.................... moves to amend H.F. No. 1233, the delete everything amendment
(A13-0408), as follows:
Page 168, after line 16, insert:
"Sec. 15. Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:
Subd. 2. Dental reimbursement.
(a) Effective for services rendered on or after
October 1, 1992, the commissioner shall make payments for dental services as follows:
(1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25
percent above the rate in effect on June 30, 1992; and
(2) dental rates shall be converted from the 50th percentile of 1982 to the 50th
percentile of 1989, less the percent in aggregate necessary to equal the above increases.
(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
(c) Effective for services rendered on or after January 1, 2000, payment rates for
dental services shall be increased by three percent over the rates in effect on December
(d) Effective for services provided on or after January 1, 2002, payment for
diagnostic examinations and dental x-rays provided to children under age 21 shall be the
lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
(e) The increases listed in paragraphs (b) and (c) shall be implemented January 1,
2000, for managed care.
(f) Effective for dental services rendered on or after October 1, 2010, by a
state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based
on the Medicare principles of reimbursement. This payment shall be effective for services
rendered on or after January 1, 2011, to recipients enrolled in managed care plans or
county-based purchasing plans.
(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
year, a supplemental state payment equal to the difference between the total payments
in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
services for the operation of the dental clinics.
(h) If the cost-based payment system for state-operated dental clinics described in
paragraph (f) does not receive federal approval, then state-operated dental clinics shall be
designated as critical access dental providers under subdivision 4, paragraph (b), and shall
receive the critical access dental reimbursement rate as described under subdivision 4,
(i) Effective for services rendered on or after September 1, 2011, through June 30,
2013, payment rates for dental services shall be reduced by three percent. This reduction
does not apply to state-operated dental clinics in paragraph (f).
2.12(j) Effective for services rendered on or after January 1, 2014, payment rates for
2.13dental services shall be increased by five percent from the rates in effect on December
2.1431, 2013. This increase does not apply to state-operated dental clinics in paragraph (f),
2.15federally qualified health centers, rural health centers, and Indian health services. Effective
2.16January 1, 2014, payments made to managed care plans and county-based purchasing
2.17plans under sections 256B.69, 256B.692, and 256L.12 shall reflect the payment increase
2.18described in this paragraph.
Page 454, after line 22, insert:
"Transfer. $....... in fiscal year 2014 and
2.21$....... in fiscal year 2015 is transferred from
2.22the health care access fund to the general
2.23fund, to provide increases in dental payment
2.24rates under Minnesota Statutes, section
2.25256B.76, subdivision 2, paragraph (5).
Adjust the totals and summaries by fund accordingly
Renumber the sections in sequence and correct the internal references
Amend the title accordingly