1.1.................... moves to amend H.F. No. 2887 as follows:
1.2Page 2, after line 33, insert:
1.3 "Sec. 2. Minnesota Statutes 2012, section 256B.0644, is amended to read:
1.4256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
1.5PROGRAMS.
1.6 (a) A vendor of medical care, as defined in section
256B.02, subdivision 7, and a
1.7health maintenance organization, as defined in chapter 62D, must participate as a provider
1.8or contractor in the medical assistance program and MinnesotaCare as a condition of
1.9participating as a provider in health insurance plans and programs or contractor for state
1.10employees established under section
43A.18, the public employees insurance program
1.11under section
43A.316, for health insurance plans offered to local statutory or home
1.12rule charter city, county, and school district employees, the workers' compensation
1.13system under section
176.135, and insurance plans provided through the Minnesota
1.14Comprehensive Health Association under sections
62E.01 to
62E.19. The limitations
1.15on insurance plans offered to local government employees shall not be applicable in
1.16geographic areas where provider participation is limited by managed care contracts
1.17with the Department of Human Services.
This section does not apply to dental service
1.18providers providing dental services outside the seven-county metropolitan area.
1.19 (b) For providers other than health maintenance organizations, participation in the
1.20medical assistance program means that:
1.21 (1) the provider accepts new medical assistance and MinnesotaCare patients;
1.22 (2) for providers other than dental service providers, at least 20 percent of the
1.23provider's patients are covered by medical assistance and MinnesotaCare as their primary
1.24source of coverage; or
1.25 (3) for dental service providers
providing dental services in the seven-county
1.26metropolitan area, at least ten percent of the provider's patients are covered by medical
2.1assistance and MinnesotaCare as their primary source of coverage, or the provider accepts
2.2new medical assistance and MinnesotaCare patients who are children with special health
2.3care needs. For purposes of this section, "children with special health care needs" means
2.4children up to age 18 who: (i) require health and related services beyond that required
2.5by children generally; and (ii) have or are at risk for a chronic physical, developmental,
2.6behavioral, or emotional condition, including: bleeding and coagulation disorders;
2.7immunodeficiency disorders; cancer; endocrinopathy; developmental disabilities;
2.8epilepsy, cerebral palsy, and other neurological diseases; visual impairment or deafness;
2.9Down syndrome and other genetic disorders; autism; fetal alcohol syndrome; and other
2.10conditions designated by the commissioner after consultation with representatives of
2.11pediatric dental providers and consumers.
2.12 (c) Patients seen on a volunteer basis by the provider at a location other than
2.13the provider's usual place of practice may be considered in meeting the participation
2.14requirement in this section. The commissioner shall establish participation requirements
2.15for health maintenance organizations. The commissioner shall provide lists of participating
2.16medical assistance providers on a quarterly basis to the commissioner of management and
2.17budget, the commissioner of labor and industry, and the commissioner of commerce. Each
2.18of the commissioners shall develop and implement procedures to exclude as participating
2.19providers in the program or programs under their jurisdiction those providers who do
2.20not participate in the medical assistance program. The commissioner of management
2.21and budget shall implement this section through contracts with participating health and
2.22dental carriers.
2.23(d) A volunteer dentist who has signed a volunteer agreement under section
2.24256B.0625, subdivision 9a
, shall not be considered to be participating in medical
2.25assistance or MinnesotaCare for the purpose of this section.
2.26EFFECTIVE DATE.This section is effective upon receipt of any necessary federal
2.27waiver or approval. The commissioner of human services shall notify the revisor of
2.28statutes if a federal waiver or approval is sought and, if sought, when a federal waiver
2.29or approval is obtained.
2.30 Sec. 3.
FEDERAL WAIVER OR APPROVAL.
2.31The commissioner of human services shall seek any federal waiver or approval
2.32necessary to implement section 2."
2.33Amend the title accordingly