2005 Minnesota Statutes - 256B.32 — Facility fee for outpatient hospital emergency room and clinic visits.

     256B.32 Facility fee for outpatient hospital emergency 
  room and clinic visits. 


    Subdivision 1.    Facility fee payment.  (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. 


    HIST: 1989 c 285 s 4; 2002 c 220 art 15 s 14; 2002 c 275 s 4; 
 1Sp2003 c 14 art 12 s 55