2019 Minnesota Statutes
Chapters 245 - 267 — Public Welfare And Related Activities
Chapter 256L — Minnesotacare
Section 256L.11 — Provider Payment.
Subdivision 1. Medical assistance rate to be used. Payment to providers under this chapter shall be at the same rates and conditions established for medical assistance, except as provided in this section.
Subd. 2. Payment of certain providers. Services provided by federally qualified health centers, rural health clinics, facilities of the Indian health service, and certified community behavioral health clinics shall be paid for according to the same rates and conditions applicable to the same service provided by providers that are not federally qualified health centers, rural health clinics, facilities of the Indian health service, or certified community behavioral health clinics. The alternative payment methodology described under section 256B.0625, subdivision 30, paragraph (l), shall not apply to services delivered under this chapter by federally qualified health centers, rural health clinics, and facilities of the Indian Health Services. The prospective payment system for certified behavioral health clinics under section 256B.0625, subdivision 5m, shall not apply to services delivered under this chapter.
Subd. 2a. MS 2018 [Repealed, 1Sp2019 c 9 art 7 s 47]
Subd. 3. Inpatient hospital services. Inpatient hospital services provided under section 256L.03, subdivision 3, shall be at the medical assistance rate.
Subd. 4. Definition of medical assistance rate for inpatient hospital services. The "medical assistance rate," as used in this section to apply to rates for providing inpatient hospital services, means the rates established under sections 256.9685 to 256.9695 for providing inpatient hospital services to medical assistance recipients who receive Minnesota family investment program assistance.
Subd. 5. [Repealed, 2013 c 108 art 1 s 68]
Subd. 6. [Repealed, 2013 c 108 art 1 s 68]
Subd. 6a. Dental providers. Effective for dental services provided to MinnesotaCare enrollees on or after January 1, 2018, the commissioner shall increase payment rates to dental providers by 54 percent. Payments made to prepaid health plans under section 256L.12 shall reflect the payment increase described in this subdivision. The prepaid health plans under contract with the commissioner shall provide payments to dental providers that are at least equal to a rate that includes the payment rate specified in this subdivision, and if applicable to the provider, the rates described under subdivision 7.
Subd. 7. Critical access dental providers. Effective for dental services provided to MinnesotaCare enrollees on or after July 1, 2017, the commissioner shall increase payment rates to dentists and dental clinics deemed by the commissioner to be critical access providers under section 256B.76, subdivision 4, by 20 percent above the payment rate that would otherwise be paid to the provider. The commissioner shall pay the prepaid health plans under contract with the commissioner amounts sufficient to reflect this rate increase. The prepaid health plan must pass this rate increase to providers who have been identified by the commissioner as critical access dental providers under section 256B.76, subdivision 4.
History: 1993 c 345 art 9 s 9; 1994 c 625 art 8 s 57; 1995 c 234 art 6 s 21; 1997 c 225 art 1 s 15; 1998 c 407 art 5 s 37,47; 1999 c 159 s 106; 1Sp2001 c 9 art 2 s 66; 2002 c 379 art 1 s 113; 2006 c 282 art 16 s 13; 2007 c 147 art 5 s 31; 2009 c 79 art 5 s 67; 2009 c 173 art 1 s 38; 1Sp2010 c 1 art 16 s 34; 1Sp2011 c 9 art 6 s 79,80; 2013 c 108 art 1 s 58,59; 2016 c 189 art 19 s 28; 1Sp2017 c 6 art 4 s 58,59; 1Sp2019 c 9 art 7 s 43
