This bill seeks to establish new payment rates for substance use disorder treatment services in Minnesota and recodify vendor eligibility for payments from the behavioral health fund. It amends Minnesota Statutes 2024, specifically section 254B.05, by introducing new subdivisions that detail the requirements for payment rates and eligibility for enhanced payment rates. A significant aspect of the bill is the implementation of a base year payment rate structure effective January 1, 2026, which will set specific rates for individual and group counseling, comprehensive assessments, and peer recovery support services. Additionally, the bill mandates annual adjustments to these rates starting January 1, 2027, based on the Medicare Economic Index.

Moreover, the bill outlines enhanced payment rates for programs offering specific services, such as child care for parents in treatment and culturally responsive programs. It also allows for telehealth services and sets guidelines for group treatment settings. The amendments to section 256B.761 ensure that reimbursement rates for mental health services are aligned with the new methodologies. The commissioner is tasked with monitoring the impact of rate increases on access to behavioral health services and adjusting capitation rates for managed care plans if federal approval for the rate increase is not obtained. The bill also includes provisions for the recodification of vendor eligibility, directing the revisor of statutes to make necessary updates and technical adjustments to maintain the text's meaning.

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