This bill amends Minnesota Statutes 2024, section 256B.0625, subdivision 30, to modify reimbursement procedures for federally qualified health centers (FQHCs) and rural health clinics. Key changes include the requirement for FQHCs to submit a change of scope request to the commissioner to account for any increase or decrease in the scope of services provided, including changes in the type, intensity, duration, or amount of health care services. Additionally, the bill specifies that the commissioner must establish an encounter payment rate equivalent to the all-inclusive rate set by the Indian Health Service for FQHCs that are also urban Indian organizations.

The bill also introduces provisions for FQHCs and rural health clinics to elect to be paid under an alternative payment methodology, which must be consistent with federal requirements. It establishes a framework for determining organization encounter rates based on Medicare cost reports and outlines the process for submitting claims for payment. Furthermore, it allows for the enrollment of Indian health service facilities or Tribal health centers as Tribal FQHCs, with specific requirements to comply with federal regulations. The changes aim to enhance the financial sustainability and operational flexibility of these health centers while ensuring compliance with federal guidelines.

Statutes affected:
Introduction: 256B.0625