Bill > HF2299

This bill modifies payment methodologies for enteral nutrition equipment and supplies, and establishes new processes for setting payment rates for medical equipment and supplies in Minnesota's medical assistance program. The bill makes several key changes, including extending temporary rates for enteral nutrition and supplies through June 30, 2027, and establishing a new payment calculation method based on the 50th percentile of usual and customary charges. For products with sufficient claim data (at least 100 claim lines from ten providers), payments will be calculated using this percentile method, with rate increases capped at 150 percent of the previous year's rate. When sufficient data is unavailable, payment will be based on the existing rate from June 30, 2023. For future periods starting July 1, 2027, if sufficient data is not available, payment will be calculated using the manufacturer's suggested retail price minus 20 percent, or the actual acquisition cost plus 20 percent. The bill also includes provisions for specific medical equipment categories, such as individually priced items like tracheostomy tubes and electric patient lifts, and establishes specific rate methodologies for items like ventilators. Additionally, the bill ensures that managed care plans and county-based purchasing plans will not be automatically adjusted to reflect these new payment rates.

Labor and Employment

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF2299&ssn=0&y=2025