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S.F. No. 654 - Modifications to Provider Notification and Medical Assistance Prior Authorizations for Certain Services and Providers (First Engrossment)
 
Author: Senator Melissa H. Wiklund
 
Prepared By:
 
Date: April 8, 2013



 

Section 1 (62J.495, subdivision 15) removes the requirement that the Commissioner of Human Services notify a provider by first class mail of an appeal determination of an issue related to the Minnesota electronic health record incentives program.

Section 2 (256.01, subdivision 34) appropriates to the Commissioner of Human Services federal administrative reimbursement for review of medical necessity.

Section 3 (256.962, subdivision 8) is technical, changes the word “eligibility end” to “eligibility review.”

Sections 4 to 6 (256B.0625) removes language requiring authorization by the Commissioner of Human Services before medically necessary physical therapy, occupational therapy, and speech-language pathology and audiology services are provided to a medical assistance recipient.

Section 7 (256B.0627, subdivision 17) requires special transportation to be provided to recipients using a wheelchair, traveling with a personal care assistant or family member, and to children with developmental cognitive disabilities, including autism spectrum disorder.  Specifies that the special transportation providers must take a recipient to the nearest appropriate health care provider, using the most direct route and not exceeding 30 miles for a trip to a primary care provider or 60 miles for a trip to a specialty care provider, unless the recipient receives authorization from a local agency.

Section 8 (256B.0625, subdivision 18e) delays the implementation of the single administrative structure and delivery system for nonemergency medical transportation until July 1, 2014.

Section 9 (256B.0625, subdivision 18f) requires the administrator of nonemergency medical transportation adhere to the assessment process recommended by the Nonemergency Medical Transportation Advisory Committee by July 1, 2014. 

Section 10 (256B.0625, subdivision 25) requires the commissioner to publish the criteria and standards used to determine whether certain providers must obtain prior authorization for their services.  This section also exempts the selection of providers for whom prior authorization is required from chapter 14.  (Rulemaking)

Section 11 repeals Minnesota Rules, part 9505.0315, subpart 7, item D.

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