| 31 | | - | Introduction and first reading56502/27/2025 |
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| 32 | | - | Referred to Health and Human Services |
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| 33 | | - | Comm report: To pass as amended and re-refer to Human Services03/17/2025 2.1 (2) the adult has experienced a continuous psychiatric hospitalization or residential |
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| 34 | | - | 2.2treatment exceeding six months' duration within the preceding 12 months; |
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| 35 | | - | 2.3 (3) the adult has been treated by a crisis team two or more times within the preceding |
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| 36 | | - | 2.424 months; |
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| 37 | | - | 2.5 (4) the adult: |
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| 38 | | - | 2.6 (i) has a diagnosis of schizophrenia, bipolar disorder, major depression, schizoaffective |
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| 39 | | - | 2.7disorder, posttraumatic stress disorder, generalized anxiety disorder, panic disorder, eating |
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| 40 | | - | 2.8disorder, or borderline personality disorder; |
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| 41 | | - | 2.9 (ii) indicates a significant impairment in functioning; and |
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| 42 | | - | 2.10 (iii) has a written opinion from a mental health professional, in the last three years, |
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| 43 | | - | 2.11stating that the adult is reasonably likely to have future episodes requiring inpatient or |
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| 44 | | - | 2.12residential treatment, of a frequency described in clause (1) or (2), or the need for in-home |
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| 45 | | - | 2.13services to remain in one's home, unless ongoing case management or community support |
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| 46 | | - | 2.14services are provided; |
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| 47 | | - | 2.15 (5) the adult has, in the last three five years, been committed by a court as a person who |
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| 48 | | - | 2.16is mentally ill with a mental illness under chapter 253B, or the adult's commitment has been |
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| 49 | | - | 2.17stayed or continued; or |
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| 50 | | - | 2.18 (6) the adult (i) was eligible under clauses (1) to (5), but the specified time period has |
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| 51 | | - | 2.19expired or the adult was eligible as a child under section 245.4871, subdivision 6; and (ii) |
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| 52 | | - | 2.20has a written opinion from a mental health professional, in the last three years, stating that |
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| 53 | | - | 2.21the adult is reasonably likely to have future episodes requiring inpatient or residential |
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| 54 | | - | 2.22treatment, of a frequency described in clause (1) or (2), unless ongoing case management |
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| 55 | | - | 2.23or community support services are provided; or |
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| 56 | | - | 2.24 (7) (6) the adult was eligible as a child under section 245.4871, subdivision 6, and is |
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| 57 | | - | 2.25age 21 or younger. |
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| 58 | | - | 2.26 (d) For purposes of enrolling in case management and community support services, a |
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| 59 | | - | 2.27"person with a complex post-traumatic stress disorder" or "C-PTSD" means an adult who |
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| 60 | | - | 2.28has a mental illness and meets the following criteria: |
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| 61 | | - | 2.29 (1) the adult has post-traumatic stress disorder (PTSD) symptoms that significantly |
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| 62 | | - | 2.30interfere with daily functioning related to intergenerational trauma, racial trauma, or |
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| 63 | | - | 2.31unresolved historical grief; and |
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| 64 | | - | 2Section 1. |
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| 65 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 3.1 (2) the adult has a written opinion from a mental health professional that includes |
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| 66 | | - | 3.2documentation of: |
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| 67 | | - | 3.3 (i) culturally sensitive assessments or screenings and identification of intergenerational |
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| 68 | | - | 3.4trauma, racial trauma, or unresolved historical grief; |
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| 69 | | - | 3.5 (ii) significant impairment in functioning due to the PTSD symptoms that meet C-PTSD |
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| 70 | | - | 3.6condition eligibility; and |
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| 71 | | - | 3.7 (iii) increasing concerns within the last three years that indicates the adult is at a |
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| 72 | | - | 3.8reasonable likelihood of experiencing significant episodes of PTSD with increased frequency, |
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| 73 | | - | 3.9impacting daily functioning unless mitigated by targeted case management or community |
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| 74 | | - | 3.10support services. |
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| 75 | | - | 3.11 (e) Adults may continue to receive case management or community support services if, |
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| 76 | | - | 3.12in the written opinion of a mental health professional, the person needs case management |
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| 77 | | - | 3.13or community support services to maintain the person's recovery. |
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| 78 | | - | 3.14 EFFECTIVE DATE.Paragraph (d) is effective upon federal approval. The commissioner |
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| 79 | | - | 3.15of human services shall notify the revisor of statutes when federal approval is obtained. |
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| 80 | | - | 3.16 Sec. 2. Minnesota Statutes 2024, section 245.467, subdivision 4, is amended to read: |
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| 81 | | - | 3.17 Subd. 4.Referral for case management.Each provider of emergency services, day |
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| 82 | | - | 3.18treatment services, outpatient treatment, community support services, residential treatment, |
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| 83 | | - | 3.19acute care hospital inpatient treatment, or regional treatment center inpatient treatment must |
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| 84 | | - | 3.20inform each of its clients with serious and persistent mental illness or a complex |
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| 85 | | - | 3.21post-traumatic stress disorder of the availability and potential benefits to the client of case |
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| 86 | | - | 3.22management. If the client consents, the provider must refer the client by notifying the county |
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| 87 | | - | 3.23employee designated by the county board to coordinate case management activities of the |
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| 88 | | - | 3.24client's name and address and by informing the client of whom to contact to request case |
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| 89 | | - | 3.25management. The provider must document compliance with this subdivision in the client's |
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| 90 | | - | 3.26record. |
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| 91 | | - | 3.27 EFFECTIVE DATE.This section is effective upon federal approval. The commissioner |
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| 92 | | - | 3.28of human services shall notify the revisor of statutes when federal approval is obtained. |
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| 93 | | - | 3.29 Sec. 3. Minnesota Statutes 2024, section 245.4711, subdivision 1, is amended to read: |
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| 94 | | - | 3.30 Subdivision 1.Availability of case management services.(a) By January 1, 1989, The |
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| 95 | | - | 3.31county board shall provide case management services for all adults with serious and persistent |
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| 96 | | - | 3.32mental illness or a complex post-traumatic stress disorder who are residents of the county |
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| 97 | | - | 3Sec. 3. |
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| 98 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 4.1and who request or consent to the services and to each adult for whom the court appoints a |
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| 99 | | - | 4.2case manager. Staffing ratios must be sufficient to serve the needs of the clients. The case |
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| 100 | | - | 4.3manager must meet the requirements in section 245.462, subdivision 4. |
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| 101 | | - | 4.4 (b) Case management services provided to adults with serious and persistent mental |
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| 102 | | - | 4.5illness or a complex post-traumatic stress disorder eligible for medical assistance must be |
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| 103 | | - | 4.6billed to the medical assistance program under sections 256B.02, subdivision 8, and |
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| 104 | | - | 4.7256B.0625. |
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| 105 | | - | 4.8 (c) Case management services are eligible for reimbursement under the medical assistance |
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| 106 | | - | 4.9program. Costs associated with mentoring, supervision, and continuing education may be |
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| 107 | | - | 4.10included in the reimbursement rate methodology used for case management services under |
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| 108 | | - | 4.11the medical assistance program. |
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| 109 | | - | 4.12 EFFECTIVE DATE.This section is effective upon federal approval. The commissioner |
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| 110 | | - | 4.13of human services shall notify the revisor of statutes when federal approval is obtained. |
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| 111 | | - | 4.14 Sec. 4. Minnesota Statutes 2024, section 245.4711, subdivision 4, is amended to read: |
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| 112 | | - | 4.15 Subd. 4.Individual community support plan.(a) The case manager must develop an |
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| 113 | | - | 4.16individual community support plan for each adult that incorporates the client's individual |
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| 114 | | - | 4.17treatment plan. The individual treatment plan may not be a substitute for the development |
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| 115 | | - | 4.18of an individual community support plan. The individual community support plan must be |
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| 116 | | - | 4.19developed within 30 days of client intake and reviewed at least every 180 days after it is |
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| 117 | | - | 4.20developed, unless the case manager receives a written request from the client or the client's |
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| 118 | | - | 4.21family for a review of the plan every 90 days after it is developed. The case manager is |
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| 119 | | - | 4.22responsible for developing the individual community support plan based on a diagnostic |
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| 120 | | - | 4.23assessment and a functional assessment and for implementing and monitoring the delivery |
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| 121 | | - | 4.24of services according to the individual community support plan. To the extent possible, the |
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| 122 | | - | 4.25adult with serious and persistent mental illness or a complex post-traumatic stress disorder, |
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| 123 | | - | 4.26the person's family, advocates, service providers, and significant others must be involved |
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| 124 | | - | 4.27in all phases of development and implementation of the individual community support plan. |
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| 125 | | - | 4.28 (b) The client's individual community support plan must state: |
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| 126 | | - | 4.29 (1) the goals of each service; |
