Section 11 (256.969, subd. 1) eliminates the requirement that MMB submit budget change requests for annual adjustments to hospital payment rates. Senate only provision Section 12 (256.969, subd 2b) Paragraph (d) extends the five percent banding that expires June 30, 2016, until the next rebasing, but only for hospitals paid on a diagnosis-related group (DRG) methodology. Paragraph (e) extends until the next rebasing the additional adjustments to the rebased hospital payment rates that were set to expire on June 30, 2016. Paragraph (i) grants DHS the authority to determine a new methodology for determining a cost-based final payment rate for critical access hospitals, but no hospital may receive less than 95 percent of its base year payment. Paragraphs (d) and (e) Senate only Paragraph (i) identical, except Senate prohibits the next rebasing any hospital from receiving less than 95 percent of its base year payment. Article 1, § 5. Hospital payment rates. Amends § 256.969, subd. 2b. Requires payment rates for critical access hospitals located in Minnesota or the local trade area to be determined using a new cost-based methodology, effective for discharges on or after July 1, 2015. Requires the commissioner to include in the methodology tiers of payment to promote efficiency and cost-effectiveness. Specifies other requirements for the methodology and lists factors to be used to develop the new methodology. Section 13 (256.969, subd. 3a) specifies that beginning July 1, 2015, individual hospital payment rate adjustments for to long-term care hospitals and rehabilitation hospitals for inpatient services must be incorporated into the hospital’s payment rate and not applied to each claim. Senate only provision Section 14 (256.969, subd. 3c) specifies that beginning July 1, 2015, the ten percent buy-back for fee-for-service inpatient services at long-term care hospitals and rehabilitation hospitals must be incorporated into the hospital’s payment rate and not applied to each Senate only provision
the percentage of enrollees that have access to nonspecialty dental services within a 60-minute or 60-mile radius of the enrollee’s residence; the percentage of adult enrollees continuously enrolled for 6 months in a calendar year receiving an oral evaluation within the year; and the percentage of children the age of 21 continuously enrolled for at least 90 days in a calendar year receiving an oral evaluation and sealants, and follow-up care after an evaluation. Subd. 2 Requires the commissioner to establish a baseline measurement using calendar year 2014 as the base year. Subd. 3 requires the commissioner to calculate the measures described under subdivision 1 using fiscal year 2016 and compare these measures with the baseline measures calculated under subdivision 2 and submit the results to the legislature. If each measure has not increased by at least 20 percent, the dental competitive bidding system shall be implemented by the commissioner if the legislature ratifies its implementation after receipt of the calculations. Subd. 4 requires the commissioner to contract through a competitive bidding process to an entity or entities to directly administer the delivery of dental services to all state public health care program enrollees effective for dental service provided on or after January 1, 2019.