eliminates the requirement that Senate only provision Section 11 (256.969, subd. 1) MMB submit budget change requests for annual adjustments to hospital payment rates. Section 12 (256.969, subd 2b) Paragraph (d) extends the five Paragraphs (d) and (e) Senate only Article 1, § 5. Hospital payment rates. Amends § 256.969, percent banding that expires June 30, 2016, until the next subd. 2b. Requires payment rates for critical access hospitals rebasing, but only for hospitals paid on a diagnosis-related Paragraph (i) identical, except Senate prohibits the located in Minnesota or the local trade area to be determined group (DRG) methodology. using a new cost-based methodology, effective for discharges next rebasing any hospital from receiving less than 95 percent of its base year payment. on or after July 1, 2015. Requires the commissioner to include in the methodology tiers of payment to promote Paragraph (e) extends until the next rebasing the additional adjustments to the rebased hospital payment efficiency and cost-effectiveness. Specifies other rates that were set to expire on June 30, 2016. requirements for the methodology and lists factors to be used to develop the new methodology. grants DHS the authority to determine a Paragraph (i) new methodology for determining a cost-based final payment rate for critical access hospitals, but no hospital may receive less than 95 percent of its base year payment. Section 13 (256.969, subd. 3a) specifies that beginning July Senate only provision 1, 2015, individual hospital payment rate adjustments for to long-term care hospitals and rehabilitation hospitals for inpatient services must be incorporated into the hospital’s payment rate and not applied to each claim. Section 14 (256.969, subd. 3c) specifies that beginning July Senate only provision 1, 2015, the ten percent buy-back for fee-for-service inpatient services at long-term care hospitals and rehabilitation hospitals must be incorporated into the hospital’s payment rate and not applied to each
Section 11 (256.969, subd. 1) eliminates the requirement that MMB submit budget change requests for annual adjustments to hospital payment rates. Senate only provision Section 12 (256.969, subd 2b) Paragraph (d) extends the five percent banding that expires June 30, 2016, until the next rebasing, but only for hospitals paid on a diagnosis-related group (DRG) methodology. Paragraph (e) extends until the next rebasing the additional adjustments to the rebased hospital payment rates that were set to expire on June 30, 2016. Paragraph (i) grants DHS the authority to determine a new methodology for determining a cost-based final payment rate for critical access hospitals, but no hospital may receive less than 95 percent of its base year payment. Paragraphs (d) and (e) Senate only Paragraph (i) identical, except Senate prohibits the next rebasing any hospital from receiving less than 95 percent of its base year payment. Article 1, § 5. Hospital payment rates. Amends § 256.969, subd. 2b. Requires payment rates for critical access hospitals located in Minnesota or the local trade area to be determined using a new cost-based methodology, effective for discharges on or after July 1, 2015. Requires the commissioner to include in the methodology tiers of payment to promote efficiency and cost-effectiveness. Specifies other requirements for the methodology and lists factors to be used to develop the new methodology. Section 13 (256.969, subd. 3a) specifies that beginning July 1, 2015, individual hospital payment rate adjustments for to long-term care hospitals and rehabilitation hospitals for inpatient services must be incorporated into the hospital’s payment rate and not applied to each claim. Senate only provision Section 14 (256.969, subd. 3c) specifies that beginning July 1, 2015, the ten percent buy-back for fee-for-service inpatient services at long-term care hospitals and rehabilitation hospitals must be incorporated into the hospital’s payment rate and not applied to each Senate only provision
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