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| 127 | | - | 4.30 (2) the activities for accomplishing each goal; |
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| 128 | | - | 4.31 (3) a schedule for each activity; and |
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| 129 | | - | 4Sec. 4. |
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| 130 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 5.1 (4) the frequency of face-to-face contacts by the case manager, as appropriate to client |
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| 131 | | - | 5.2need and the implementation of the individual community support plan. |
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| 132 | | - | 5.3 EFFECTIVE DATE.This section is effective upon federal approval. The commissioner |
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| 133 | | - | 5.4of human services shall notify the revisor of statutes when federal approval is obtained. |
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| 134 | | - | 5.5 Sec. 5. Minnesota Statutes 2024, section 245.4712, subdivision 1, is amended to read: |
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| 135 | | - | 5.6 Subdivision 1.Availability of community support services.(a) County boards must |
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| 136 | | - | 5.7provide or contract for sufficient community support services within the county to meet the |
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| 137 | | - | 5.8needs of adults with serious and persistent mental illness or a complex post-traumatic stress |
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| 138 | | - | 5.9disorder who are residents of the county. Adults may be required to pay a fee according to |
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| 139 | | - | 5.10section 245.481. The community support services program must be designed to improve |
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| 140 | | - | 5.11the ability of adults with serious and persistent mental illness or a complex post-traumatic |
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| 141 | | - | 5.12stress disorder to: |
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| 142 | | - | 5.13 (1) find and maintain competitive employment; |
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| 143 | | - | 5.14 (2) handle basic activities of daily living; |
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| 144 | | - | 5.15 (3) participate in leisure time activities; |
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| 145 | | - | 5.16 (4) set goals and plans; and |
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| 146 | | - | 5.17 (5) obtain and maintain appropriate living arrangements. |
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| 147 | | - | 5.18 The community support services program must also be designed to reduce the need for |
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| 148 | | - | 5.19and use of more intensive, costly, or restrictive placements both in number of admissions |
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| 149 | | - | 5.20and length of stay. |
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| 150 | | - | 5.21 (b) Community support services are those services that are supportive in nature and not |
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| 151 | | - | 5.22necessarily treatment oriented, and include: |
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| 152 | | - | 5.23 (1) conducting outreach activities such as home visits, health and wellness checks, and |
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| 153 | | - | 5.24problem solving; |
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| 154 | | - | 5.25 (2) connecting people to resources to meet their basic needs; |
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| 155 | | - | 5.26 (3) finding, securing, and supporting people in their housing; |
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| 156 | | - | 5.27 (4) attaining and maintaining health insurance benefits; |
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| 157 | | - | 5.28 (5) assisting with job applications, finding and maintaining employment, and securing |
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| 158 | | - | 5.29a stable financial situation; |
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| 159 | | - | 5Sec. 5. |
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| 160 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 6.1 (6) fostering social support, including support groups, mentoring, peer support, and other |
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| 161 | | - | 6.2efforts to prevent isolation and promote recovery; and |
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| 162 | | - | 6.3 (7) educating about mental illness, treatment, and recovery. |
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| 163 | | - | 6.4 (c) Community support services shall use all available funding streams. The county shall |
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| 164 | | - | 6.5maintain the level of expenditures for this program, as required under section 245.4835. |
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| 165 | | - | 6.6County boards must continue to provide funds for those services not covered by other |
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| 166 | | - | 6.7funding streams and to maintain an infrastructure to carry out these services. The county is |
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| 167 | | - | 6.8encouraged to fund evidence-based practices such as Individual Placement and Supported |
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| 168 | | - | 6.9Employment and Illness Management and Recovery. |
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| 169 | | - | 6.10 (d) The commissioner shall collect data on community support services programs, |
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| 170 | | - | 6.11including, but not limited to, demographic information such as age, sex, race, the number |
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| 171 | | - | 6.12of people served, and information related to housing, employment, hospitalization, symptoms, |
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| 172 | | - | 6.13and satisfaction with services. |
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| 173 | | - | 6.14 EFFECTIVE DATE.This section is effective upon federal approval. The commissioner |
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| 174 | | - | 6.15of human services shall notify the revisor of statutes when federal approval is obtained. |
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| 175 | | - | 6.16 Sec. 6. Minnesota Statutes 2024, section 245.4712, subdivision 3, is amended to read: |
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| 176 | | - | 6.17 Subd. 3.Benefits assistance.The county board must offer to help adults with serious |
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| 177 | | - | 6.18and persistent mental illness or a complex post-traumatic stress disorder in applying for |
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| 178 | | - | 6.19state and federal benefits, including Supplemental Security Income, medical assistance, |
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| 179 | | - | 6.20Medicare, general assistance, and Minnesota supplemental aid. The help must be offered |
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| 180 | | - | 6.21as part of the community support program available to adults with serious and persistent |
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| 181 | | - | 6.22mental illness or a complex post-traumatic stress disorder for whom the county is financially |
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| 182 | | - | 6.23responsible and who may qualify for these benefits. |
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| 183 | | - | 6.24 Sec. 7. Minnesota Statutes 2024, section 245.4889, subdivision 1, is amended to read: |
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| 184 | | - | 6.25 Subdivision 1.Establishment and authority.(a) The commissioner is authorized to |
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| 185 | | - | 6.26make grants from available appropriations to assist: |
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| 186 | | - | 6.27 (1) counties; |
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| 187 | | - | 6.28 (2) Indian tribes; |
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| 188 | | - | 6.29 (3) children's collaboratives under section 142D.15 or 245.493; or |
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| 189 | | - | 6.30 (4) mental health service providers. |
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| 190 | | - | 6.31 (b) The following services are eligible for grants under this section: |
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| 191 | | - | 6Sec. 7. |
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| 192 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 7.1 (1) services to children with emotional disturbances as defined in section 245.4871, |
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| 193 | | - | 7.2subdivision 15, and their families; |
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| 194 | | - | 7.3 (2) transition services under section 245.4875, subdivision 8, for young adults under |
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| 195 | | - | 7.4age 21 and their families; |
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| 196 | | - | 7.5 (3) respite care services for children with emotional disturbances or severe emotional |
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| 197 | | - | 7.6disturbances who are at risk of residential treatment or hospitalization, who are already in |
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| 198 | | - | 7.7out-of-home placement in family foster settings as defined in chapter 142B and at risk of |
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| 199 | | - | 7.8change in out-of-home placement or placement in a residential facility or other higher level |
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| 200 | | - | 7.9of care, who have utilized crisis services or emergency room services, or who have |
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| 201 | | - | 7.10experienced a loss of in-home staffing support. Allowable activities and expenses for respite |
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| 202 | | - | 7.11care services are defined under subdivision 4. A child is not required to have case |
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| 203 | | - | 7.12management services to receive respite care services. Counties must work to provide access |
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| 204 | | - | 7.13to regularly scheduled respite care; |
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| 205 | | - | 7.14 (4) children's mental health crisis services; |
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| 206 | | - | 7.15 (5) child-, youth-, and family-specific mobile response and stabilization services models; |
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| 207 | | - | 7.16 (6) mental health services for people from cultural and ethnic minorities, including |
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| 208 | | - | 7.17supervision of clinical trainees who are Black, indigenous, or people of color; |
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| 209 | | - | 7.18 (7) children's mental health screening and follow-up diagnostic assessment and treatment; |
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| 210 | | - | 7.19 (8) services to promote and develop the capacity of providers to use evidence-based |
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| 211 | | - | 7.20practices in providing children's mental health services; |
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| 212 | | - | 7.21 (9) school-linked mental health services under section 245.4901; |
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| 213 | | - | 7.22 (10) building evidence-based mental health intervention capacity for children birth to |
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| 214 | | - | 7.23age five; |
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| 215 | | - | 7.24 (11) suicide prevention and counseling services that use text messaging statewide; |
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| 216 | | - | 7.25 (12) mental health first aid training; |
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| 217 | | - | 7.26 (13) training for parents, collaborative partners, and mental health providers on the |
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| 218 | | - | 7.27impact of adverse childhood experiences and trauma and development of an interactive |
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| 219 | | - | 7.28website to share information and strategies to promote resilience and prevent trauma; |
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| 220 | | - | 7.29 (14) transition age services to develop or expand mental health treatment and supports |
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| 221 | | - | 7.30for adolescents and young adults 26 years of age or younger; |
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| 222 | | - | 7.31 (15) early childhood mental health consultation; |
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| 223 | | - | 7Sec. 7. |
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| 224 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 8.1 (16) evidence-based interventions for youth at risk of developing or experiencing a first |
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| 225 | | - | 8.2episode of psychosis, and a public awareness campaign on the signs and symptoms of |
