1.1 	A bill for an act
1.2 	relating to human services; requiring certain actions prior to implementing a new 
1.3 	rate setting, reimbursement, and reconciliation process for targeted case 
1.4 	management; appropriating money.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. DIRECTION TO THE COMMISSIONERS OF HUMAN SERVICES 
1.7 	AND CHILDREN, YOUTH, AND FAMILIES; REQUIREMENTS OF FUTURE 
1.8 	TARGETED CASE MANAGEMENT MODIFICATIONS.
 1.9 		Subdivision 1.Local impact notes required. When submitting to the legislature any 
1.10 	proposed legislation to change targeted case management rate setting, reimbursement, and 
1.11 	reconciliation processes for lead agencies, the commissioners of human services and children, 
1.12 	youth, and families must provide the legislature with local impact notes prepared in 
1.13 	consultation with each lead agency. The local impact notes must include at least an estimate 
1.14 	of changes in revenue for each lead agency that are likely to result from enactment of the 
1.15 	commissioners' proposals.
1.16 		Subd. 2.Required prerequisites for testing. The commissioners of human services 
1.17 	and children, youth, and families must include in any proposed legislation to implement a 
1.18 	new reimbursement and reconciliation process for targeted case management, a prohibition 
1.19 	against beginning the testing period described in subdivision 3 without a written stipulation 
1.20 	from both the Association of Minnesota Counties and the Minnesota Association of County 
1.21 	Social Service Administrators signed at least 90 days prior to the testing period confirming 
1.22 	that the following conditions have been met:
2.1 	(1) the Social Services Information System (SSIS) is sufficiently upgraded to support 
2.2 	any increase in the intensity of time reporting and other operations required by the 
2.3 	commissioners' proposals or a replacement of SSIS is adequate to efficiently and effectively 
2.4 	perform the requirement functions;
2.5 	(2) data in SSIS or its replacement is sufficiently available through exports and reports, 
2.6 	including data pertaining to time reporting, cost reports, and claiming for fee-for-service 
2.7 	and managed care targeted case management;
2.8 	(3) SSIS or its replacement is able to link to all the Person Master Index numbers that 
2.9 	have belonged to an individual; and
2.10 	(4) a plan has been developed and sufficient money is available to ensure lead agency 
2.11 	staff will receive adequate training during the implementation period.
2.12 		Subd. 3.Testing period required. The commissioners of human services and children, 
2.13 	youth, and families must include in any proposed legislation to implement a new 
2.14 	reimbursement and reconciliation process for targeted case management, a testing period 
2.15 	of at least one calendar year while the preexisting monthly targeted case management 
2.16 	claiming process is still employed.
2.17 		Subd. 4.Prerequisites for implementation. The commissioners of human services and 
2.18 	children, youth, and families must include in any proposed legislation to implement a new 
2.19 	rate setting, reimbursement, and reconciliation process for targeted case management, a 
2.20 	prohibition against full implementation without a written stipulation from both the 
2.21 	Association of Minnesota Counties and the Minnesota Association of County Social Service 
2.22 	Administrators signed at least 90 days prior to the proposed full implementation date 
2.23 	confirming that the following conditions have been met:
2.24 	(1) managed care organizations and county-based purchasing plans will use the same 
2.25 	units of targeted case management service for billing purposes;
2.26 	(2) managed care organizations and county-based purchasing plans will reimburse lead 
2.27 	agencies at rates comparable to or higher than the fee-for-service rate; and
2.28 	(3) the Association of Minnesota Counties and the Minnesota Association of County 
2.29 	Social Service Administrators agree that counties and the state can successfully proceed 
2.30 	with full implementation.
2.31 		Subd. 5.Revenue reduction limits. The commissioners of human services and children, 
2.32 	youth, and families must include in any proposed legislation to implement a new rate setting, 
2.33 	reimbursement, and reconciliation process for targeted case management, a proposed 
3.1 	mechanism and funding request to replace from state-only money any reduction in federal 
3.2 	targeted case management revenue for each lead agency in excess of five percent from 
3.3 	recent base years.
3.4 		Subd. 6.Publication of rate changes. The commissioners of human services and 
3.5 	children, youth, and families must include in any proposed legislation to implement a new 
3.6 	rate setting, reimbursement, and reconciliation process for targeted case management, a 
3.7 	requirement that the commissioners publish changes to targeted case management rates by 
3.8 	June 30 of each year.

3.9 	Sec. 2. APPROPRIATION; SOCIAL SERVICE INFORMATION SYSTEM CASE 
3.10 	MANAGEMENT TIME REPORTING UPGRADES.
 3.11 	(a) $....... in fiscal year 2025 is appropriated from the general fund to the commissioner 
3.12 	of human services for upgrades to the case management time reporting functionality of the 
3.13 	Social Services Information System (SSIS). This is a onetime appropriation.
3.14 	(b) $....... in fiscal year 2025 is appropriated from the general fund to the commissioner 
3.15 	of children, youth, and families for upgrades to the case management time reporting 
3.16 	functionality of the SSIS. This is a onetime appropriation.
3.17 	(c) The commissioners of human services and children, youth, and families must ensure 
3.18 	that the upgrades to SSIS result in:
3.19 	(1) SSIS actively assisting case managers in completing time reports, including by 
3.20 	providing an efficient means of reporting time spent providing multiple services to the same 
3.21 	individual or family on the same date;
3.22 	(2) substantial improvement in the performance and response times of SSIS; and
3.23 	(3) SSIS being adequately prepared to support any increase in the intensity of time 
3.24 	reporting requirements prior to any implementation of proposed changes to targeted case 
3.25 	management rate setting, reimbursement, and reconciliation processes.