Minnesota SF 2893: Reimbursement provision of certain transportation expenses incurred by counties under the Interstate Compact for Adult Supervision

Status: Authors added Dornink; Johnson; Weber; Matthews (as of 2022-02-07)

State: Minnesota · Session: 2021-2022 · Bill: SF 2893

Subjects: Corrections and Corrections Department, Government-Local

Sponsors: Newman, Dornink, Johnson, Mathews, Weber

Bill Text

1.1 A bill for an act
1.2 relating to health; modifying case mix reimbursement for federal conformity;
1.3 amending Minnesota Statutes 2024, section 144.0724, subdivisions 2, 3a, 4, 7, 9.
1.4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2024, section 144.0724, subdivision 2, is amended to read:
1.6 Subd. 2.Definitions.For purposes of this section, the following terms have the meanings
1.7 given.
1.8 (a) "Assessment reference date" or "ARD" means the specific end point for look-back
1.9 periods in the MDS assessment process. This look-back period is also called the observation
1.10 or assessment period.
1.11 (b) "Case mix index" means the weighting factors assigned to the case mix reimbursement
1.12 classifications determined by an assessment.
1.13 (c) "Index maximization" means classifying a resident who could be assigned to more
1.14 than one category, to the category with the highest case mix index.
1.15 (d) "Minimum Data Set" or "MDS" means a core set of screening, clinical assessment,
1.16 and functional status elements, that include common definitions and coding categories
1.17 specified by the Centers for Medicare and Medicaid Services and designated by the
1.18 Department of Health.
1.19 (e) "Representative" means a person who is the resident's guardian or conservator, the
1.20 person authorized to pay the nursing home expenses of the resident, a representative of the
1.21 Office of Ombudsman for Long-Term Care whose assistance has been requested, or any
1.22 other individual designated by the resident.
1Section 1.
25-00307 as introduced01/13/25 REVISOR EB/MI
SENATE
STATE OF MINNESOTA
S.F. No. 2893NINETY-FOURTH SESSION
(SENATE AUTHORS: MANN and Wiklund)
OFFICIAL STATUSD-PGDATE
Introduction and first reading100703/24/2025
Referred to Human Services
See HF2115

2.1 (f) "Activities of daily living" or "ADL" includes personal hygiene, dressing, bathing,
2.2 transferring, bed mobility, locomotion, eating, and toileting.
2.3 (g) "Patient Driven Payment Model" or "PDPM" means a case mix classification system
2.4 for residents in nursing facilities based on the resident's condition, diagnosis, and the care
2.5 the resident is receiving based on data supplied in the facility's MDS for assessments with
2.6 an ARD on or after October 1, 2025.
2.7 (g) (h) "Nursing facility level of care determination" means the assessment process that
2.8 results in a determination of a resident's or prospective resident's need for nursing facility
2.9 level of care as established in subdivision 11 for purposes of medical assistance payment
2.10 of long-term care services for:
2.11 (1) nursing facility services under chapter 256R;
2.12 (2) elderly waiver services under chapter 256S;
2.13 (3) CADI and BI waiver services under section 256B.49; and
2.14 (4) state payment of alternative care services under section 256B.0913.
2.15 (i) "Resource utilization groups" or "RUG" means a system for grouping a nursing
2.16 facility's residents according to the resident's clinical and functional status identified in data
2.17 supplied by the facility's minimum data set with an ARD on or prior to September 30, 2025.
2.18 Sec. 2. Minnesota Statutes 2024, section 144.0724, subdivision 3a, is amended to read:
2.19 Subd. 3a.Resident case mix reimbursement classifications.(a) Resident case mix
2.20 reimbursement classifications shall be based on the Minimum Data Set, version 3.0
2.21 assessment instrument, or its successor version mandated by the Centers for Medicare and
2.22 Medicaid Services that nursing facilities are required to complete for all residents. Case
2.23 mix reimbursement classifications shall also be based on assessments required under
2.24 subdivision 4. Assessments must be completed according to the Long Term Care Facility
2.25 Resident Assessment Instrument User's Manual Version 3.0 or a successor manual issued
2.26 by the Centers for Medicare and Medicaid Services. On or before September 30, 2025, the
2.27 optional state assessment must be completed according to the OSA Manual Version 1.0 v.2.
2.28 (b) Each resident must be classified based on the information from the Minimum Data
2.29 Set according to the general categories issued by the Minnesota Department of Health,
2.30 utilized for reimbursement purposes.
2Sec. 2.
25-00307 as introduced01/13/25 REVISOR EB/MI

3.1 Sec. 3. Minnesota Statutes 2024, section 144.0724, subdivision 4, is amended to read:
3.2 Subd. 4.Resident assessment schedule.(a) A facility must conduct and electronically
3.3 submit to the federal database MDS assessments that conform with the assessment schedule
3.4 defined by the Long Term Care Facility Resident Assessment Instrument User's Manual,
3.5 version 3.0, or its successor issued by the Centers for Medicare and Medicaid Services. The
3.6 commissioner of health may substitute successor manuals or question and answer documents

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