MN HF3823

Commissioner of human services shall contract with a third-party administrator to administer medical assistance and MinnesotaCare programs beginning January 1, 2025.

Third-party administrator must provide benefits management, claims processing, enrollee support services, and coordinate with eligibility determination functions performed by MNsure and county agencies.

Third-party administrator shall increase provider payment rates or implement innovative health care delivery and reimbursement methods to ensure access to care and improve health care quality as directed by commissioner or legislature.

Commissioner must terminate managed care and county-based purchasing plan contracts under sections 256B.69, 256B.692, 256L.12, and 256L.121 by December 31, 2024, and repay any capitation rate withholds not tied to performance measures.

Commissioner shall report to legislative committees with jurisdiction over health care finance and policy by January 1, 2024, on progress in contracting with a third-party administrator.