HF3636 Summary

• Establishes an ombudsperson for managed care to advocate for health plan enrollees, assist with grievances and appeals, and analyze plan data on denials and disputes.

• Expands medical assistance coverage for foster children to include those placed in foster care under Minnesota law or kinship assistance, effective immediately upon enactment.

• Modifies asset and annuity rules for long-term care medical assistance eligibility, requiring the state to be named as preferred remainder beneficiary on annuities and treating certain trust transfers as asset disposals.

• Expands telehealth coverage to include services delivered through real-time audio and visual communication, store-and-forward technology, and specified paraprofessionals; services are paid at full allowable rates.

• Excludes investigational drugs and devices from medical assistance coverage, though participation in approved clinical trials does not preclude coverage of related medically necessary services.