Chapter 256B — Medical Assistance

256B.001 This section number is reserved. No active statute text exists at this citation. 256B.01 Policy Declares that providing medical care for people who cannot afford it is an important state concern. Establishes … 256B.011 This section has been repealed or relocated. It was removed by Laws 2023, chapter 70. 256B.0185 This section has been repealed or relocated. It was removed by Laws 2013, chapter 107. 256B.02 Definitions Defines key terms used throughout the Medical Assistance chapter, including 'medical institution,' 'vendor of medical … 256B.021 Medical Assistance Reform Waiver Directs the commissioner to develop a federal waiver to reform the Medical Assistance program. The reform projects … 256B.03 Payments to Vendors Sets rules for how Medical Assistance payments are made to health care providers. Payments must go directly to the … 256B.031 This section has been repealed or relocated. It was removed by Laws 2009, chapter 173. 256B.032 This section has been repealed or relocated. It was removed by Laws 2010, chapter 344. 256B.035 Managed Care Allows the state to contract with health plans to deliver health care through managed care to Medical Assistance and … 256B.037 Prospective Payment of Dental Services Authorizes a demonstration project for prepaid dental care plans under Medical Assistance and MinnesotaCare. Sets rules … 256B.0371 Performance Benchmarks for Dental Access; Contingent Dental Administrator Sets performance goals for dental access under Medical Assistance and MinnesotaCare. If managed care plans fail to meet … 256B.038 Provider Rate Increases After June 30, 1999 Requires the state to include annual inflation adjustments in Medical Assistance payment rates for many home and … 256B.039 This section has been repealed or relocated. It was removed by Laws 2008, chapter 286. 256B.04 Duties of State Agency Describes the duties of the Minnesota Department of Human Services in running the Medical Assistance program. The state … 256B.041 Centralized Disbursement of Medical Assistance Payments Establishes a statewide system for paying Medical Assistance claims from a central state account. The account holds … 256B.042 Third-party Liability Gives the state a lien on any legal claims or insurance recoveries when it has paid for a Medical Assistance recipient's … 256B.043 Cost-containment Efforts Directs the commissioner to look for ways to save money and improve quality in Medical Assistance by using alternative … 256B.05 Administration by County Agencies Describes how county human services agencies administer the Medical Assistance program at the local level. Counties … 256B.051 Housing Stabilization Services Creates housing stabilization services under Medical Assistance for adults with disabilities who have trouble finding or … 256B.055 Eligibility Categories Lists the categories of people who can get Medical Assistance (Medicaid) in Minnesota. Covers children in foster care or … 256B.056 Eligibility Requirements for Medical Assistance Sets the income and asset limits for Medical Assistance eligibility in Minnesota. You must be a Minnesota resident. … 256B.0561 Periodic Data Matching to Evaluate Continued Eligibility Requires the state to periodically check electronic data to verify that people on Medical Assistance and MinnesotaCare … 256B.057 Eligibility Requirements for Special Categories Sets eligibility rules for special groups, including pregnant women (up to 278% of federal poverty level), infants under … 256B.0571 Long-term Care Partnership Program Creates the Long-Term Care Partnership Program, which lets people who buy qualifying long-term care insurance protect … 256B.0575 Availability of Income for Institutionalized Persons Sets rules for how much of a nursing home resident's income must go toward the cost of their care when Medical … 256B.058 Treatment of Income of Institutionalized Spouse Protects the income of the spouse living at home when the other spouse is in a nursing home on Medical Assistance. The … 256B.059 Treatment of Assets When a Spouse is Institutionalized Protects the spouse who remains at home (the 'community spouse') when the other spouse enters a nursing home and needs … 256B.0594 Payment of Benefits From an Annuity Requires annuity issuers to pay the state back for Medical Assistance costs when the state is named as a remainder … 256B.0595 Prohibitions on Transfer; Exceptions Prohibits people from giving away or selling assets for less than fair market value to qualify for Medical Assistance … 256B.0596 This section has been repealed or relocated. It was removed by Laws 2021, First Special Session chapter 7. 