1.1.................... moves to amend H.F. No. 3713 as follows:
1.2Page 2, after line 11, insert:
1.3 "Sec. 3.
[256B.0755] COORDINATED CARE THROUGH A HEALTH HOME.
1.4 Subdivision 1. Provision of coverage. (a) The commissioner shall provide
1.5medical assistance coverage of health home services for eligible individuals with chronic
1.6conditions who select a designated provider, a team of health care professionals, or a
1.7health team as the individual's health home.
1.8(b) The commissioner shall implement this section in compliance with the
1.9requirements of the state option to provide health homes for enrollees with chronic
1.10conditions, as provided under the Health Care and Education Reconciliation Act of 2010
1.11(H.R. 4872/Public Law No. .......). Terms used in this section have the meaning provided
1.12in that act.
1.13 Subd. 2. Eligible individual. An individual is eligible for health home services
1.14under this section if the individual is otherwise eligible for medical assistance under
1.15this chapter and has at least: (1) two chronic conditions; (2) one chronic condition and
1.16is at risk of having a second chronic condition; or (3) one serious and persistent mental
1.17health condition.
1.18 Subd. 3. Health home services. Health home services means comprehensive and
1.19timely high-quality services that are provided by a health home. These services include:
1.20(1) comprehensive care management;
1.21(2) care coordination and health promotion;
1.22(3) comprehensive transitional care, including appropriate follow-up, from inpatient
1.23to other settings;
1.24(4) patient and family support, including authorized representatives;
1.25(5) referral to community and social support services, if relevant; and
1.26(6) use of health information technology to link services, as feasible and appropriate.
2.1 Subd. 4. Payments. The commissioner shall make payments to each health
2.2home for the provision of health home services to each eligible individual with chronic
2.3conditions that selects the health home as a provider.
2.4 Subd. 5. Coordination. The commissioner, to the extent feasible, shall ensure that
2.5the requirements and payment methods for health homes developed under this section are
2.6consistent with the requirements and payment methods for health care homes established
2.7under section 256B.0751. The commissioner may modify requirements and payment
2.8methods under section 256B.0751, in order to be consistent with federal health home
2.9requirements and payment methods.
2.10 Subd. 6. State plan amendment. The commissioner shall submit a state plan
2.11amendment to implement this section to the federal Centers for Medicare and Medicaid
2.12Services by January 1, 2011.
2.13EFFECTIVE DATE.This section is effective January 1, 2011, or upon federal
2.14approval, whichever is later."
2.15Renumber the sections in sequence and correct the internal references
2.16Amend the title accordingly