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MN HF4119
Bill
Status
3/4/2020
Primary Sponsor
Alice Mann
Click for details
AI Summary
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Expands MinnesotaCare eligibility to 300% of federal poverty guidelines effective January 1, 2022, 400% effective January 1, 2024, and 401% or more effective January 1, 2025; farm households reach 400% by January 1, 2022.
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Increases provider payment rates to 120% of Medicare rates (enhanced Medicare payment rate) unless commissioner sets different rates based on claims data analysis or negotiates alternative rates.
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Modifies enrollee premiums with new sliding scale effective January 1, 2022, ranging from $0 for households below 34% of federal poverty guidelines to $275 for those at 400% of guidelines.
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Transitions service delivery from managed care to integrated health partnerships and primary care case management programs beginning January 1, 2022, terminating existing managed care contracts.
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Establishes MinnesotaCare Advisory Council with 15 voting members and 4 nonvoting members to advise on covered services, payment methodologies, care coordination, and program administration.
Legislative Description
MinnesotaCare eligibility expanded, integrated health partnerships expanded and service delivery modified, provider payment rates increased, enrollee premiums modified, implementation plan required, benefit coverage requirements for joint self-insurance plans modified, and MinnesotaCare Advisory Council established.
Last Action
Introduction and first reading, referred to Commerce
3/4/2020