This bill seeks to implement the Program of All-Inclusive Care for the Elderly (PACE) in Minnesota by amending various sections of the Minnesota Statutes. It establishes PACE as a federally authorized program that allows eligible individuals to access a comprehensive range of medical and non-medical services primarily in outpatient settings. The bill outlines the responsibilities of the commissioner of human services, including service coordination, enrollment processes, and establishing contracts with approved PACE organizations. It also mandates the development of a payment rate methodology for PACE services that complies with federal requirements. Key amendments include the removal of outdated provisions and the introduction of new definitions and requirements for PACE organizations, ensuring that individuals enrolled in PACE are not eligible for other Medicare or Medicaid programs.

Additionally, the bill introduces new performance targets for managed care plans and county-based purchasing plans, focusing on reducing healthcare service utilization rates, particularly emergency room visits and hospital admissions for medical assistance and MinnesotaCare enrollees. Starting January 1, 2011, the commissioner will withhold an additional three percent of payments to these plans, with the potential for these funds to be returned if the plans meet specified performance targets. The bill mandates measurable reductions in emergency room utilization rates and hospitalization admission rates, while also clarifying definitions and requirements for managed care organizations. The withheld funds are to be returned between July 1 and July 31 of the following year, contingent upon compliance with the established performance metrics.

Statutes affected:
Introduction: 256B.69, 256L.12, 256S.02