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| 226 | | - | 8.3psychosis; |
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| 227 | | - | 8.4 (17) psychiatric consultation for primary care practitioners; and |
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| 228 | | - | 8.5 (18) providers to begin operations and meet program requirements when establishing a |
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| 229 | | - | 8.6new children's mental health program. These may be start-up grants; and |
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| 230 | | - | 8.7 (19) evidence-based interventions for youth and young adults at risk of developing or |
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| 231 | | - | 8.8experiencing an early episode of bipolar disorder. |
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| 232 | | - | 8.9 (c) Services under paragraph (b) must be designed to help each child to function and |
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| 233 | | - | 8.10remain with the child's family in the community and delivered consistent with the child's |
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| 234 | | - | 8.11treatment plan. Transition services to eligible young adults under this paragraph must be |
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| 235 | | - | 8.12designed to foster independent living in the community. |
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| 236 | | - | 8.13 (d) As a condition of receiving grant funds, a grantee shall obtain all available third-party |
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| 237 | | - | 8.14reimbursement sources, if applicable. |
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| 238 | | - | 8.15 (e) The commissioner may establish and design a pilot program to expand the mobile |
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| 239 | | - | 8.16response and stabilization services model for children, youth, and families. The commissioner |
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| 240 | | - | 8.17may use grant funding to consult with a qualified expert entity to assist in the formulation |
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| 241 | | - | 8.18of measurable outcomes and explore and position the state to submit a Medicaid state plan |
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| 242 | | - | 8.19amendment to scale the model statewide. |
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| 243 | | - | 8.20 Sec. 8. [245.4904] EARLY EPISODE OF BIPOLAR DISORDER GRANT |
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| 244 | | - | 8.21PROGRAM. |
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| 245 | | - | 8.22 Subdivision 1.Establishment.The commissioner of human services must establish an |
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| 246 | | - | 8.23early episode of bipolar disorder grant program within the department to fund evidence-based |
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| 247 | | - | 8.24interventions for youth and young adults at risk of developing or experiencing an early |
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| 248 | | - | 8.25episode of bipolar disorder. |
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| 249 | | - | 8.26 Subd. 2.Definitions.For the purposes of this section, "youth and young adults" means |
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| 250 | | - | 8.27individuals who are 15 years of age or older and under 41 years of age. |
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| 251 | | - | 8.28 Subd. 3.Activities.(a) All grantees must: |
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| 252 | | - | 8.29 (1) provide intensive treatment and support for youth and young adults experiencing or |
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| 253 | | - | 8.30at risk of experiencing early episodes of bipolar disorder. Intensive treatment and support |
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| 254 | | - | 8.31may include medication management, psychoeducation for an individual and the individual's |
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| 255 | | - | 8.32family, case management, employment support, education support, cognitive behavioral |
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| 256 | | - | 8Sec. 8. |
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| 257 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 9.1approaches, social skills training, peer and family peer support, crisis planning, and stress |
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| 258 | | - | 9.2management; |
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| 259 | | - | 9.3 (2) conduct outreach and provide training and guidance to mental health and health care |
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| 260 | | - | 9.4professionals, including postsecondary health clinicians, on bipolar disorder symptoms, |
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| 261 | | - | 9.5screening tools, the early episode of bipolar disorder grant program, and best practices; and |
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| 262 | | - | 9.6 (3) use all available funding streams. |
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| 263 | | - | 9.7 (b) Grant money may be used to pay for housing or travel expenses for individuals |
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| 264 | | - | 9.8receiving services or to address other barriers that prevent individuals and their families |
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| 265 | | - | 9.9from participating in early episode of bipolar disorder services. |
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| 266 | | - | 9.10 (c) Program activities must only be provided to youth and young adults experiencing |
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| 267 | | - | 9.11bipolar disorder or early episodes of bipolar disorder. |
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| 268 | | - | 9.12 Subd. 4.Outcomes and report.(a) The commissioner must annually evaluate the early |
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| 269 | | - | 9.13episode of bipolar grant program. |
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| 270 | | - | 9.14 (b) The evaluation must utilize evidence-based practices and must include the following |
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| 271 | | - | 9.15outcome evaluation criteria: |
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| 272 | | - | 9.16 (1) whether individuals experience a reduction in symptoms; |
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| 273 | | - | 9.17 (2) whether individuals experience a decrease in inpatient mental health hospitalizations |
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| 274 | | - | 9.18or interactions with the criminal justice system; and |
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| 275 | | - | 9.19 (3) whether individuals experience an increase in educational attainment or employment. |
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| 276 | | - | 9.20 (c) By July 1, 2026, and every July 1 thereafter, the commissioner must provide a report |
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| 277 | | - | 9.21to the chairs and ranking minority members of the legislative committees with jurisdiction |
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| 278 | | - | 9.22over mental health, along with the chairs and ranking minority members of the senate finance |
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| 279 | | - | 9.23committee and house of representatives ways and means committee. The report must include |
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| 280 | | - | 9.24the number of grantees receiving funds under this section, the number of individuals served |
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| 281 | | - | 9.25under this section, data from the evaluation conducted under this subdivision, and information |
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| 282 | | - | 9.26on the use of state and federal funds for the services provided under this section. |
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| 283 | | - | 9.27 Subd. 5.Funding.Early episode of bipolar disorder services are eligible for children's |
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| 284 | | - | 9.28mental health grants as specified in section 245.4889, subdivision 1, paragraph (b), clause |
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| 285 | | - | 9.29(19). |
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| 286 | | - | 9.30 Subd. 6.Federal aid or grants.The commissioner of human services must comply with |
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| 287 | | - | 9.31all conditions and requirements necessary to receive federal aid or grants. |
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| 288 | | - | 9Sec. 8. |
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| 289 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 10.1 Sec. 9. Minnesota Statutes 2024, section 245I.05, subdivision 3, is amended to read: |
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| 290 | | - | 10.2 Subd. 3.Initial training.(a) A staff person must receive training about: |
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| 291 | | - | 10.3 (1) vulnerable adult maltreatment under section 245A.65, subdivision 3; and |
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| 292 | | - | 10.4 (2) the maltreatment of minor reporting requirements and definitions in chapter 260E |
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| 293 | | - | 10.5within 72 hours of first providing direct contact services to a client. |
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| 294 | | - | 10.6 (b) Before providing direct contact services to a client, a staff person must receive training |
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| 295 | | - | 10.7about: |
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| 296 | | - | 10.8 (1) client rights and protections under section 245I.12; |
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| 297 | | - | 10.9 (2) the Minnesota Health Records Act, including client confidentiality, family engagement |
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| 298 | | - | 10.10under section 144.294, and client privacy; |
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| 299 | | - | 10.11 (3) emergency procedures that the staff person must follow when responding to a fire, |
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| 300 | | - | 10.12inclement weather, a report of a missing person, and a behavioral or medical emergency; |
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| 301 | | - | 10.13 (4) specific activities and job functions for which the staff person is responsible, including |
|---|
| 302 | | - | 10.14the license holder's program policies and procedures applicable to the staff person's position; |
|---|
| 303 | | - | 10.15 (5) professional boundaries that the staff person must maintain; and |
|---|
| 304 | | - | 10.16 (6) specific needs of each client to whom the staff person will be providing direct contact |
|---|
| 305 | | - | 10.17services, including each client's developmental status, cognitive functioning, and physical |
|---|
| 306 | | - | 10.18and mental abilities. |
|---|
| 307 | | - | 10.19 (c) Before providing direct contact services to a client, a mental health rehabilitation |
|---|
| 308 | | - | 10.20worker, mental health behavioral aide, or mental health practitioner required to receive the |
|---|
| 309 | | - | 10.21training according to section 245I.04, subdivision 4, must receive 30 hours of training about: |
|---|
| 310 | | - | 10.22 (1) mental illnesses; |
|---|
| 311 | | - | 10.23 (2) client recovery and resiliency; |
|---|
| 312 | | - | 10.24 (3) mental health de-escalation techniques; |
|---|
| 313 | | - | 10.25 (4) co-occurring mental illness and substance use disorders; and |
|---|
| 314 | | - | 10.26 (5) psychotropic medications and medication side effects, including tardive dyskinesia. |
|---|
| 315 | | - | 10.27 (d) Within 90 days of first providing direct contact services to an adult client, mental |
|---|
| 316 | | - | 10.28health practitioner, mental health certified peer specialist, or mental health rehabilitation |
|---|
| 317 | | - | 10.29worker must receive training about: |
|---|
| 318 | | - | 10.30 (1) trauma-informed care and secondary trauma; |
|---|
| 319 | | - | 10Sec. 9. |
|---|
| 320 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 11.1 (2) person-centered individual treatment plans, including seeking partnerships with |
|---|
| 321 | | - | 11.2family and other natural supports; |
|---|
| 322 | | - | 11.3 (3) co-occurring substance use disorders; and |
|---|
| 323 | | - | 11.4 (4) culturally responsive treatment practices. |
|---|
| 324 | | - | 11.5 (e) Within 90 days of first providing direct contact services to a child client, mental |
|---|
| 325 | | - | 11.6health practitioner, mental health certified family peer specialist, mental health certified |
|---|
| 326 | | - | 11.7peer specialist, or mental health behavioral aide must receive training about the topics in |
|---|
| 327 | | - | 11.8clauses (1) to (5). This training must address the developmental characteristics of each child |
|---|
| 328 | | - | 11.9served by the license holder and address the needs of each child in the context of the child's |
|---|
| 329 | | - | 11.10family, support system, and culture. Training topics must include: |
|---|
| 330 | | - | 11.11 (1) trauma-informed care and secondary trauma, including adverse childhood experiences |
|---|
| 331 | | - | 11.12(ACEs); |
|---|
| 332 | | - | 11.13 (2) family-centered treatment plan development, including seeking partnership with a |
|---|
| 333 | | - | 11.14child client's family and other natural supports; |
|---|
