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MN SF5176
Bill
Status
3/25/2024
Primary Sponsor
Kelly Morrison
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AI Summary
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Modifies Medical Assistance payment rates to Indian health services facilities for drugs purchased through the Federal Supply Schedule (FSS), requiring payment of FSS actual acquisition cost plus professional dispensing fee for claims exceeding federal rates.
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Establishes requirements for Indian health services providers to submit FSS rates with basis of cost indicator "08" and allows facilities to establish written protocols for calculating actual acquisition drug costs based on monthly, quarterly, or other averages without adding inflation, markup, spread, or margin.
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Modifies Medical Assistance payment rates for drugs purchased through the federal 340B Drug Pricing Program, requiring payment at the 340B reimbursement rate for claims exceeding federal rates and submission with basis of cost indicator "08" and submission clarification code "20."
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Removes requirement that adult day treatment providers must be accredited by the Joint Commission on Accreditation of Health Organizations, allowing any hospital licensed under sections 144.50 to 144.55 to apply as an adult day treatment provider.
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Establishes that adult day treatment providers must review client progress and update individual treatment plans at least every 90 days, notwithstanding existing provisions, and must include discharge plans in treatment plans.
Legislative Description
Payment rates modification to Indian health services facilities for certain medications
Last Action
Referred to Health and Human Services
3/25/2024