256B.06 Eligibility; Migrant Workers; Citizenship Sets citizenship and immigration requirements for Medical Assistance eligibility. U.S. citizens and certain qualified … 256B.061 Eligibility; Retroactive Effect; Restrictions Allows Medical Assistance coverage to go back up to three months before the month you applied, as long as you were … 256B.0615 Mental Health Certified Peer Specialist Makes Medical Assistance cover mental health certified peer specialist services. Peer specialists are people with lived … 256B.0616 Mental Health Certified Family Peer Specialist Makes Medical Assistance cover certified family peer specialist services for people with mental illness. Family peer … 256B.0617 Mental Health Services Provider Certification Requires the commissioner to set up a certification process for providers of certain children's mental health services … 256B.062 This section has been repealed or relocated. It was removed by Laws 1998, chapter 407. 256B.0621 Covered Services: Targeted Case Management Services Covers targeted case management services under Medical Assistance for people who need help coordinating their health and … 256B.0622 Assertive Community Treatment and Intensive Residential Treatment Services Covers assertive community treatment (ACT) and intensive residential treatment services under Medical Assistance for … 256B.0623 Adult Rehabilitative Mental Health Services Covered Covers adult rehabilitative mental health services (ARMHS) under Medical Assistance. These services help adults with … 256B.0624 Crisis Response Services Covered Covers crisis response services under Medical Assistance, including mental health mobile crisis teams and residential … 256B.0625 Covered Services Lists all the health care services that Medical Assistance (Medicaid) covers in Minnesota. Includes hospital care, … 256B.0626 Estimation of 50th Percentile of Prevailing Charges Explains how the commissioner estimates the 50th percentile of prevailing charges for Medical Assistance payment rates … 256B.0627 This section has been renumbered. Its provisions on home care services have been moved to sections 256B.0651 through … 256B.0628 This section has been renumbered to 256B.0652. 256B.0629 This section has been repealed. Its subdivisions were removed by Laws 2005, chapter 98. 256B.063 Cost Sharing Allows the commissioner to require small fees, premiums, or enrollment charges for Medical Assistance recipients, but … 256B.0631 Prohibition on Cost-sharing Prohibits cost-sharing such as copays, premiums, or enrollment fees for certain Medical Assistance recipients, including … 256B.0632 Intensive Residential Treatment Services Covers intensive residential treatment services (IRTS) under Medical Assistance for adults with serious mental illness. … 256B.0635 Continued Eligibility in Special Circumstances Allows people to keep their Medical Assistance eligibility in special situations, such as when their income increases … 256B.0636 Controlled Substance Prescriptions; Abuse Prevention Requires the commissioner to develop a plan to review how Medical Assistance enrollees use controlled substances and to … 256B.0637 Presumptive Eligibility; Treatment for Breast or Cervical Cancer Provides immediate, temporary Medical Assistance coverage for people diagnosed with breast or cervical cancer while … 256B.0638 Opioid Prescribing Improvement Program Establishes the Opioid Prescribing Improvement Program to reduce opioid overuse and misuse among Medical Assistance … 256B.064 Sanctions; Monetary Recovery Gives the commissioner power to impose sanctions on Medical Assistance providers for fraud, abuse, or violations, … 256B.0641 Recovery of Overpayments Sets up procedures for the state to recover overpayments made to Medical Assistance providers. The state can recoup … 256B.0642 Federal Financial Participation Allows the commissioner to reduce Medical Assistance payment rates for providers to avoid losing federal funding when … 256B.0643 Vendor Request for Contested Case Proceeding Sets the process for health care providers to challenge a Medical Assistance decision through a contested case … 256B.0644 Reimbursement Under Other State Health Care Programs Requires health care providers who participate in state employee insurance, workers' compensation, or other public … 256B.0645 This section has been repealed or relocated. It was removed by Laws 2016, chapter 158. 