| 334 | | - | 11.15 (3) mental illness and co-occurring substance use disorders in family systems; |
|---|
| 335 | | - | 11.16 (4) culturally responsive treatment practices; and |
|---|
| 336 | | - | 11.17 (5) child development, including cognitive functioning, and physical and mental abilities. |
|---|
| 337 | | - | 11.18 (f) For a mental health behavioral aide, the training under paragraph (e) must include |
|---|
| 338 | | - | 11.19parent team training using a curriculum approved by the commissioner. |
|---|
| 339 | | - | 11.20Sec. 10. Minnesota Statutes 2024, section 245I.05, subdivision 5, is amended to read: |
|---|
| 340 | | - | 11.21 Subd. 5.Additional training for medication administration.(a) Prior to administering |
|---|
| 341 | | - | 11.22medications to a client under delegated authority or observing a client self-administer |
|---|
| 342 | | - | 11.23medications, a staff person who is not a licensed prescriber, registered nurse, or licensed |
|---|
| 343 | | - | 11.24practical nurse qualified under section 148.171, subdivision 8, must receive training about |
|---|
| 344 | | - | 11.25psychotropic medications, side effects including tardive dyskinesia, and medication |
|---|
| 345 | | - | 11.26management. |
|---|
| 346 | | - | 11.27 (b) Prior to administering medications to a client under delegated authority, a staff person |
|---|
| 347 | | - | 11.28must successfully complete a: |
|---|
| 348 | | - | 11.29 (1) medication administration training program for unlicensed personnel through an |
|---|
| 349 | | - | 11.30accredited Minnesota postsecondary educational institution with completion of the course |
|---|
| 350 | | - | 11.31documented in writing and placed in the staff person's personnel file; or |
|---|
| 351 | | - | 11Sec. 10. |
|---|
| 352 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 12.1 (2) formalized training program taught by a registered nurse or licensed prescriber that |
|---|
| 353 | | - | 12.2is offered by the license holder. A staff person's successful completion of the formalized |
|---|
| 354 | | - | 12.3training program must include direct observation of the staff person to determine the staff |
|---|
| 355 | | - | 12.4person's areas of competency. |
|---|
| 356 | | - | 12.5 Sec. 11. Minnesota Statutes 2024, section 245I.11, subdivision 5, is amended to read: |
|---|
| 357 | | - | 12.6 Subd. 5.Medication administration in residential programs.If a license holder is |
|---|
| 358 | | - | 12.7licensed as a residential program, the license holder must: |
|---|
| 359 | | - | 12.8 (1) assess and document each client's ability to self-administer medication. In the |
|---|
| 360 | | - | 12.9assessment, the license holder must evaluate the client's ability to: (i) comply with prescribed |
|---|
| 361 | | - | 12.10medication regimens; and (ii) store the client's medications safely and in a manner that |
|---|
| 362 | | - | 12.11protects other individuals in the facility. Through the assessment process, the license holder |
|---|
| 363 | | - | 12.12must assist the client in developing the skills necessary to safely self-administer medication; |
|---|
| 364 | | - | 12.13 (2) monitor the effectiveness of medications, side effects of medications, and adverse |
|---|
| 365 | | - | 12.14reactions to medications, including symptoms and signs of tardive dyskinesia, for each |
|---|
| 366 | | - | 12.15client. The license holder must address and document any concerns about a client's |
|---|
| 367 | | - | 12.16medications; |
|---|
| 368 | | - | 12.17 (3) ensure that no staff person or client gives a legend drug supply for one client to |
|---|
| 369 | | - | 12.18another client; |
|---|
| 370 | | - | 12.19 (4) have policies and procedures for: (i) keeping a record of each client's medication |
|---|
| 371 | | - | 12.20orders; (ii) keeping a record of any incident of deferring a client's medications; (iii) |
|---|
| 372 | | - | 12.21documenting any incident when a client's medication is omitted; and (iv) documenting when |
|---|
| 373 | | - | 12.22a client refuses to take medications as prescribed; and |
|---|
| 374 | | - | 12.23 (5) document and track medication errors, document whether the license holder notified |
|---|
| 375 | | - | 12.24anyone about the medication error, determine if the license holder must take any follow-up |
|---|
| 376 | | - | 12.25actions, and identify the staff persons who are responsible for taking follow-up actions. |
|---|
| 377 | | - | 12.26Sec. 12. Minnesota Statutes 2024, section 256B.0625, subdivision 3b, is amended to read: |
|---|
| 378 | | - | 12.27 Subd. 3b.Telehealth services.(a) Medical assistance covers medically necessary services |
|---|
| 379 | | - | 12.28and consultations delivered by a health care provider through telehealth in the same manner |
|---|
| 380 | | - | 12.29as if the service or consultation was delivered through in-person contact. Services or |
|---|
| 381 | | - | 12.30consultations delivered through telehealth shall be paid at the full allowable rate. |
|---|
| 382 | | - | 12Sec. 12. |
|---|
| 383 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 13.1 (b) The commissioner may establish criteria that a health care provider must attest to in |
|---|
| 384 | | - | 13.2order to demonstrate the safety or efficacy of delivering a particular service through |
|---|
| 385 | | - | 13.3telehealth. The attestation may include that the health care provider: |
|---|
| 386 | | - | 13.4 (1) has identified the categories or types of services the health care provider will provide |
|---|
| 387 | | - | 13.5through telehealth; |
|---|
| 388 | | - | 13.6 (2) has written policies and procedures specific to services delivered through telehealth |
|---|
| 389 | | - | 13.7that are regularly reviewed and updated; |
|---|
| 390 | | - | 13.8 (3) has policies and procedures that adequately address patient safety before, during, |
|---|
| 391 | | - | 13.9and after the service is delivered through telehealth; |
|---|
| 392 | | - | 13.10 (4) has established protocols addressing how and when to discontinue telehealth services; |
|---|
| 393 | | - | 13.11and |
|---|
| 394 | | - | 13.12 (5) has an established quality assurance process related to delivering services through |
|---|
| 395 | | - | 13.13telehealth. |
|---|
| 396 | | - | 13.14 (c) As a condition of payment, a licensed health care provider must document each |
|---|
| 397 | | - | 13.15occurrence of a health service delivered through telehealth to a medical assistance enrollee. |
|---|
| 398 | | - | 13.16Health care service records for services delivered through telehealth must meet the |
|---|
| 399 | | - | 13.17requirements set forth in Minnesota Rules, part 9505.2175, subparts 1 and 2, and must |
|---|
| 400 | | - | 13.18document: |
|---|
| 401 | | - | 13.19 (1) the type of service delivered through telehealth; |
|---|
| 402 | | - | 13.20 (2) the time the service began and the time the service ended, including an a.m. and p.m. |
|---|
| 403 | | - | 13.21designation; |
|---|
| 404 | | - | 13.22 (3) the health care provider's basis for determining that telehealth is an appropriate and |
|---|
| 405 | | - | 13.23effective means for delivering the service to the enrollee; |
|---|
| 406 | | - | 13.24 (4) the mode of transmission used to deliver the service through telehealth and records |
|---|
| 407 | | - | 13.25evidencing that a particular mode of transmission was utilized; |
|---|
| 408 | | - | 13.26 (5) the location of the originating site and the distant site; |
|---|
| 409 | | - | 13.27 (6) if the claim for payment is based on a physician's consultation with another physician |
|---|
| 410 | | - | 13.28through telehealth, the written opinion from the consulting physician providing the telehealth |
|---|
| 411 | | - | 13.29consultation; and |
|---|
| 412 | | - | 13.30 (7) compliance with the criteria attested to by the health care provider in accordance |
|---|
| 413 | | - | 13.31with paragraph (b). |
|---|
| 414 | | - | 13Sec. 12. |
|---|
| 415 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 14.1 (d) Telehealth visits provided through audio and visual communication or accessible |
|---|
| 416 | | - | 14.2video-based platforms may be used to satisfy the face-to-face requirement for reimbursement |
|---|
| 417 | | - | 14.3under the payment methods that apply to a federally qualified health center, rural health |
|---|
| 418 | | - | 14.4clinic, Indian health service, 638 tribal clinic, and certified community behavioral health |
|---|
| 419 | | - | 14.5clinic, if the service would have otherwise qualified for payment if performed in person. |
|---|
| 420 | | - | 14.6 (e) For purposes of this subdivision, unless otherwise covered under this chapter: |
|---|
| 421 | | - | 14.7 (1) "telehealth" means the delivery of health care services or consultations using real-time |
|---|
| 422 | | - | 14.8two-way interactive audio and visual communication or accessible telehealth video-based |
|---|
| 423 | | - | 14.9platforms to provide or support health care delivery and facilitate the assessment, diagnosis, |
|---|
| 424 | | - | 14.10consultation, treatment, education, and care management of a patient's health care. Telehealth |
|---|
| 425 | | - | 14.11includes: the application of secure video conferencing consisting of a real-time, full-motion |
|---|
| 426 | | - | 14.12synchronized video; store-and-forward technology; and synchronous interactions, between |
|---|
| 427 | | - | 14.13a patient located at an originating site and a health care provider located at a distant site. |
|---|
| 428 | | - | 14.14Telehealth does not include communication between health care providers, or between a |
|---|
| 429 | | - | 14.15health care provider and a patient that consists solely of an audio-only communication, |
|---|
| 430 | | - | 14.16email, or facsimile transmission or as specified by law, except that between January 1, 2026, |
|---|
| 431 | | - | 14.17and January 1, 2029, telehealth includes communication between a health care provider and |
|---|
| 432 | | - | 14.18a patient that solely consists of audio-only communication; |
|---|
| 433 | | - | 14.19 (2) "health care provider" means a health care provider as defined under section 62A.673; |
|---|
| 434 | | - | 14.20a community paramedic as defined under section 144E.001, subdivision 5f; a community |
|---|
| 435 | | - | 14.21health worker who meets the criteria under subdivision 49, paragraph (a); a mental health |
|---|
| 436 | | - | 14.22certified peer specialist under section 245I.04, subdivision 10; a mental health certified |
|---|
| 437 | | - | 14.23family peer specialist under section 245I.04, subdivision 12; a mental health rehabilitation |
|---|
| 438 | | - | 14.24worker under section 245I.04, subdivision 14; a mental health behavioral aide under section |
|---|
| 439 | | - | 14.25245I.04, subdivision 16; a treatment coordinator under section 245G.11, subdivision 7; an |
|---|
| 440 | | - | 14.26alcohol and drug counselor under section 245G.11, subdivision 5; or a recovery peer under |
|---|
| 441 | | - | 14.27section 245G.11, subdivision 8; and |
|---|
| 442 | | - | 14.28 (3) "originating site," "distant site," and "store-and-forward technology" have the |
|---|
| 443 | | - | 14.29meanings given in section 62A.673, subdivision 2. |
|---|
| 444 | | - | 14.30 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval, |
|---|
| 445 | | - | 14.31whichever is later. The commissioner of human services shall notify the revisor of statutes |
|---|
| 446 | | - | 14.32when federal approval is obtained. |
|---|
| 447 | | - | 14Sec. 12. |
|---|
| 448 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 15.1 Sec. 13. Minnesota Statutes 2024, section 256B.0625, subdivision 17, is amended to read: |
|---|
| 449 | | - | 15.2 Subd. 17.Transportation costs.(a) "Nonemergency medical transportation service" |
|---|
| 450 | | - | 15.3means motor vehicle transportation provided by a public or private person that serves |
|---|
| 451 | | - | 15.4Minnesota health care program beneficiaries who do not require emergency ambulance |
|---|
| 452 | | - | 15.5service, as defined in section 144E.001, subdivision 3, to obtain covered medical services. |
|---|
| 453 | | - | 15.6 (b) For purposes of this subdivision, "rural urban commuting area" or "RUCA" means |
|---|
| 454 | | - | 15.7a census-tract based classification system under which a geographical area is determined |
|---|
| 455 | | - | 15.8to be urban, rural, or super rural. |
|---|
| 456 | | - | 15.9 (c) Medical assistance covers medical transportation costs incurred solely for obtaining |
|---|
| 457 | | - | 15.10emergency medical care or transportation costs incurred by eligible persons in obtaining |
|---|
| 458 | | - | 15.11emergency or nonemergency medical care when paid directly to an ambulance company, |
|---|
| 459 | | - | 15.12nonemergency medical transportation company, or other recognized providers of |
|---|
| 460 | | - | 15.13transportation services. Medical transportation must be provided by: |
|---|
| 461 | | - | 15.14 (1) nonemergency medical transportation providers who meet the requirements of this |
|---|
| 462 | | - | 15.15subdivision; |
|---|
| 463 | | - | 15.16 (2) ambulances, as defined in section 144E.001, subdivision 2; |
|---|
| 464 | | - | 15.17 (3) taxicabs that meet the requirements of this subdivision; |
|---|
| 465 | | - | 15.18 (4) public transportation, within the meaning of "public transportation" as defined in |
|---|
| 466 | | - | 15.19section 174.22, subdivision 7; or |
|---|
| 467 | | - | 15.20 (5) not-for-hire vehicles, including volunteer drivers, as defined in section 65B.472, |
|---|
| 468 | | - | 15.21subdivision 1, paragraph (p). |
|---|
| 469 | | - | 15.22 (d) Medical assistance covers nonemergency medical transportation provided by |
|---|
| 470 | | - | 15.23nonemergency medical transportation providers enrolled in the Minnesota health care |
|---|
| 471 | | - | 15.24programs. All nonemergency medical transportation providers must comply with the |
|---|
| 472 | | - | 15.25operating standards for special transportation service as defined in sections 174.29 to 174.30 |
|---|
