This bill amends Minnesota Statutes 2024, section 144.0724, to modify case mix reimbursement for nursing facilities in alignment with federal standards. Key definitions are updated, including the introduction of terms such as "Patient Driven Payment Model" (PDPM) and "Resource utilization groups" (RUG), which will be used to classify residents based on their clinical and functional status. The bill specifies that assessments must be completed according to the Minimum Data Set (MDS) and outlines the schedule for these assessments, including new requirements for significant changes in resident status and the completion of optional state assessments by September 30, 2025.

Additionally, the bill enhances the notice requirements for residents regarding their case mix reimbursement classifications, ensuring they are informed of their classification and have the opportunity to review supporting documentation. It also establishes audit authority for the commissioner of health to ensure the accuracy of resident assessments, with provisions for unannounced audits and criteria for expanded audits based on specific circumstances. The bill aims to improve the accuracy and transparency of nursing facility reimbursements while ensuring compliance with federal guidelines.

Statutes affected:
Introduction: 144.0724