Bill > HF2604

This bill modifies Minnesota's medical assistance program by introducing a new requirement for managed care and county-based purchasing plans starting January 1, 2026. Specifically, the bill establishes a 2% withhold on capitation payments (fixed monthly payments made to health plans for each enrolled member) contingent upon the completion of a new verification of coverage form by each enrollee. The form will require enrollees to provide their name, street address, and the name of their selected or assigned health plan, and include a signature attesting to the accuracy of the information. Health plans must request all enrollees complete this form and submit the completed forms to the commissioner by February 27, 2026. If a completed form is not received for a specific enrollee, the commissioner will: (1) retain the withheld funds for that enrollee, (2) stop making capitation payments for that enrollee starting in April 2026, and (3) disenroll the enrollee from medical assistance, with the option for the enrollee to appeal the disenrollment. This provision aims to improve coverage verification and ensure accurate enrollment information for Minnesota's medical assistance program.

Health and Social Services, Labor and Employment

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF2604&ssn=0&y=2025