| 473 | | - | 15.26and Minnesota Rules, chapter 8840, and all drivers must be individually enrolled with the |
|---|
| 474 | | - | 15.27commissioner and reported on the claim as the individual who provided the service. All |
|---|
| 475 | | - | 15.28nonemergency medical transportation providers shall bill for nonemergency medical |
|---|
| 476 | | - | 15.29transportation services in accordance with Minnesota health care programs criteria. Publicly |
|---|
| 477 | | - | 15.30operated transit systems, volunteers, and not-for-hire vehicles are exempt from the |
|---|
| 478 | | - | 15.31requirements outlined in this paragraph. |
|---|
| 479 | | - | 15.32 (e) An organization may be terminated, denied, or suspended from enrollment if: |
|---|
| 480 | | - | 15Sec. 13. |
|---|
| 481 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 16.1 (1) the provider has not initiated background studies on the individuals specified in |
|---|
| 482 | | - | 16.2section 174.30, subdivision 10, paragraph (a), clauses (1) to (3); or |
|---|
| 483 | | - | 16.3 (2) the provider has initiated background studies on the individuals specified in section |
|---|
| 484 | | - | 16.4174.30, subdivision 10, paragraph (a), clauses (1) to (3), and: |
|---|
| 485 | | - | 16.5 (i) the commissioner has sent the provider a notice that the individual has been |
|---|
| 486 | | - | 16.6disqualified under section 245C.14; and |
|---|
| 487 | | - | 16.7 (ii) the individual has not received a disqualification set-aside specific to the special |
|---|
| 488 | | - | 16.8transportation services provider under sections 245C.22 and 245C.23. |
|---|
| 489 | | - | 16.9 (f) The administrative agency of nonemergency medical transportation must: |
|---|
| 490 | | - | 16.10 (1) adhere to the policies defined by the commissioner; |
|---|
| 491 | | - | 16.11 (2) pay nonemergency medical transportation providers for services provided to |
|---|
| 492 | | - | 16.12Minnesota health care programs beneficiaries to obtain covered medical services; |
|---|
| 493 | | - | 16.13 (3) provide data monthly to the commissioner on appeals, complaints, no-shows, canceled |
|---|
| 494 | | - | 16.14trips, and number of trips by mode; and |
|---|
| 495 | | - | 16.15 (4) by July 1, 2016, in accordance with subdivision 18e, utilize a web-based single |
|---|
| 496 | | - | 16.16administrative structure assessment tool that meets the technical requirements established |
|---|
| 497 | | - | 16.17by the commissioner, reconciles trip information with claims being submitted by providers, |
|---|
| 498 | | - | 16.18and ensures prompt payment for nonemergency medical transportation services. |
|---|
| 499 | | - | 16.19 (g) Until the commissioner implements the single administrative structure and delivery |
|---|
| 500 | | - | 16.20system under subdivision 18e, clients shall obtain their level-of-service certificate from the |
|---|
| 501 | | - | 16.21commissioner or an entity approved by the commissioner that does not dispatch rides for |
|---|
| 502 | | - | 16.22clients using modes of transportation under paragraph (l), clauses (4), (5), (6), and (7). |
|---|
| 503 | | - | 16.23 (h) The commissioner may use an order by the recipient's attending physician, advanced |
|---|
| 504 | | - | 16.24practice registered nurse, physician assistant, or a medical or mental health professional to |
|---|
| 505 | | - | 16.25certify that the recipient requires nonemergency medical transportation services. |
|---|
| 506 | | - | 16.26Nonemergency medical transportation providers shall perform driver-assisted services for |
|---|
| 507 | | - | 16.27eligible individuals, when appropriate. Driver-assisted service includes passenger pickup |
|---|
| 508 | | - | 16.28at and return to the individual's residence or place of business, assistance with admittance |
|---|
| 509 | | - | 16.29of the individual to the medical facility, and assistance in passenger securement or in securing |
|---|
| 510 | | - | 16.30of wheelchairs, child seats, or stretchers in the vehicle. |
|---|
| 511 | | - | 16.31 (i) Nonemergency medical transportation providers must take clients to the health care |
|---|
| 512 | | - | 16.32provider using the most direct route, and must not exceed 30 miles for a trip to a primary |
|---|
| 513 | | - | 16Sec. 13. |
|---|
| 514 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 17.1care provider or 60 miles for a trip to a specialty care provider, unless the client receives |
|---|
| 515 | | - | 17.2authorization from the local agency. |
|---|
| 516 | | - | 17.3 (j) Nonemergency medical transportation providers may not bill for separate base rates |
|---|
| 517 | | - | 17.4for the continuation of a trip beyond the original destination. Nonemergency medical |
|---|
| 518 | | - | 17.5transportation providers must maintain trip logs, which include pickup and drop-off times, |
|---|
| 519 | | - | 17.6signed by the medical provider or client, whichever is deemed most appropriate, attesting |
|---|
| 520 | | - | 17.7to mileage traveled to obtain covered medical services. Clients requesting client mileage |
|---|
| 521 | | - | 17.8reimbursement must sign the trip log attesting mileage traveled to obtain covered medical |
|---|
| 522 | | - | 17.9services. |
|---|
| 523 | | - | 17.10 (k) The administrative agency shall use the level of service process established by the |
|---|
| 524 | | - | 17.11commissioner to determine the client's most appropriate mode of transportation. If public |
|---|
| 525 | | - | 17.12transit or a certified transportation provider is not available to provide the appropriate service |
|---|
| 526 | | - | 17.13mode for the client, the client may receive a onetime service upgrade. |
|---|
| 527 | | - | 17.14 (l) The covered modes of transportation are: |
|---|
| 528 | | - | 17.15 (1) client reimbursement, which includes client mileage reimbursement provided to |
|---|
| 529 | | - | 17.16clients who have their own transportation, or to family or an acquaintance who provides |
|---|
| 530 | | - | 17.17transportation to the client; |
|---|
| 531 | | - | 17.18 (2) volunteer transport, which includes transportation by volunteers using their own |
|---|
| 532 | | - | 17.19vehicle; |
|---|
| 533 | | - | 17.20 (3) unassisted transport, which includes transportation provided to a client by a taxicab |
|---|
| 534 | | - | 17.21or public transit. If a taxicab or public transit is not available, the client can receive |
|---|
| 535 | | - | 17.22transportation from another nonemergency medical transportation provider; |
|---|
| 536 | | - | 17.23 (4) assisted transport, which includes transport provided to clients who require assistance |
|---|
| 537 | | - | 17.24by a nonemergency medical transportation provider; |
|---|
| 538 | | - | 17.25 (5) lift-equipped/ramp transport, which includes transport provided to a client who is |
|---|
| 539 | | - | 17.26dependent on a device and requires a nonemergency medical transportation provider with |
|---|
| 540 | | - | 17.27a vehicle containing a lift or ramp; |
|---|
| 541 | | - | 17.28 (6) protected transport, which includes transport provided to a client who has received |
|---|
| 542 | | - | 17.29a prescreening that has deemed other forms of transportation inappropriate and who requires |
|---|
| 543 | | - | 17.30a provider: (i) with a protected vehicle that is not an ambulance or police car and has safety |
|---|
| 544 | | - | 17.31locks, a video recorder, and a transparent thermoplastic partition between the passenger and |
|---|
| 545 | | - | 17.32the vehicle driver; and (ii) who is certified as a protected transport provider; and |
|---|
| 546 | | - | 17Sec. 13. |
|---|
| 547 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 18.1 (7) stretcher transport, which includes transport for a client in a prone or supine position |
|---|
| 548 | | - | 18.2and requires a nonemergency medical transportation provider with a vehicle that can transport |
|---|
| 549 | | - | 18.3a client in a prone or supine position. |
|---|
| 550 | | - | 18.4 (m) The local agency shall be the single administrative agency and shall administer and |
|---|
| 551 | | - | 18.5reimburse for modes defined in paragraph (l) according to paragraphs (p) and (q) when the |
|---|
| 552 | | - | 18.6commissioner has developed, made available, and funded the web-based single administrative |
|---|
| 553 | | - | 18.7structure, assessment tool, and level of need assessment under subdivision 18e. The local |
|---|
| 554 | | - | 18.8agency's financial obligation is limited to funds provided by the state or federal government. |
|---|
| 555 | | - | 18.9 (n) The commissioner shall: |
|---|
| 556 | | - | 18.10 (1) verify that the mode and use of nonemergency medical transportation is appropriate; |
|---|
| 557 | | - | 18.11 (2) verify that the client is going to an approved medical appointment; and |
|---|
| 558 | | - | 18.12 (3) investigate all complaints and appeals. |
|---|
| 559 | | - | 18.13 (o) The administrative agency shall pay for the services provided in this subdivision and |
|---|
| 560 | | - | 18.14seek reimbursement from the commissioner, if appropriate. As vendors of medical care, |
|---|
| 561 | | - | 18.15local agencies are subject to the provisions in section 256B.041, the sanctions and monetary |
|---|
| 562 | | - | 18.16recovery actions in section 256B.064, and Minnesota Rules, parts 9505.2160 to 9505.2245. |
|---|
| 563 | | - | 18.17 (p) Payments for nonemergency medical transportation must be paid based on the client's |
|---|
| 564 | | - | 18.18assessed mode under paragraph (k), not the type of vehicle used to provide the service. The |
|---|
| 565 | | - | 18.19medical assistance reimbursement rates for nonemergency medical transportation services |
|---|
| 566 | | - | 18.20that are payable by or on behalf of the commissioner for nonemergency medical |
|---|
| 567 | | - | 18.21transportation services are: |
|---|
| 568 | | - | 18.22 (1) $0.22 per mile for client reimbursement; |
|---|
| 569 | | - | 18.23 (2) up to 100 percent of the Internal Revenue Service business deduction rate for volunteer |
|---|
| 570 | | - | 18.24transport; |
|---|
| 571 | | - | 18.25 (3) equivalent to the standard fare for unassisted transport when provided by public |
|---|
| 572 | | - | 18.26transit, and $12.10 for the base rate and $1.43 per mile when provided by a nonemergency |
|---|
| 573 | | - | 18.27medical transportation provider; |
|---|
| 574 | | - | 18.28 (4) $14.30 for the base rate and $1.43 per mile for assisted transport; |
|---|
| 575 | | - | 18.29 (5) $19.80 for the base rate and $1.70 per mile for lift-equipped/ramp transport; |
|---|
| 576 | | - | 18.30 (6) $75 for the base rate for the first 100 miles and an additional $75 for trips over 100 |
|---|
| 577 | | - | 18.31miles and $2.40 per mile for protected transport; and |
|---|
| 578 | | - | 18Sec. 13. |
|---|
| 579 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 19.1 (7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip for |
|---|
| 580 | | - | 19.2an additional attendant if deemed medically necessary. |
|---|
| 581 | | - | 19.3 (q) The base rate for nonemergency medical transportation services in areas defined |
|---|
| 582 | | - | 19.4under RUCA to be super rural is equal to 111.3 percent of the respective base rate in |
|---|
| 583 | | - | 19.5paragraph (p), clauses (1) to (7). The mileage rate for nonemergency medical transportation |
|---|
| 584 | | - | 19.6services in areas defined under RUCA to be rural or super rural areas is: |
|---|
| 585 | | - | 19.7 (1) for a trip equal to 17 miles or less, equal to 125 percent of the respective mileage |
|---|
| 586 | | - | 19.8rate in paragraph (p), clauses (1) to (7); and |
|---|
| 587 | | - | 19.9 (2) for a trip between 18 and 50 miles, equal to 112.5 percent of the respective mileage |
|---|
| 588 | | - | 19.10rate in paragraph (p), clauses (1) to (7). |
|---|
| 589 | | - | 19.11 (r) For purposes of reimbursement rates for nonemergency medical transportation services |
|---|
| 590 | | - | 19.12under paragraphs (p) and (q), the zip code of the recipient's place of residence shall determine |
|---|
| 591 | | - | 19.13whether the urban, rural, or super rural reimbursement rate applies. |
|---|
| 592 | | - | 19.14 (s) The commissioner, when determining reimbursement rates for nonemergency medical |
|---|
| 593 | | - | 19.15transportation under paragraphs (p) and (q), shall exempt all modes of transportation listed |
|---|
| 594 | | - | 19.16under paragraph (l) from Minnesota Rules, part 9505.0445, item R, subitem (2). |
|---|
| 595 | | - | 19.17 (t) Effective for the first day of each calendar quarter in which the price of gasoline as |
|---|
| 596 | | - | 19.18posted publicly by the United States Energy Information Administration exceeds $3.00 per |
|---|
| 597 | | - | 19.19gallon, the commissioner shall adjust the rate paid per mile in paragraph (p) by one percent |
|---|
| 598 | | - | 19.20up or down for every increase or decrease of ten cents for the price of gasoline. The increase |
|---|
| 599 | | - | 19.21or decrease must be calculated using a base gasoline price of $3.00. The percentage increase |
|---|
| 600 | | - | 19.22or decrease must be calculated using the average of the most recently available price of all |
|---|
| 601 | | - | 19.23grades of gasoline for Minnesota as posted publicly by the United States Energy Information |
|---|
| 602 | | - | 19.24Administration. |
|---|
| 603 | | - | 19.25Sec. 14. Minnesota Statutes 2024, section 256B.0625, subdivision 20, is amended to read: |
|---|
| 604 | | - | 19.26 Subd. 20.Mental health case management.(a) To the extent authorized by rule of the |
|---|
| 605 | | - | 19.27state agency, medical assistance covers case management services to persons with serious |
|---|
| 606 | | - | 19.28and persistent mental illness, persons with a complex post-traumatic stress disorder, and |
|---|
| 607 | | - | 19.29children with severe emotional disturbance. Services provided under this section must meet |
|---|
| 608 | | - | 19.30the relevant standards in sections 245.461 to 245.4887, the Comprehensive Adult and |
