This bill aims to establish payment rates for substance use disorder treatment services and recodify vendor eligibility for payments from Minnesota's behavioral health fund. It amends Minnesota Statutes 2024, specifically section 254B.05, by adding new subdivisions that detail the requirements for payment rates and eligibility for enhanced payment rates. A base year payment rate structure will be effective January 1, 2026, with specific rates for various levels of care, including outpatient and residential services. The bill also mandates annual adjustments to these rates starting January 1, 2027, based on the Medicare Economic Index. Additionally, it amends section 256B.761 to increase payment rates for behavioral health services by three percent beginning January 1, 2024, and outlines the adjustment process for capitation payments to managed care plans.

Furthermore, the bill requires the commissioner to monitor the impact of rate increases on access to behavioral health services and adjust capitation rates accordingly if federal approval is not obtained. Contracts between managed care plans and providers must include provisions for the recovery of payments if capitation rates are adjusted, with recovery amounts capped at the rate increase. The bill also instructs the revisor of statutes to make necessary cross-reference changes and remove outdated references to align with the new numbering system established in this act, ensuring consistency and clarity in the statutory text.

Statutes affected:
Introduction: 254B.05, 256B.761