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, as well as the introduction of specific criteria for determining the effective date of payment changes based on federal approval. Additionally, the bill establishes that the commissioner must consider the patient caseload of existing FQHCs and rural health clinics when setting organization encounter rates for new facilities.

The bill also introduces provisions for Tribal FQHCs, allowing enrolled Indian health service facilities or Tribal health centers operating under a 638 contract or compact to elect to enroll as a Tribal FQHC. The requirements for these Tribal FQHCs will differ from those of standard FQHCs, although they must still comply with necessary federal regulations. The commissioner is tasked with establishing an alternative payment method for these Tribal FQHCs that aligns with the rates applicable to non-Tribal facilities. Overall, the bill aims to enhance the operational and financial framework for health centers serving low-income and underserved populations in Minnesota.

Statutes affected:
Introduction: 256B.0625