|---|
| 609 | | - | 19.31Children's Mental Health Acts, Minnesota Rules, parts 9520.0900 to 9520.0926, and |
|---|
| 610 | | - | 19.329505.0322, excluding subpart 10. |
|---|
| 611 | | - | 19Sec. 14. |
|---|
| 612 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 20.1 (b) Entities meeting program standards set out in rules governing family community |
|---|
| 613 | | - | 20.2support services as defined in section 245.4871, subdivision 17, are eligible for medical |
|---|
| 614 | | - | 20.3assistance reimbursement for case management services for children with severe emotional |
|---|
| 615 | | - | 20.4disturbance when these services meet the program standards in Minnesota Rules, parts |
|---|
| 616 | | - | 20.59520.0900 to 9520.0926 and 9505.0322, excluding subparts 6 and 10. |
|---|
| 617 | | - | 20.6 (c) Medical assistance and MinnesotaCare payment for mental health case management |
|---|
| 618 | | - | 20.7shall be made on a monthly basis. In order to receive payment for an eligible child, the |
|---|
| 619 | | - | 20.8provider must document at least a face-to-face contact either in person or by interactive |
|---|
| 620 | | - | 20.9video that meets the requirements of subdivision 20b with the child, the child's parents, or |
|---|
| 621 | | - | 20.10the child's legal representative. To receive payment for an eligible adult, the provider must |
|---|
| 622 | | - | 20.11document: |
|---|
| 623 | | - | 20.12 (1) at least a face-to-face contact with the adult or the adult's legal representative either |
|---|
| 624 | | - | 20.13in person or by interactive video that meets the requirements of subdivision 20b; or |
|---|
| 625 | | - | 20.14 (2) at least a telephone contact with the adult or the adult's legal representative and |
|---|
| 626 | | - | 20.15document a face-to-face contact either in person or by interactive video that meets the |
|---|
| 627 | | - | 20.16requirements of subdivision 20b with the adult or the adult's legal representative within the |
|---|
| 628 | | - | 20.17preceding two months. |
|---|
| 629 | | - | 20.18 (d) Payment for mental health case management provided by county or state staff shall |
|---|
| 630 | | - | 20.19be based on the monthly rate methodology under section 256B.094, subdivision 6, paragraph |
|---|
| 631 | | - | 20.20(b), with separate rates calculated for child welfare and mental health, and within mental |
|---|
| 632 | | - | 20.21health, separate rates for children and adults. |
|---|
| 633 | | - | 20.22 (e) Payment for mental health case management provided by Indian health services or |
|---|
| 634 | | - | 20.23by agencies operated by Indian tribes may be made according to this section or other relevant |
|---|
| 635 | | - | 20.24federally approved rate setting methodology. |
|---|
| 636 | | - | 20.25 (f) Payment for mental health case management provided by vendors who contract with |
|---|
| 637 | | - | 20.26a county must be calculated in accordance with section 256B.076, subdivision 2. Payment |
|---|
| 638 | | - | 20.27for mental health case management provided by vendors who contract with a Tribe must |
|---|
| 639 | | - | 20.28be based on a monthly rate negotiated by the Tribe. The rate must not exceed the rate charged |
|---|
| 640 | | - | 20.29by the vendor for the same service to other payers. If the service is provided by a team of |
|---|
| 641 | | - | 20.30contracted vendors, the team shall determine how to distribute the rate among its members. |
|---|
| 642 | | - | 20.31No reimbursement received by contracted vendors shall be returned to the county or tribe, |
|---|
| 643 | | - | 20.32except to reimburse the county or tribe for advance funding provided by the county or tribe |
|---|
| 644 | | - | 20.33to the vendor. |
|---|
| 645 | | - | 20Sec. 14. |
|---|
| 646 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 21.1 (g) If the service is provided by a team which includes contracted vendors, tribal staff, |
|---|
| 647 | | - | 21.2and county or state staff, the costs for county or state staff participation in the team shall be |
|---|
| 648 | | - | 21.3included in the rate for county-provided services. In this case, the contracted vendor, the |
|---|
| 649 | | - | 21.4tribal agency, and the county may each receive separate payment for services provided by |
|---|
| 650 | | - | 21.5each entity in the same month. In order to prevent duplication of services, each entity must |
|---|
| 651 | | - | 21.6document, in the recipient's file, the need for team case management and a description of |
|---|
| 652 | | - | 21.7the roles of the team members. |
|---|
| 653 | | - | 21.8 (h) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of costs for |
|---|
| 654 | | - | 21.9mental health case management shall be provided by the recipient's county of responsibility, |
|---|
| 655 | | - | 21.10as defined in sections 256G.01 to 256G.12, from sources other than federal funds or funds |
|---|
| 656 | | - | 21.11used to match other federal funds. If the service is provided by a tribal agency, the nonfederal |
|---|
| 657 | | - | 21.12share, if any, shall be provided by the recipient's tribe. When this service is paid by the state |
|---|
| 658 | | - | 21.13without a federal share through fee-for-service, 50 percent of the cost shall be provided by |
|---|
| 659 | | - | 21.14the recipient's county of responsibility. |
|---|
| 660 | | - | 21.15 (i) Notwithstanding any administrative rule to the contrary, prepaid medical assistance |
|---|
| 661 | | - | 21.16and MinnesotaCare include mental health case management. When the service is provided |
|---|
| 662 | | - | 21.17through prepaid capitation, the nonfederal share is paid by the state and the county pays no |
|---|
| 663 | | - | 21.18share. |
|---|
| 664 | | - | 21.19 (j) The commissioner may suspend, reduce, or terminate the reimbursement to a provider |
|---|
| 665 | | - | 21.20that does not meet the reporting or other requirements of this section. The county of |
|---|
| 666 | | - | 21.21responsibility, as defined in sections 256G.01 to 256G.12, or, if applicable, the tribal agency, |
|---|
| 667 | | - | 21.22is responsible for any federal disallowances. The county or tribe may share this responsibility |
|---|
| 668 | | - | 21.23with its contracted vendors. |
|---|
| 669 | | - | 21.24 (k) The commissioner shall set aside a portion of the federal funds earned for county |
|---|
| 670 | | - | 21.25expenditures under this section to repay the special revenue maximization account under |
|---|
| 671 | | - | 21.26section 256.01, subdivision 2, paragraph (n). The repayment is limited to: |
|---|
| 672 | | - | 21.27 (1) the costs of developing and implementing this section; and |
|---|
| 673 | | - | 21.28 (2) programming the information systems. |
|---|
| 674 | | - | 21.29 (l) Payments to counties and tribal agencies for case management expenditures under |
|---|
| 675 | | - | 21.30this section shall only be made from federal earnings from services provided under this |
|---|
| 676 | | - | 21.31section. When this service is paid by the state without a federal share through fee-for-service, |
|---|
| 677 | | - | 21.3250 percent of the cost shall be provided by the state. Payments to county-contracted vendors |
|---|
| 678 | | - | 21.33shall include the federal earnings, the state share, and the county share. |
|---|
| 679 | | - | 21Sec. 14. |
|---|
| 680 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT 22.1 (m) Case management services under this subdivision do not include therapy, treatment, |
|---|
| 681 | | - | 22.2legal, or outreach services. |
|---|
| 682 | | - | 22.3 (n) If the recipient is a resident of a nursing facility, intermediate care facility, or hospital, |
|---|
| 683 | | - | 22.4and the recipient's institutional care is paid by medical assistance, payment for case |
|---|
| 684 | | - | 22.5management services under this subdivision is limited to the lesser of: |
|---|
| 685 | | - | 22.6 (1) the last 180 days of the recipient's residency in that facility and may not exceed more |
|---|
| 686 | | - | 22.7than six months in a calendar year; or |
|---|
| 687 | | - | 22.8 (2) the limits and conditions which apply to federal Medicaid funding for this service. |
|---|
| 688 | | - | 22.9 (o) Payment for case management services under this subdivision shall not duplicate |
|---|
| 689 | | - | 22.10payments made under other program authorities for the same purpose. |
|---|
| 690 | | - | 22.11 (p) If the recipient is receiving care in a hospital, nursing facility, or residential setting |
|---|
| 691 | | - | 22.12licensed under chapter 245A or 245D that is staffed 24 hours a day, seven days a week, |
|---|
| 692 | | - | 22.13mental health targeted case management services must actively support identification of |
|---|
| 693 | | - | 22.14community alternatives for the recipient and discharge planning. |
|---|
| 694 | | - | 22.15 EFFECTIVE DATE.This section is effective upon federal approval. The commissioner |
|---|
| 695 | | - | 22.16of human services shall notify the revisor of statutes when federal approval is obtained. |
|---|
| 696 | | - | 22.17Sec. 15. APPROPRIATION; EARLY EPISODE OF BIPOLAR DISORDER GRANT |
|---|
| 697 | | - | 22.18PROGRAM. |
|---|
| 698 | | - | 22.19 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
|---|
| 699 | | - | 22.20fund to the commissioner of human services for the early episode of bipolar disorder grant |
|---|
| 700 | | - | 22.21program under Minnesota Statutes, section 245.4904. |
|---|
| 701 | | - | 22.22Sec. 16. APPROPRIATION; FIRST EPISODE OF PSYCHOSIS GRANT |
|---|
| 702 | | - | 22.23PROGRAM. |
|---|
| 703 | | - | 22.24 (a) $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the |
|---|
| 704 | | - | 22.25general fund to the commissioner of human services for the first episode of psychosis grant |
|---|
| 705 | | - | 22.26program under Minnesota Statutes, section 245.4905. This amount is added to the base. |
|---|
| 706 | | - | 22.27 (b) The commissioner of human services must fund current programs to ensure stability |
|---|
| 707 | | - | 22.28and continuity of care, as long as the program has met the requirements for past usage of |
|---|
| 708 | | - | 22.29funds. Funds may be used to fully fund current programs, increase a current program's |
|---|
| 709 | | - | 22.30capacity, and expand programs to outside the seven-county metropolitan area. |
|---|
| 710 | | - | 22Sec. 16. |
|---|
| 711 | | - | S1953-1 1st EngrossmentSF1953 REVISOR DTT |
|---|
| 31 | + | Introduction and first reading02/27/2025 |
|---|
| 32 | + | Referred to Health and Human Services 2.1plans that provide indemnity-based benefits, regardless of expenses incurred, and are designed |
|---|
| 33 | + | 2.2to pay benefits directly to the policy holder. |
|---|
| 34 | + | 2.3 (f) "Originating site" means a site at which a patient is located at the time health care |
|---|
| 35 | + | 2.4services are provided to the patient by means of telehealth. For purposes of store-and-forward |
|---|
| 36 | + | 2.5technology, the originating site also means the location at which a health care provider |
|---|
| 37 | + | 2.6transfers or transmits information to the distant site. |
|---|
| 38 | + | 2.7 (g) "Store-and-forward technology" means the asynchronous electronic transfer or |
|---|
| 39 | + | 2.8transmission of a patient's medical information or data from an originating site to a distant |
|---|
| 40 | + | 2.9site for the purposes of diagnostic and therapeutic assistance in the care of a patient. |
|---|
| 41 | + | 2.10 (h) "Telehealth" means the delivery of health care services or consultations through the |
|---|
| 42 | + | 2.11use of real time two-way interactive audio and visual communications to provide or support |
|---|
| 43 | + | 2.12health care delivery and facilitate the assessment, diagnosis, consultation, treatment, |
|---|
| 44 | + | 2.13education, and care management of a patient's health care. Telehealth includes the application |
|---|
| 45 | + | 2.14of secure video conferencing, store-and-forward technology, and synchronous interactions |
|---|
| 46 | + | 2.15between a patient located at an originating site and a health care provider located at a distant |
|---|
| 47 | + | 2.16site. Until July 1, 2025, Telehealth also includes audio-only communication between a |
|---|
| 48 | + | 2.17health care provider and a patient in accordance with subdivision 6, paragraph (b). Telehealth |
|---|
| 49 | + | 2.18does not include communication between health care providers that consists solely of a |
|---|
| 50 | + | 2.19telephone conversation, email, or facsimile transmission. Telehealth does not include |
|---|
| 51 | + | 2.20communication between a health care provider and a patient that consists solely of an email |
|---|
| 52 | + | 2.21or facsimile transmission. Telehealth does not include telemonitoring services as defined |
|---|
| 53 | + | 2.22in paragraph (i). |
|---|
| 54 | + | 2.23 (i) "Telemonitoring services" means the remote monitoring of clinical data related to |
|---|
| 55 | + | 2.24the enrollee's vital signs or biometric data by a monitoring device or equipment that transmits |
|---|
| 56 | + | 2.25the data electronically to a health care provider for analysis. Telemonitoring is intended to |
|---|
| 57 | + | 2.26collect an enrollee's health-related data for the purpose of assisting a health care provider |
|---|
| 58 | + | 2.27in assessing and monitoring the enrollee's medical condition or status. |
|---|
| 59 | + | 2.28 Sec. 2. Minnesota Statutes 2024, section 245.462, subdivision 20, is amended to read: |
|---|
| 60 | + | 2.29 Subd. 20.Mental illness.(a) "Mental illness" means an organic disorder of the brain or |
|---|
| 61 | + | 2.30a clinically significant disorder of thought, mood, perception, orientation, memory, or |
|---|
| 62 | + | 2.31behavior that is detailed in a diagnostic codes list published by the commissioner, and that |
|---|
| 63 | + | 2.32seriously limits a person's capacity to function in primary aspects of daily living such as |
|---|
| 64 | + | 2.33personal relations, living arrangements, work, and recreation. |