256B.0646 Minnesota Restricted Recipient Program; Personal Care Assistance Services Allows the commissioner to place a Medical Assistance recipient in the restricted recipient program if their use of … 256B.065 Social Security Amendments Requires the commissioner to follow the Social Security amendments of 1972 to keep Minnesota's Medical Assistance … 256B.0651 Home Care Services Defines home care services covered by Medical Assistance, including skilled nursing, home health aide, personal care … 256B.0652 Authorization and Review of Home Care Services Sets the rules for how home care services under Medical Assistance are authorized and reviewed. The state coordinates … 256B.0653 Home Health Agency Services Covers home health agency services under Medical Assistance, including skilled nursing visits, home health aide … 256B.0654 Home Care Nursing Covers home care nursing services under Medical Assistance for people who need skilled nursing care in their homes. … 256B.0655 This section has been repealed. Its subdivisions on home care services have been moved to other sections within Chapter … 256B.0656 This section has been repealed. It was removed by Laws 2014, chapter 262. 256B.0657 This section has been repealed. It was removed by Laws 2014, chapter 262. 256B.0658 Housing Access Grants Provides grants to public and private agencies that help people with disabilities find and access housing. Agencies can … 256B.0659 Personal Care Assistance Program Establishes the Personal Care Assistance (PCA) program under Medical Assistance. PCA services help people with … 256B.066 Orthotic and Prosthetic Devices, Supplies, and Services Covers orthotic and prosthetic devices, supplies, and services under Medical Assistance. Includes braces, artificial … 256B.0671 Covered Mental Health Services Lists the mental health services covered by Medical Assistance, including outpatient therapy, diagnostic assessments, … 256B.07 This section has been repealed. It was removed by Laws 1987, chapter 403. 256B.0701 Recuperative Care Services Establishes recuperative care services under Medical Assistance for people experiencing homelessness who are recovering … 256B.0705 This section has been repealed or relocated. It was removed by Laws 2019, First Special Session chapter 9. 256B.071 This section has been repealed. Its subdivisions are no longer in effect. 256B.0711 Quality Self-directed Services Workforce Creates a framework for building a quality workforce for self-directed home care services, including personal care … 256B.072 Performance Reporting and Quality Improvement System Creates a performance reporting and quality improvement system for Medical Assistance. Requires measuring and publicly … 256B.073 Electronic Visit Verification Requires electronic visit verification (EVV) for home care services under Medical Assistance. EVV uses technology to … 256B.075 Disease Management Programs Authorizes disease management programs under Medical Assistance that provide coordinated care for people with chronic … 256B.0751 This section has been repealed. Its subdivisions are no longer in effect. 256B.0752 This section has been repealed or relocated. It was removed by Laws 2020, chapter 115. 256B.0753 Payment Restructuring; Care Coordination Payments Restructures Medical Assistance payments to reward care coordination. Allows the commissioner to make additional … 256B.0754 Payment Reform Establishes payment reform for Medical Assistance, including quality incentive payments that reward providers who … 256B.0755 Integrated Health Partnership Demonstration Project Creates the Integrated Health Partnership (IHP) demonstration project, which lets groups of providers take … 256B.0756 Hennepin and Ramsey Counties Pilot Program Allows the commissioner to create a pilot program in Hennepin or Ramsey County to test new, integrated health care … 256B.0757 Coordinated Care Through a Health Home Establishes 'health homes' under Medical Assistance for people with chronic conditions or serious mental illness. Health … 256B.0758 Health Care Delivery Pilot Program Allows the commissioner to create a health care delivery pilot program to test innovative integrated care networks, … 256B.0759 Substance Use Disorder Demonstration Project Creates a substance use disorder demonstration project under Medical Assistance. The project tests new approaches to … 256B.076 Case Management Services Covers case management services under Medical Assistance. Case managers help people with complex needs coordinate their … 256B.0761 Reentry Demonstration Waiver Creates a demonstration waiver to provide Medical Assistance coverage for people leaving jails and prisons. Allows … 256B.08 Application Describes the application process for Medical Assistance. Explains how to apply, what information is needed, and how the … 256B.09 Investigations Requires the county agency to investigate Medical Assistance applications promptly and determine eligibility. Once a … 256B.091 This section has been repealed. It was removed by Laws 1991, chapter 292. 