Bill Text: MN SF2145 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Medical assistance (MA) payment for part B Medicare crossover claims payments to federally qualified health centers and rural health clinics exemption
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2014-03-03 - Referred to Health, Human Services and Housing [SF2145 Detail]
Download: Minnesota-2013-SF2145-Introduced.html
1.2relating to human services; exempting federally qualified health centers and rural
1.3health clinics from payment limits for Medicare crossover claims;amending
1.4Minnesota Statutes 2012, section 256B.0625, subdivision 57.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes 2012, section 256B.0625, subdivision 57, is amended to
1.7read:
1.8 Subd. 57. Payment for Part B Medicare crossover claims. (a) Effective for
1.9services provided on or after January 1, 2012, medical assistance payment for an enrollee's
1.10cost-sharing associated with Medicare Part B is limited to an amount up to the medical
1.11assistance total allowed, when the medical assistance rate exceeds the amount paid by
1.12Medicare.
1.13(b) Excluded from this limitation are payments for mental health services and
1.14payments for dialysis services provided to end-stage renal disease patients. The exclusion
1.15for mental health services does not apply to payments for physician services provided by
1.16psychiatrists and advanced practice nurses with a specialty in mental health.
1.17(c) Excluded from this limitation are payments to federally qualified health centers
1.18and rural health clinics. Medical assistance payments to these providers shall equal the
1.19difference between the provider rate specified in United States Code, title 42, section
1.201396a(bb), and the amount paid by Medicare.
1.3health clinics from payment limits for Medicare crossover claims;amending
1.4Minnesota Statutes 2012, section 256B.0625, subdivision 57.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes 2012, section 256B.0625, subdivision 57, is amended to
1.7read:
1.8 Subd. 57. Payment for Part B Medicare crossover claims. (a) Effective for
1.9services provided on or after January 1, 2012, medical assistance payment for an enrollee's
1.10cost-sharing associated with Medicare Part B is limited to an amount up to the medical
1.11assistance total allowed, when the medical assistance rate exceeds the amount paid by
1.12Medicare.
1.13(b) Excluded from this limitation are payments for mental health services and
1.14payments for dialysis services provided to end-stage renal disease patients. The exclusion
1.15for mental health services does not apply to payments for physician services provided by
1.16psychiatrists and advanced practice nurses with a specialty in mental health.
1.17(c) Excluded from this limitation are payments to federally qualified health centers
1.18and rural health clinics. Medical assistance payments to these providers shall equal the
1.19difference between the provider rate specified in United States Code, title 42, section
1.201396a(bb), and the amount paid by Medicare.
