256B.32 FACILITY FEE PAYMENT.
Subdivision 1. Facility fee for hospital emergency room and clinic visit.
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
(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