256B.0911 Long-term Care Consultation Services Establishes the long-term care consultation service, a free assessment available to anyone in Minnesota who has … 256B.0912 This section has been repealed or relocated. It was removed by Laws 2001, First Special Session chapter 9. 256B.0913 Alternative Care Program Creates the Alternative Care program, which pays for home and community-based services for people age 65 and older who … 256B.0914 Conflicts of Interest Related to Medicaid Expenditures Prohibits conflicts of interest related to Medicaid spending. Prevents people who make decisions about Medical … 256B.0915 This section has been repealed. Its subdivisions are no longer in effect. 256B.0916 Expansion of Home and Community-based Services Expands home and community-based services under Medical Assistance to help people with disabilities and seniors stay in … 256B.0917 Eldercare Development Partnerships Creates eldercare development partnerships to develop and expand community-based services for elderly Minnesotans. … 256B.0918 Employee Scholarship Costs Allows Medical Assistance providers to include employee scholarship costs in their payment rates. This helps long-term … 256B.0919 Adult Foster Care and Family Adult Day Care Sets rules for adult foster care and family adult day care under Medical Assistance, including licensing capacity limits … 256B.092 Services for Persons With Developmental Disabilities Establishes services for people with developmental disabilities under Medical Assistance, including home and … 256B.0921 Home and Community-based Services Innovation Pool Creates an innovation pool to fund new approaches to home and community-based services, with a focus on helping people … 256B.0922 Essential Community Supports Provides essential community supports for people who do not qualify for full home and community-based waiver services … 256B.0924 Targeted Case Management Services Provides targeted case management services under Medical Assistance for children and adults with specific needs, … 256B.0925 This section has been repealed. It was removed by Laws 1995, chapter 186. 256B.0926 Admission Review Team; Intermediate Care Facilities Requires an admission review team to evaluate whether a person with a developmental disability should be admitted to an … 256B.0928 This section has been repealed. It was removed by Laws 2014, chapter 262. 256B.093 Services for Persons With Traumatic Brain Injuries Creates a state traumatic brain injury (TBI) program under Medical Assistance. Provides waiver services, case … 256B.094 Child Welfare Targeted Case Management Services Provides targeted case management services under Medical Assistance for children involved in the child welfare system. … 256B.0941 Psychiatric Residential Treatment Facility for Persons Younger Than 21 Years of Age Covers psychiatric residential treatment facility (PRTF) services under Medical Assistance for people under age 21. … 256B.0943 Children's Therapeutic Services and Supports Covers children's therapeutic services and supports (CTSS) under Medical Assistance. CTSS includes individual and family … 256B.0944 This section has been repealed. It was removed by Laws 2021, chapter 30. 256B.0945 Services for Children With Serious Mental Illness Covers residential treatment and other services under Medical Assistance for children with serious mental illness. Sets … 256B.0946 Children's Intensive Behavioral Health Services Covers children's intensive behavioral health services under Medical Assistance for children with serious emotional … 256B.0947 Intensive Rehabilitative Mental Health Services Covers intensive nonresidential rehabilitative mental health services (IRMHS) under Medical Assistance. Provides a high … 256B.0948 Foster Care Rate Limits Requires the commissioner to reduce rates for adult foster care and supportive living services that are above the 95th … 256B.0949 Early Intensive Developmental and Behavioral Intervention Benefit Establishes the Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit under Medical Assistance. … 256B.095 Quality Assurance System Established Establishes a quality assurance system for programs serving people with developmental disabilities in southeastern … 256B.0951 Quality