|---|
| 65 | + | 2Sec. 2. |
|---|
| 66 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 3.1 (b) An "adult with acute mental illness" means an adult who has a mental illness that is |
|---|
| 67 | + | 3.2serious enough to require prompt intervention. |
|---|
| 68 | + | 3.3 (c) For purposes of enrolling in case management and community support services, a |
|---|
| 69 | + | 3.4"person with serious and persistent mental illness" means an adult who has a mental illness |
|---|
| 70 | + | 3.5and meets at least one of the following criteria: |
|---|
| 71 | + | 3.6 (1) the adult has undergone two one or more episodes of inpatient, residential, or crisis |
|---|
| 72 | + | 3.7residential care for a mental illness within the preceding 24 12 months; |
|---|
| 73 | + | 3.8 (2) the adult has experienced a continuous psychiatric hospitalization or residential |
|---|
| 74 | + | 3.9treatment exceeding six months' duration within the preceding 12 months; |
|---|
| 75 | + | 3.10 (3) the adult has been treated by a crisis team two or more times within the preceding |
|---|
| 76 | + | 3.1124 months; |
|---|
| 77 | + | 3.12 (4) the adult: |
|---|
| 78 | + | 3.13 (i) has a diagnosis of schizophrenia, bipolar disorder, major depression, schizoaffective |
|---|
| 79 | + | 3.14disorder, posttraumatic stress disorder, generalized anxiety disorder, panic disorder, eating |
|---|
| 80 | + | 3.15disorder, or borderline personality disorder; |
|---|
| 81 | + | 3.16 (ii) indicates a significant impairment in functioning; and |
|---|
| 82 | + | 3.17 (iii) has a written opinion from a mental health professional, in the last three years, |
|---|
| 83 | + | 3.18stating that the adult is reasonably likely to have future episodes requiring inpatient or |
|---|
| 84 | + | 3.19residential treatment, of a frequency described in clause (1) or (2), or the need for in-home |
|---|
| 85 | + | 3.20services to remain in one's home, unless ongoing case management or community support |
|---|
| 86 | + | 3.21services are provided; |
|---|
| 87 | + | 3.22 (5) the adult has, in the last three five years, been committed by a court as a person who |
|---|
| 88 | + | 3.23is mentally ill with a mental illness under chapter 253B, or the adult's commitment has been |
|---|
| 89 | + | 3.24stayed or continued; or |
|---|
| 90 | + | 3.25 (6) the adult (i) was eligible under clauses (1) to (5), but the specified time period has |
|---|
| 91 | + | 3.26expired or the adult was eligible as a child under section 245.4871, subdivision 6; and (ii) |
|---|
| 92 | + | 3.27has a written opinion from a mental health professional, in the last three years, stating that |
|---|
| 93 | + | 3.28the adult is reasonably likely to have future episodes requiring inpatient or residential |
|---|
| 94 | + | 3.29treatment, of a frequency described in clause (1) or (2), unless ongoing case management |
|---|
| 95 | + | 3.30or community support services are provided; or |
|---|
| 96 | + | 3.31 (7) (6) the adult was eligible as a child under section 245.4871, subdivision 6, and is |
|---|
| 97 | + | 3.32age 21 or younger. |
|---|
| 98 | + | 3Sec. 2. |
|---|
| 99 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 4.1 (d) Adults may continue to receive case management or community support services if, |
|---|
| 100 | + | 4.2in the written opinion of a mental health professional, the person needs case management |
|---|
| 101 | + | 4.3or community support services to maintain the person's recovery. |
|---|
| 102 | + | 4.4 Sec. 3. Minnesota Statutes 2024, section 256B.0625, subdivision 17, is amended to read: |
|---|
| 103 | + | 4.5 Subd. 17.Transportation costs.(a) "Nonemergency medical transportation service" |
|---|
| 104 | + | 4.6means motor vehicle transportation provided by a public or private person that serves |
|---|
| 105 | + | 4.7Minnesota health care program beneficiaries who do not require emergency ambulance |
|---|
| 106 | + | 4.8service, as defined in section 144E.001, subdivision 3, to obtain covered medical services. |
|---|
| 107 | + | 4.9 (b) For purposes of this subdivision, "rural urban commuting area" or "RUCA" means |
|---|
| 108 | + | 4.10a census-tract based classification system under which a geographical area is determined |
|---|
| 109 | + | 4.11to be urban, rural, or super rural. |
|---|
| 110 | + | 4.12 (c) Medical assistance covers medical transportation costs incurred solely for obtaining |
|---|
| 111 | + | 4.13emergency medical care or transportation costs incurred by eligible persons in obtaining |
|---|
| 112 | + | 4.14emergency or nonemergency medical care when paid directly to an ambulance company, |
|---|
| 113 | + | 4.15nonemergency medical transportation company, or other recognized providers of |
|---|
| 114 | + | 4.16transportation services. Medical transportation must be provided by: |
|---|
| 115 | + | 4.17 (1) nonemergency medical transportation providers who meet the requirements of this |
|---|
| 116 | + | 4.18subdivision; |
|---|
| 117 | + | 4.19 (2) ambulances, as defined in section 144E.001, subdivision 2; |
|---|
| 118 | + | 4.20 (3) taxicabs that meet the requirements of this subdivision; |
|---|
| 119 | + | 4.21 (4) public transportation, within the meaning of "public transportation" as defined in |
|---|
| 120 | + | 4.22section 174.22, subdivision 7; or |
|---|
| 121 | + | 4.23 (5) not-for-hire vehicles, including volunteer drivers, as defined in section 65B.472, |
|---|
| 122 | + | 4.24subdivision 1, paragraph (p). |
|---|
| 123 | + | 4.25 (d) Medical assistance covers nonemergency medical transportation provided by |
|---|
| 124 | + | 4.26nonemergency medical transportation providers enrolled in the Minnesota health care |
|---|
| 125 | + | 4.27programs. All nonemergency medical transportation providers must comply with the |
|---|
| 126 | + | 4.28operating standards for special transportation service as defined in sections 174.29 to 174.30 |
|---|
| 127 | + | 4.29and Minnesota Rules, chapter 8840, and all drivers must be individually enrolled with the |
|---|
| 128 | + | 4.30commissioner and reported on the claim as the individual who provided the service. All |
|---|
| 129 | + | 4.31nonemergency medical transportation providers shall bill for nonemergency medical |
|---|
| 130 | + | 4.32transportation services in accordance with Minnesota health care programs criteria. Publicly |
|---|
| 131 | + | 4Sec. 3. |
|---|
| 132 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 5.1operated transit systems, volunteers, and not-for-hire vehicles are exempt from the |
|---|
| 133 | + | 5.2requirements outlined in this paragraph. |
|---|
| 134 | + | 5.3 (e) An organization may be terminated, denied, or suspended from enrollment if: |
|---|
| 135 | + | 5.4 (1) the provider has not initiated background studies on the individuals specified in |
|---|
| 136 | + | 5.5section 174.30, subdivision 10, paragraph (a), clauses (1) to (3); or |
|---|
| 137 | + | 5.6 (2) the provider has initiated background studies on the individuals specified in section |
|---|
| 138 | + | 5.7174.30, subdivision 10, paragraph (a), clauses (1) to (3), and: |
|---|
| 139 | + | 5.8 (i) the commissioner has sent the provider a notice that the individual has been |
|---|
| 140 | + | 5.9disqualified under section 245C.14; and |
|---|
| 141 | + | 5.10 (ii) the individual has not received a disqualification set-aside specific to the special |
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| 142 | + | 5.11transportation services provider under sections 245C.22 and 245C.23. |
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| 143 | + | 5.12 (f) The administrative agency of nonemergency medical transportation must: |
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| 144 | + | 5.13 (1) adhere to the policies defined by the commissioner; |
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| 145 | + | 5.14 (2) pay nonemergency medical transportation providers for services provided to |
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| 146 | + | 5.15Minnesota health care programs beneficiaries to obtain covered medical services; |
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| 147 | + | 5.16 (3) provide data monthly to the commissioner on appeals, complaints, no-shows, canceled |
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| 148 | + | 5.17trips, and number of trips by mode; and |
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| 149 | + | 5.18 (4) by July 1, 2016, in accordance with subdivision 18e, utilize a web-based single |
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| 150 | + | 5.19administrative structure assessment tool that meets the technical requirements established |
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| 151 | + | 5.20by the commissioner, reconciles trip information with claims being submitted by providers, |
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| 152 | + | 5.21and ensures prompt payment for nonemergency medical transportation services. |
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| 153 | + | 5.22 (g) Until the commissioner implements the single administrative structure and delivery |
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| 154 | + | 5.23system under subdivision 18e, clients shall obtain their level-of-service certificate from the |
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| 155 | + | 5.24commissioner or an entity approved by the commissioner that does not dispatch rides for |
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| 156 | + | 5.25clients using modes of transportation under paragraph (l), clauses (4), (5), (6), and (7). |
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| 157 | + | 5.26 (h) The commissioner may use an order by the recipient's attending physician, advanced |
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| 158 | + | 5.27practice registered nurse, physician assistant, or a medical or mental health professional to |
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| 159 | + | 5.28certify that the recipient requires nonemergency medical transportation services. |
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| 160 | + | 5.29Nonemergency medical transportation providers shall perform driver-assisted services for |
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| 161 | + | 5.30eligible individuals, when appropriate. Driver-assisted service includes passenger pickup |
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| 162 | + | 5.31at and return to the individual's residence or place of business, assistance with admittance |
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| 163 | + | 5Sec. 3. |
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| 164 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 6.1of the individual to the medical facility, and assistance in passenger securement or in securing |
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| 165 | + | 6.2of wheelchairs, child seats, or stretchers in the vehicle. |
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| 166 | + | 6.3 (i) Nonemergency medical transportation providers must take clients to the health care |
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| 167 | + | 6.4provider using the most direct route, and must not exceed 30 miles for a trip to a primary |
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| 168 | + | 6.5care provider or 60 miles for a trip to a specialty care provider, unless the client receives |
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| 169 | + | 6.6authorization from the local agency. |
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| 170 | + | 6.7 (j) Nonemergency medical transportation providers may not bill for separate base rates |
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| 171 | + | 6.8for the continuation of a trip beyond the original destination. Nonemergency medical |
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| 172 | + | 6.9transportation providers must maintain trip logs, which include pickup and drop-off times, |
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| 173 | + | 6.10signed by the medical provider or client, whichever is deemed most appropriate, attesting |
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| 174 | + | 6.11to mileage traveled to obtain covered medical services. Clients requesting client mileage |
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| 175 | + | 6.12reimbursement must sign the trip log attesting mileage traveled to obtain covered medical |
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| 176 | + | 6.13services. |
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| 177 | + | 6.14 (k) The administrative agency shall use the level of service process established by the |
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| 178 | + | 6.15commissioner to determine the client's most appropriate mode of transportation. If public |
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| 179 | + | 6.16transit or a certified transportation provider is not available to provide the appropriate service |
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| 180 | + | 6.17mode for the client, the client may receive a onetime service upgrade. |
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| 181 | + | 6.18 (l) The covered modes of transportation are: |
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| 182 | + | 6.19 (1) client reimbursement, which includes client mileage reimbursement provided to |
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| 183 | + | 6.20clients who have their own transportation, or to family or an acquaintance who provides |
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| 184 | + | 6.21transportation to the client; |
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| 185 | + | 6.22 (2) volunteer transport, which includes transportation by volunteers using their own |
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| 186 | + | 6.23vehicle; |
