4 s
22; 3Sp1982 c 1 art 2 s 4; 1983 c 312 art 1 s 27; 1987 c 384 art 2 s 63; 1987 c 403 art 2 s 75;
1996 c 451 art 5 s 14; 1998 c 407 art 4 s 11
Subdivision 3, as added by Laws 1996, chapter 451, article 5, section 14, is effective
October 1, 1996, or upon receipt of any necessary federal approval, whichever date is later.
Laws 1996, chapter 451, article 5, section 40.