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HF 103

as introduced - 90th Legislature (2017 - 2018) Posted on 01/13/2017 10:04am

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
 relating to human services; expanding the scope of a medical assistance rate increase
for ambulance services; amending Minnesota Statutes 2016, section 256B.0625,
subdivision 17a.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2016, section 256B.0625, subdivision 17a, is amended to
read:


Subd. 17a.

Payment for ambulance services.

(a) Medical assistance covers ambulance
services. Providers shall bill ambulance services according to Medicare criteria.
Nonemergency ambulance services shall not be paid as emergencies. Effective for services
rendered on or after July 1, 2001, medical assistance payments for ambulance services shall
be paid at the Medicare reimbursement rate or at the medical assistance payment rate in
effect on July 1, 2000, whichever is greater.

(b) Effective for services provided on or after July 1, 2016, medical assistance payment
rates for ambulance services identified in this paragraph are increased by five percent.
Capitation payments made to managed care plans and county-based purchasing plans for
ambulance services provided on or after January 1, 2017, shall be increased to reflect this
rate increase. The increased rate described in this paragraph applies to ambulance service
providers whose base of operations as defined in section 144E.10 is located:

(1) outside the metropolitan counties listed in section 473.121, subdivision 4, and outside
the cities of Duluth, Mankato, Moorhead, St. Cloud, and Rochester; or

(2) within a municipality with a population of less than 1,000.

new text begin (c) Effective for services provided on or after July 1, 2017, medical assistance payment
rates for ambulance services that do not qualify for a payment rate increase under paragraph
(b) are increased by five percent. Capitation payments made to managed care plans and
county-based purchasing plans for ambulance services provided on or after January 1, 2018,
shall be increased to reflect this rate increase.
 new text end