§ 256S.203 — Customized Living Services; Managed Care Rates
Plain-Language Summary
This section addresses how customized living service rates work within managed care plans. The commissioner must adjust managed care capitation payments to account for elderly waiver customized living costs.
256S.203 CUSTOMIZED LIVING SERVICES; MANAGED CARE RATES.
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Subdivision 1.Capitation payments.
The commissioner must adjust the elderly waiver capitation payment rates for managed care organizations paid to reflect the monthly service rate limits for customized living services and 24-hour customized living services established under section 256S.202 and the rate adjustments for disproportionate share facilities under section 256S.205. §
Subd. 2.Reimbursement rates.
Medical assistance rates paid to customized living providers by managed care organizations under this chapter must not exceed the monthly service rate limits and component rates as determined by the commissioner under sections 256S.15 and 256S.20 to 256S.202, plus any rate adjustment under section 256S.205.
History:
2019 c 54 art 1 s 23; 1Sp2021 c 7 art 13 s 61
History: History: 2019 c 54 art 1 s 23; 1Sp2021 c 7 art 13 s 61