Assurance Commission Creates a Quality Assurance Commission to oversee and improve the quality of services for people with developmental … 256B.0952 County Duties; Quality Assurance Teams Establishes county duties and quality assurance teams to review the quality of services for people with developmental … 256B.0953 Quality Assurance Process Describes the quality assurance review process for services for people with developmental disabilities, including what … 256B.0954 Certain Persons Defined as Mandated Reporters Makes members of quality assurance commissions, review councils, and teams mandated reporters, meaning they are legally … 256B.0955 Duties of the Commissioner of Human Services Describes the commissioner's duties related to the alternative quality assurance licensing system for programs serving … 256B.096 This section has been repealed. Its subdivisions are no longer in effect. 256B.097 Regional and Systems Improvement for Minnesotans Who Have Disabilities Establishes regional and statewide efforts to improve the system of services for Minnesotans with disabilities, … 256B.10 This section has been repealed. It was removed by Laws 1976, chapter 131. 256B.11 This section has been repealed. It was removed by Laws 1976, chapter 131. 256B.12 Legal Representation Designates the attorney general and county attorneys to represent the state and county agencies in Medical Assistance … 256B.121 Treble Damages Allows the state to sue a health care provider for triple the amount of any payments obtained through false claims or … 256B.13 Subpoenas Gives the state and county agencies the power to issue subpoenas, compel witnesses to appear, require documents to be … 256B.14 Relative's Responsibility Addresses the financial responsibility of relatives for Medical Assistance recipients. Generally, only a spouse is … 256B.15 Claims Against Estates Allows the state to recover Medical Assistance costs from the estate of a person who received benefits after age 55 or … 256B.16 This section has been repealed. It was removed by Laws 1971, chapter 550. 256B.17 Transfers of Property Covers rules about transfers of property related to Medical Assistance eligibility. Transferring assets for less than … 256B.18 Methods of Administration Requires the state agency to set up administrative methods that comply with the federal Social Security Act, including … 256B.19 Division of Cost Describes how the costs of the Medical Assistance program are divided between the federal government, the state, and … 256B.194 Federal Payments Allows the commissioner to require Medical Assistance and MinnesotaCare providers to report cost information needed to … 256B.195 This section has been repealed or relocated. It was removed by Laws 2010, chapter 200. 256B.196 Intergovernmental Transfers; Hospital and Physician Payments Establishes intergovernmental transfer arrangements for hospital and physician payments under Medical Assistance. Local … 256B.197 Intergovernmental Transfers; Inpatient Hospital Payments Establishes intergovernmental transfer arrangements specifically for inpatient hospital payments under Medical … 256B.1973 Hennepin Healthcare Directed Payment Arrangements Creates directed payment arrangements specifically for Hennepin Healthcare to provide additional Medical Assistance … 256B.1974 Hospital Directed Payment Program Establishes the Hospital Directed Payment Program, which provides additional Medical Assistance payments to hospitals … 256B.1975 Hospital Directed Payment Program Account Creates a special account in the state treasury for the Hospital Directed Payment Program. Funds from hospital … 256B.1976 Managed Care Organization Assessment Establishes an assessment on managed care organizations that participate in Medical Assistance and MinnesotaCare. The … 256B.198 Payments for Non-hospital-based Governmental Health Centers Allows the state to make additional payments to government-owned community health centers that are not based in … 256B.199 Payments Reported by Governmental Entities Requires the commissioner to apply for federal matching funds for payments reported by governmental entities under … 256B.20 County Appropriations Describes how counties provide and manage the funds needed to run the Medical Assistance program at the local level, … 256B.21 Change of Residence Requires Medical Assistance recipients to notify the county agency when they change their residence. If moving to … 256B.22 Compliance With Social Security Act Declares that Minnesota's Medical Assistance program is designed to comply with the federal Social Security