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| 187 | + | 6.24 (3) unassisted transport, which includes transportation provided to a client by a taxicab |
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| 188 | + | 6.25or public transit. If a taxicab or public transit is not available, the client can receive |
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| 189 | + | 6.26transportation from another nonemergency medical transportation provider; |
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| 190 | + | 6.27 (4) assisted transport, which includes transport provided to clients who require assistance |
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| 191 | + | 6.28by a nonemergency medical transportation provider; |
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| 192 | + | 6.29 (5) lift-equipped/ramp transport, which includes transport provided to a client who is |
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| 193 | + | 6.30dependent on a device and requires a nonemergency medical transportation provider with |
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| 194 | + | 6.31a vehicle containing a lift or ramp; |
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| 195 | + | 6.32 (6) protected transport, which includes transport provided to a client who has received |
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| 196 | + | 6.33a prescreening that has deemed other forms of transportation inappropriate and who requires |
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| 197 | + | 6Sec. 3. |
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| 198 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 7.1a provider: (i) with a protected vehicle that is not an ambulance or police car and has safety |
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| 199 | + | 7.2locks, a video recorder, and a transparent thermoplastic partition between the passenger and |
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| 200 | + | 7.3the vehicle driver; and (ii) who is certified as a protected transport provider; and |
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| 201 | + | 7.4 (7) stretcher transport, which includes transport for a client in a prone or supine position |
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| 202 | + | 7.5and requires a nonemergency medical transportation provider with a vehicle that can transport |
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| 203 | + | 7.6a client in a prone or supine position. |
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| 204 | + | 7.7 (m) The local agency shall be the single administrative agency and shall administer and |
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| 205 | + | 7.8reimburse for modes defined in paragraph (l) according to paragraphs (p) and (q) when the |
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| 206 | + | 7.9commissioner has developed, made available, and funded the web-based single administrative |
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| 207 | + | 7.10structure, assessment tool, and level of need assessment under subdivision 18e. The local |
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| 208 | + | 7.11agency's financial obligation is limited to funds provided by the state or federal government. |
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| 209 | + | 7.12 (n) The commissioner shall: |
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| 210 | + | 7.13 (1) verify that the mode and use of nonemergency medical transportation is appropriate; |
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| 211 | + | 7.14 (2) verify that the client is going to an approved medical appointment; and |
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| 212 | + | 7.15 (3) investigate all complaints and appeals. |
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| 213 | + | 7.16 (o) The administrative agency shall pay for the services provided in this subdivision and |
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| 214 | + | 7.17seek reimbursement from the commissioner, if appropriate. As vendors of medical care, |
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| 215 | + | 7.18local agencies are subject to the provisions in section 256B.041, the sanctions and monetary |
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| 216 | + | 7.19recovery actions in section 256B.064, and Minnesota Rules, parts 9505.2160 to 9505.2245. |
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| 217 | + | 7.20 (p) Payments for nonemergency medical transportation must be paid based on the client's |
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| 218 | + | 7.21assessed mode under paragraph (k), not the type of vehicle used to provide the service. The |
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| 219 | + | 7.22medical assistance reimbursement rates for nonemergency medical transportation services |
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| 220 | + | 7.23that are payable by or on behalf of the commissioner for nonemergency medical |
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| 221 | + | 7.24transportation services are: |
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| 222 | + | 7.25 (1) $0.22 per mile for client reimbursement; |
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| 223 | + | 7.26 (2) up to 100 percent of the Internal Revenue Service business deduction rate for volunteer |
|---|
| 224 | + | 7.27transport; |
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| 225 | + | 7.28 (3) equivalent to the standard fare for unassisted transport when provided by public |
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| 226 | + | 7.29transit, and $12.10 for the base rate and $1.43 per mile when provided by a nonemergency |
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| 227 | + | 7.30medical transportation provider; |
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| 228 | + | 7.31 (4) $14.30 for the base rate and $1.43 per mile for assisted transport; |
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| 229 | + | 7.32 (5) $19.80 for the base rate and $1.70 per mile for lift-equipped/ramp transport; |
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| 230 | + | 7Sec. 3. |
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| 231 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 8.1 (6) $75 for the base rate for the first 100 miles and an additional $75 for trips over 100 |
|---|
| 232 | + | 8.2miles and $2.40 per mile for protected transport; and |
|---|
| 233 | + | 8.3 (7) $60 for the base rate and $2.40 per mile for stretcher transport, and $9 per trip for |
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| 234 | + | 8.4an additional attendant if deemed medically necessary. |
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| 235 | + | 8.5 (q) The base rate for nonemergency medical transportation services in areas defined |
|---|
| 236 | + | 8.6under RUCA to be super rural is equal to 111.3 percent of the respective base rate in |
|---|
| 237 | + | 8.7paragraph (p), clauses (1) to (7). The mileage rate for nonemergency medical transportation |
|---|
| 238 | + | 8.8services in areas defined under RUCA to be rural or super rural areas is: |
|---|
| 239 | + | 8.9 (1) for a trip equal to 17 miles or less, equal to 125 percent of the respective mileage |
|---|
| 240 | + | 8.10rate in paragraph (p), clauses (1) to (7); and |
|---|
| 241 | + | 8.11 (2) for a trip between 18 and 50 miles, equal to 112.5 percent of the respective mileage |
|---|
| 242 | + | 8.12rate in paragraph (p), clauses (1) to (7). |
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| 243 | + | 8.13 (r) For purposes of reimbursement rates for nonemergency medical transportation services |
|---|
| 244 | + | 8.14under paragraphs (p) and (q), the zip code of the recipient's place of residence shall determine |
|---|
| 245 | + | 8.15whether the urban, rural, or super rural reimbursement rate applies. |
|---|
| 246 | + | 8.16 (s) The commissioner, when determining reimbursement rates for nonemergency medical |
|---|
| 247 | + | 8.17transportation under paragraphs (p) and (q), shall exempt all modes of transportation listed |
|---|
| 248 | + | 8.18under paragraph (l) from Minnesota Rules, part 9505.0445, item R, subitem (2). |
|---|
| 249 | + | 8.19 (t) Effective for the first day of each calendar quarter in which the price of gasoline as |
|---|
| 250 | + | 8.20posted publicly by the United States Energy Information Administration exceeds $3.00 per |
|---|
| 251 | + | 8.21gallon, the commissioner shall adjust the rate paid per mile in paragraph (p) by one percent |
|---|
| 252 | + | 8.22up or down for every increase or decrease of ten cents for the price of gasoline. The increase |
|---|
| 253 | + | 8.23or decrease must be calculated using a base gasoline price of $3.00. The percentage increase |
|---|
| 254 | + | 8.24or decrease must be calculated using the average of the most recently available price of all |
|---|
| 255 | + | 8.25grades of gasoline for Minnesota as posted publicly by the United States Energy Information |
|---|
| 256 | + | 8.26Administration. |
|---|
| 257 | + | 8.27 Sec. 4. EARLY EPISODE OF BIPOLAR DISORDER GRANT PROGRAM. |
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| 258 | + | 8.28 Subdivision 1.Creation.The early episode of bipolar disorder grant program is |
|---|
| 259 | + | 8.29established in the Department of Human Services to fund evidence-based interventions for |
|---|
| 260 | + | 8.30youth and young adults at risk of developing or experiencing an early episode of bipolar |
|---|
| 261 | + | 8.31disorder. Early episode of bipolar disorder services are eligible for children's mental health |
|---|
| 262 | + | 8.32grants as specified in Minnesota Statutes, section 245.4889, subdivision 1, paragraph (b), |
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| 263 | + | 8Sec. 4. |
|---|
| 264 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 9.1clause (15). The Department of Human Services shall seek to establish programs around |
|---|
| 265 | + | 9.2Minnesota. |
|---|
| 266 | + | 9.3 Subd. 2.Activities.(a) All grant programs must: |
|---|
| 267 | + | 9.4 (1) provide intensive treatment and support for adolescents and young adults experiencing |
|---|
| 268 | + | 9.5or at risk of experiencing early episodes of bipolar disorder. Intensive treatment and support |
|---|
| 269 | + | 9.6includes medication management, psychoeducation for an individual and an individual's |
|---|
| 270 | + | 9.7family, case management, employment support, education support, cognitive behavioral |
|---|
| 271 | + | 9.8approaches, social skills training, peer and family peer support, crisis planning, and stress |
|---|
| 272 | + | 9.9management; |
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| 273 | + | 9.10 (2) conduct outreach and provide training and guidance to mental health and health care |
|---|
| 274 | + | 9.11professionals, including postsecondary health clinicians, on bipolar disorder symptoms, |
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| 275 | + | 9.12screening tools, the grant program, and best practices; and |
|---|
| 276 | + | 9.13 (3) use all available funding streams. |
|---|
| 277 | + | 9.14 (b) Grant money may also be used to pay for housing or travel expenses for individuals |
|---|
| 278 | + | 9.15receiving services or to address other barriers preventing individuals and their families from |
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| 279 | + | 9.16participating in early episode of bipolar disorder services. |
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| 280 | + | 9.17 Subd. 3.Eligibility.Program activities must be provided to people 15 to 40 years old |
|---|
| 281 | + | 9.18with early signs of or experiencing bipolar disorder. |
|---|
| 282 | + | 9.19 Subd. 4.Outcomes.Evaluation of program activities must utilize evidence-based |
|---|
| 283 | + | 9.20practices and must include the following outcome evaluation criteria: |
|---|
| 284 | + | 9.21 (1) whether individuals experience a reduction in symptoms; |
|---|
| 285 | + | 9.22 (2) whether individuals experience a decrease in inpatient mental health hospitalizations |
|---|
| 286 | + | 9.23or interactions with the criminal justice system; and |
|---|
| 287 | + | 9.24 (3) whether individuals experience an increase in educational attainment or employment. |
|---|
| 288 | + | 9.25 Subd. 5.Federal aid or grants.The commissioner of human services must comply with |
|---|
| 289 | + | 9.26all conditions and requirements necessary to receive federal aid or grants. The Department |
|---|
| 290 | + | 9.27of Human Services must provide a yearly report to the chairs of the senate Finance Committee |
|---|
| 291 | + | 9.28and house of representatives Ways and Means Committee detailing the use of state and |
|---|
| 292 | + | 9.29federal funds, number of programs funded, number of people served, and evaluation data. |
|---|
| 293 | + | 9Sec. 4. |
|---|
| 294 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI 10.1 Sec. 5. CHILDREN'S FIRST EPISODE OF PSYCHOSIS. |
|---|
| 295 | + | 10.2 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
|---|
| 296 | + | 10.3fund to the commissioner of human services to implement a first episode of psychosis grant |
|---|
| 297 | + | 10.4under Minnesota Statutes, section 245.4905. This amount is added to the base. New money |
|---|
| 298 | + | 10.5may be used to fully fund current programs, increase a current program's capacity, and |
|---|
| 299 | + | 10.6expand programs to outside the metropolitan counties. The commissioner of human services |
|---|
| 300 | + | 10.7must continue to fund current programs to ensure stability and continuity of care, providing |
|---|
| 301 | + | 10.8that the program has met requirements for past usage of funds. |
|---|
| 302 | + | 10Sec. 5. |
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| 303 | + | 25-02046 as introduced01/16/25 REVISOR DTT/MI |
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