MN HF4981

Increases rates for residential substance use disorder services effective January 1, 2025, with annual adjustments based on the Medicare Economic Index; managed care plans must pass increases to providers.

Establishes a statewide reimbursement rate of at least $408 per member per month for behavioral health home services effective January 1, 2025, with annual adjustments and rate reviews every four years.

Requires physician and professional services payment rates at 100 percent of Medicare Physician Fee Schedule rates effective January 1, 2025, including mental health services based on relative value units.

Increases inpatient behavioral health services payments for hospitals using DRG methodology effective January 1, 2025, with corresponding capitation rate increases for managed care plans.

Appropriates $8,785,000 in fiscal year 2025 for behavioral health service payment increases and repeals prior tiered payment rates for mental health services by credential level.