Act. If … 256B.23 Use of Federal Funds Appropriates all federal Medicaid funds received by Minnesota to the state agency to be spent according to the Medical … 256B.24 Prohibitions Prohibits the state from charging enrollment fees, premiums, or similar charges as a condition of eligibility for … 256B.25 Payments to Certified Facilities Sets rules for Medical Assistance payments to certified health care facilities, including nursing homes, hospitals, and … 256B.26 Agreements With Other State Departments Authorizes the commissioner to enter into cooperative agreements with other state departments to coordinate health … 256B.27 Medical Assistance; Cost Reports Requires Medical Assistance providers to submit cost reports and financial information to the commissioner. Sets rules … 256B.30 Health Care Facility Report Requires health care facilities to file reports with the state as needed for the administration of the Medical … 256B.31 This section has been repealed. It was removed by Laws 2014, chapter 262. 256B.32 Facility Fee Payment Sets rules for facility fee payments under Medical Assistance, including how hospitals and other facilities are paid for … 256B.35 Personal Needs Allowance; Persons in Certain Facilities Guarantees that Medical Assistance recipients in nursing homes and other facilities are allowed to keep a personal needs … 256B.36 Special Personal Allowance for Certain Individuals Provides a special personal allowance for certain individuals on Medical Assistance in facilities, giving them an extra … 256B.37 Private Insurance Policies, Causes of Action Gives the state the right to recover Medical Assistance costs from private insurance policies and legal claims. Requires … 256B.39 Avoidance of Duplicate Payments Requires medical care providers to clearly state on billing statements that they plan to seek payment from the state … 256B.40 This section has been repealed. 256B.41 This section has been repealed. 256B.411 This section has been repealed. 256B.42 This section has been repealed. 256B.421 Definitions Defines key terms used in the nursing facility payment rate sections, including what counts as a nursing facility, how … 256B.43 This section has been repealed. 256B.431 Rate Determination Sets out the rules for how the state calculates payment rates for nursing facilities under the Medical Assistance … 256B.432 This section has been repealed. 256B.433 Contains provisions related to nursing facility payment rates. Most subdivisions in this section have been repealed. 256B.434 Payment Rates and Procedures; Contracts and Agreements Establishes payment rates, procedures, and contract requirements for nursing facilities that participate in the Medical … 256B.435 This section has been repealed. 256B.436 This section has been repealed. 256B.437 This section has been repealed. 256B.438 This section has been repealed. 256B.439 Long-term Care Quality Profiles Requires the state to develop quality profiles for long-term care facilities, giving consumers and families information … 256B.44 This section has been repealed. 256B.440 This section has been repealed. 256B.441 This section has been repealed. 256B.45 This section has been repealed. 256B.46 This section has been repealed. 256B.47 This section has been repealed. 256B.48 Conditions for Participation Sets out conditions that health care providers and managed care organizations must meet to participate in the Medical … 256B.49 Home and Community-based Service Waivers for Persons With Disabilities Establishes home and community-based service waivers that allow people with disabilities to receive Medical … 256B.4905 Home and Community-based Services Policy Statement States Minnesota's policy goals for home and community-based services, including promoting independence, community … 256B.4906 Subminimum Wages in Home and Community-based Services Reporting Requires reporting on the use of subminimum wages for people receiving home and community-based services, tracking … 256B.4907 Advisory Task Force on Waiver Reimagine Creates an advisory task force to study and recommend changes to Minnesota's home and community-based service waiver … 256B.491 This section has been repealed. 256B.4911 Consumer-directed Community Supports Allows people with disabilities who receive home and community-based waiver services to direct their own care by … 256B.4912 Home and Community-based Waivers; Providers and Payment Sets rules for providers who deliver home and community-based waiver services, including provider qualifications, … 256B.4913 This section has been repealed. 