2004 Minnesota Statutes

     254B.06 Reimbursement; payment; denial. 

    Subdivision 1.    State collections.  The commissioner 
 is responsible for all collections from persons determined to be 
 partially responsible for the cost of care of an eligible person 
 receiving services under Laws 1986, chapter 394, sections 8 to 
 20.  The commissioner may initiate, or request the attorney 
 general to initiate, necessary civil action to recover the 
 unpaid cost of care.  The commissioner may collect all 
 third-party payments for chemical dependency services provided 
 under Laws 1986, chapter 394, sections 8 to 20, including 
 private insurance and federal Medicaid and Medicare financial 
 participation.  The commissioner shall deposit in a dedicated 
 account a percentage of collections to pay for the cost of 
 operating the chemical dependency consolidated treatment fund 
 invoice processing and vendor payment system, billing, and 
 collections.  The remaining receipts must be deposited in the 
 chemical dependency fund. 

    Subd. 2.    Allocation of collections.  The commissioner 
 shall allocate all federal financial participation collections 
 to the reserve fund under section 254B.02, subdivision 3.  The 
 commissioner shall retain 85 percent of patient payments and 
 third-party payments and allocate the collections to the 
 treatment allocation for the county that is financially 
 responsible for the person.  Fifteen percent of patient and 
 third-party payments must be paid to the county financially 
 responsible for the patient.  Collections for patient payment 
 and third-party payment for services provided under section 
 254B.09 shall be allocated to the allocation of the tribal unit 
 which placed the person.  Collections of federal financial 
 participation for services provided under section 254B.09 shall 
 be allocated to the tribal reserve account under section 
 254B.09, subdivision 5. 

    Subd. 3.    Payment; denial.  The commissioner shall pay 
 eligible vendors for placements made by local agencies under 
 section 254B.03, subdivision 1, and placements by tribal 
 designated agencies according to section 254B.09.  The 
 commissioner may reduce or deny payment of the state share when 
 services are not provided according to the placement criteria 
 established by the commissioner.  The commissioner may pay for 
 all or a portion of improper county chemical dependency 
 placements and bill the county for the entire payment made when 
 the placement did not comply with criteria established by the 
 commissioner.  The commissioner may make payments to vendors and 
 charge the county 100 percent of the payments if documentation 
 of a county approved placement is received more than 30 working 
 days, exclusive of weekends and holidays, after the date 
 services began; or if the county approved invoice is received by 
 the commissioner more than 120 days after the last date of 
 service provided.  The commissioner shall not pay vendors until 
 private insurance company claims have been settled. 

    HIST: 1986 c 394 s 13; 1987 c 299 s 15; 1989 c 282 art 2 s 
 107; 1992 c 513 art 7 s 13; 1Sp1993 c 1 art 3 s 21