2007 Minnesota Statutes
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Chapter 256B
Section 256B.32
Recent History
- 2008 Subd. 1 Amended 2008 c 363 art 17 s 13
- 2003 Subd. 1 Amended 2003 c 14 art 12 s 55
- 2002 256B.32 Amended 2002 c 275 s 4
- 2002 256B.32 Amended 2002 c 220 art 15 s 14
This is an historical version of this statute chapter. Also view the most recent published version.
256B.32 FACILITY FEE PAYMENT.
Subdivision 1. Facility fee for hospital emergency room and clinic visit. (a) The
commissioner shall establish a facility fee payment mechanism that will pay a facility fee to
all enrolled outpatient hospitals for each emergency room or outpatient clinic visit provided
on or after July 1, 1989. This payment mechanism may not result in an overall increase in
outpatient payment rates. This section does not apply to federally mandated maximum payment
limits, department-approved program packages, or services billed using a nonoutpatient hospital
provider number.
(b) For fee-for-service services provided on or after July 1, 2002, the total payment, before
third-party liability and spenddown, made to hospitals for outpatient hospital facility services is
reduced by .5 percent from the current statutory rates.
(c) In addition to the reduction in paragraph (b), the total payment for fee-for-service services
provided on or after July 1, 2003, made to hospitals for outpatient hospital facility services before
third-party liability and spenddown, is reduced five percent from the current statutory rates.
Facilities defined under section 256.969, subdivision 16, are excluded from this paragraph.
Subd. 2. Prospective payment system. Effective for services provided on or after July 1,
2003, rates that are based on the Medicare outpatient prospective payment system shall be replaced
by a budget-neutral prospective payment system that is derived using medical assistance data.
History: 1989 c 285 s 4; 2002 c 220 art 15 s 14; 2002 c 275 s 4; 1Sp2003 c 14 art 12 s 55
Subdivision 1. Facility fee for hospital emergency room and clinic visit. (a) The
commissioner shall establish a facility fee payment mechanism that will pay a facility fee to
all enrolled outpatient hospitals for each emergency room or outpatient clinic visit provided
on or after July 1, 1989. This payment mechanism may not result in an overall increase in
outpatient payment rates. This section does not apply to federally mandated maximum payment
limits, department-approved program packages, or services billed using a nonoutpatient hospital
provider number.
(b) For fee-for-service services provided on or after July 1, 2002, the total payment, before
third-party liability and spenddown, made to hospitals for outpatient hospital facility services is
reduced by .5 percent from the current statutory rates.
(c) In addition to the reduction in paragraph (b), the total payment for fee-for-service services
provided on or after July 1, 2003, made to hospitals for outpatient hospital facility services before
third-party liability and spenddown, is reduced five percent from the current statutory rates.
Facilities defined under section 256.969, subdivision 16, are excluded from this paragraph.
Subd. 2. Prospective payment system. Effective for services provided on or after July 1,
2003, rates that are based on the Medicare outpatient prospective payment system shall be replaced
by a budget-neutral prospective payment system that is derived using medical assistance data.
History: 1989 c 285 s 4; 2002 c 220 art 15 s 14; 2002 c 275 s 4; 1Sp2003 c 14 art 12 s 55
Official Publication of the State of Minnesota
Revisor of Statutes