256B.4914 Home and Community-based Services Waivers; Rate Setting Establishes the payment rate framework for home and community-based waiver services, including how rates are calculated … 256B.492 Home and Community-based Settings for People With Disabilities Sets requirements for the settings where people with disabilities receive home and community-based services, ensuring … 256B.493 Adult Foster Care Planned Closure Establishes a planned closure process for adult foster care homes, including requirements for notifying residents and … 256B.495 This section has been repealed. 256B.50 Appeals Allows nursing facilities and intermediate care facilities to appeal their Medical Assistance payment rates to the … 256B.501 Rates for Community-based Services for Persons With Disabilities Sets payment rates for intermediate care facilities for persons with developmental disabilities (ICFs/DD), which are … 256B.5011 Icf/dd Reimbursement System Effective October 1, 2000 Establishes the reimbursement system for intermediate care facilities for persons with developmental disabilities … 256B.5012 Icf/dd Payment System Implementation Provides rules for implementing the ICF/DD payment system, including how rates are phased in and how facilities … 256B.5013 Payment Rate Adjustments Allows payment rate adjustments for ICF/DD facilities based on changes in the needs of the people they serve, changes in … 256B.5014 Reporting Requirements Requires ICF/DD facilities to submit cost reports and other financial information to the commissioner so the state can … 256B.5015 Pass-through of Other Services Costs Allows certain costs for services like therapy, nursing, and other specialized care at ICF/DD facilities to be passed … 256B.5016 This section has been repealed. 256B.502 Rules Authorizes the commissioner of human services to adopt rules for setting payment rates for intermediate care facilities … 256B.503 This section has been repealed. 256B.504 This section has been repealed. 256B.51 Nursing Homes; Cost of Home Care Addresses the cost of home care provided by nursing homes, including how costs are calculated and reported when nursing … 256B.53 This section has been repealed. 256B.55 This section has been repealed. 256B.56 This section has been repealed. 256B.57 This section has been repealed. 256B.58 This section has been repealed. 256B.59 This section has been repealed. 256B.60 This section has been repealed. 256B.61 This section has been repealed. 256B.62 This section has been repealed. 256B.63 This section has been repealed. 256B.64 This section has been repealed. 256B.69 Prepaid Health Plans Establishes Minnesota's managed care system for Medical Assistance. Most Medical Assistance recipients are enrolled in a … 256B.6903 Ombudsperson for Managed Care Creates an ombudsperson position to help Medical Assistance enrollees who have problems with their managed care health … 256B.691 Risk-based Transportation Payments Establishes a system for risk-based payments for non-emergency medical transportation services under Medical Assistance, … 256B.692 County-based Purchasing Allows counties to purchase health care services for Medical Assistance enrollees through county-based purchasing … 256B.6925 Enrollee Information Requires managed care plans in the Medical Assistance program to provide enrollees with clear information about their … 256B.6926 State Monitoring Requires the state to monitor managed care organizations that serve Medical Assistance enrollees, including reviewing … 256B.6927 Quality Assessment and Performance Sets quality assessment and performance standards for managed care organizations in the Medical Assistance program, … 256B.6928 Managed Care Rates and Payments Governs how the state sets payment rates for managed care organizations that serve Medical Assistance enrollees, … 256B.693 State-operated Services; Managed Care Addresses how state-operated services interact with the Medical Assistance managed care system, including rules for when … 256B.694 Sole-source or Single-plan Managed Care Contract Allows the state to enter into sole-source or single-plan managed care contracts in areas where only one managed care … 256B.695 County-administered Rural Medical Assistance Program Establishes a county-administered Medical Assistance program for rural areas, allowing qualifying counties to manage … 256B.696 Prescription Drugs; State Pharmacy Benefit Manager Establishes a state pharmacy benefit manager to handle prescription drug coverage for Medical Assistance enrollees, … 256B.70 Demonstration Project Waiver Authorizes the commissioner to seek federal