MN HF2573

Increases reimbursement for critical access dental providers from 37.5 percent to 50 percent above standard rates for dental services rendered on or after July 1, 2016.

Reduces reimbursement increase to 35 percent for dental clinics or groups owned and operated by health maintenance organizations licensed under chapter 62D.

Requires managed care plans and county-based purchasing plans to base additional critical access dental payments on fee schedules for non-capitated providers, excluding any capitated or cost-based payments.

Designates six categories of dentists and dental clinics as critical access providers, including nonprofit community clinics, federally qualified health centers, rural health clinics, hospital-based clinics, university-operated clinics, and private dentists serving significant populations of uninsured or medical assistance patients.

Establishes geographic and patient volume thresholds for private dentists to qualify as critical access providers, with higher thresholds (50 percent uninsured/medical assistance patients) in the seven-county metropolitan area and lower thresholds (25 percent) outside the metropolitan area.