Bill > HF1005

This bill establishes several significant healthcare reimbursement rate adjustments for medical assistance services in Minnesota. Effective January 1, 2028, the bill requires increasing payments for inpatient behavioral health services by adjusting existing rate methodologies and directing managed care plans to increase corresponding provider payments. The bill also mandates a statewide reimbursement rate for behavioral health home services of at least $425 per member per month, with annual adjustments based on the Medicare Economic Index. Additionally, the bill sets requirements for reimbursement rates across multiple service categories, including obstetric and gynecologic services, mental health services, and primary care services, generally aiming to align rates with 100 percent of the Medicare Physician Fee Schedule by January 1, 2026. The legislation includes provisions for managed care plans to increase capitation payments to reflect these rate increases and requires the commissioner to monitor the impact on service access. Each rate adjustment is subject to federal approval, and if approval is not obtained, the commissioner must adjust rates accordingly. The bill represents a comprehensive effort to improve healthcare provider reimbursement and potentially increase access to medical services for Medical Assistance recipients.

Health and Social Services, Labor and Employment

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF1005&ssn=0&y=2025