waivers to run demonstration projects that test new ways of delivering or … 256B.71 Social Health Maintenance Organization Demonstration Authorizes a social health maintenance organization demonstration project that combines medical care with social … 256B.72 Commissioner's Recovery of Overpayments Gives the commissioner of human services the authority to recover overpayments made to Medical Assistance providers, … 256B.73 Demonstration Project for Uninsured Low-income Persons Authorizes a demonstration project to provide health care coverage to uninsured low-income people who do not qualify for … 256B.74 Special Payments Authorizes special payments under Medical Assistance for certain services, including supplemental payments to hospitals … 256B.75 Hospital Outpatient Reimbursement Sets the reimbursement rates that Medical Assistance pays hospitals for outpatient services, including how rates are … 256B.756 Reimbursement Rates for Births Sets the reimbursement rates that Medical Assistance pays hospitals and providers for childbirth-related services. 256B.758 Reimbursement for Doula Services Establishes Medical Assistance coverage and reimbursement for doula services, which provide non-medical support during … 256B.76 Physician, Professional Services, and Dental Reimbursement Sets the reimbursement rates that Medical Assistance pays doctors, dentists, and other health care professionals for … 256B.761 Reimbursement for Mental Health Services Sets the reimbursement rates that Medical Assistance pays for mental health services, including therapy, psychiatry, and … 256B.762 Reimbursement for Health Care Services Sets reimbursement rates for certain health care services under Medical Assistance that are not covered by other … 256B.763 Critical Access Mental Health Rate Increase Provides higher Medical Assistance payment rates for mental health services in areas designated as having a critical … 256B.7631 This section has been repealed. 256B.7635 Reimbursement for Evidence-based Public Health Nurse Home Visits Provides Medical Assistance reimbursement for evidence-based public health nurse home visits to families with newborns … 256B.764 Reimbursement for Family Planning Services Sets reimbursement rates for family planning services under Medical Assistance, including contraception, reproductive … 256B.765 Provider Rate Increases Authorizes rate increases for health care providers who serve Medical Assistance patients, specifying when and how … 256B.766 Reimbursement for Basic Care Services Sets reimbursement rates for basic care services under Medical Assistance, covering routine medical care and primary … 256B.767 Medicare Payment Limit Limits Medical Assistance payment rates so they do not exceed what Medicare pays for the same services, using Medicare … 256B.77 Coordinated Service Delivery System for Persons With Disabilities Creates a coordinated service delivery system for people with disabilities on Medical Assistance, combining health care, … 256B.771 Complementary and Alternative Medicine Demonstration Project Authorizes a demonstration project to test whether covering complementary and alternative medicine services under … 256B.78 Demonstration Project for Family Planning Services Authorizes a demonstration project to provide family planning services to low-income individuals who do not otherwise … 256B.79 Integrated Care for High-risk Pregnant Women Establishes an integrated care program for high-risk pregnant women on Medical Assistance, coordinating medical care, … 256B.795 Maternal and Infant Health Report Requires the commissioner to report on maternal and infant health outcomes for Medical Assistance enrollees, including … 256B.81 Mental Health Provider Appeal Process Creates an appeal process for mental health providers whose claims are denied or reduced by Medical Assistance managed … 256B.82 Prepaid Plans and Mental Health Rehabilitative Services Governs how prepaid managed care plans handle mental health rehabilitative services under Medical Assistance, including … 256B.83 This section has been repealed. 256B.84 American Indian Contracting Provisions Sets rules for Medical Assistance contracting with American Indian tribal organizations and Indian health services, … 256B.85 Community First Services and Supports Establishes the Community First Services and Supports (CFSS) program, which allows people with disabilities and seniors … 256B.851 Community First Services and Supports; Payment Rates Sets the payment rates for Community First Services and Supports (CFSS) workers and agencies, including how wages, …