MN HF3363

Commissioner must provide all eligible individuals the opportunity to opt out of managed care enrollment, with criteria developed to determine when choice limitations may be implemented in experimental counties.

Certain persons are exempted from managed care participation, including those eligible for medical assistance due to blindness or disability (with exceptions for persons age 65+ or in Itasca County), those receiving refugee assistance, and children or adults with severe mental health conditions requiring case management.

Before limiting choice, eligible individuals must be notified and given the opportunity to opt out; those not opting out may choose only among demonstration providers, with limited ability to change providers after initial selection.

Commissioner must establish an enrollee support system providing counseling on choosing a managed care plan or opting out, assistance navigating grievances and appeals, and accessible outreach through multiple formats including telephone, Internet, and in-person.

All amendments are effective January 1, 2023, and apply to county-based purchasing of health care services under medical assistance programs.