1999 Minnesota Statutes

     62Q.075 Local public accountability and collaboration 
  plan. 

    Subdivision 1.    Definition.  For purposes of this 
 section, "managed care organization" means a health maintenance 
 organization or community integrated service network. 

    Subd. 2.    Requirement.  Beginning October 31, 1997, 
 all managed care organizations shall file biennially with the 
 action plans required under section 62Q.07 a plan describing the 
 actions the managed care organization has taken and those it 
 intends to take to contribute to achieving public health goals 
 for each service area in which an enrollee of the managed care 
 organization resides.  This plan must be jointly developed in 
 collaboration with the local public health units, and other 
 community organizations providing health services within the 
 same service area as the managed care organization.  Local 
 government units with responsibilities and authority defined 
 under chapters 145A and 256E may designate individuals to 
 participate in the collaborative planning with the managed care 
 organization to provide expertise and represent community needs 
 and goals as identified under chapters 145A and 256E. 

    Subd. 3.    Contents.  The plan must address the 
 following: 

    (a) specific measurement strategies and a description of 
 any activities which contribute to public health goals and needs 
 of high risk and special needs populations as defined and 
 developed under chapters 145A and 256E; 

    (b) description of the process by which the managed care 
 organization will coordinate its activities with the community 
 health boards, and other relevant community organizations 
 servicing the same area; 

    (c) documentation indicating that local public health units 
 and local government unit designees were involved in the 
 development of the plan; 

    (d) documentation of compliance with the plan filed the 
 previous year, including data on the previously identified 
 progress measures. 

    Subd. 4.    Review.  Upon receipt of the plan, the 
 appropriate commissioner shall provide a copy to the local 
 community health boards, and other relevant community 
 organizations within the managed care organization's service 
 area.  After reviewing the plan, these community groups may 
 submit written comments on the plan to either the commissioner 
 of health or commerce, as applicable, and may advise the 
 commissioner of the managed care organization's effectiveness in 
 assisting to achieve regional public health goals.  The plan may 
 be reviewed by the county boards, or city councils acting as a 
 local board of health in accordance with chapter 145A, within 
 the managed care organization's service area to determine 
 whether the plan is consistent with the goals and objectives of 
 the plans required under chapters 145A and 256E and whether the 
 plan meets the needs of the community.  The county board, or 
 applicable city council, may also review and make 
 recommendations on the availability and accessibility of 
 services provided by the managed care organization.  The county 
 board, or applicable city council, may submit written comments 
 to the appropriate commissioner, and may advise the commissioner 
 of the managed care organization's effectiveness in assisting to 
 meet the needs and goals as defined under the responsibilities 
 of chapters 145A and 256E.  The commissioner of health shall 
 develop recommendations to utilize the written comments 
 submitted as part of the licensure process to ensure local 
 public accountability.  These recommendations shall be reported 
 to the legislative commission on health care access by January 
 15, 1996.  Copies of these written comments must be provided to 
 the managed care organization.  The plan and any comments 
 submitted must be filed with the information clearinghouse to be 
 distributed to the public. 

    HIST: 1994 c 625 art 7 s 1; 1995 c 234 art 8 s 17; 1996 c 451 
 art 4 s 3; 1997 c 225 art 2 s 62; 1999 c 245 art 2 s 13