The bill amends Minnesota Statutes 2024, section 144.0724, to modify case mix reimbursement classifications for nursing facilities, ensuring conformity with federal regulations. 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 audit authority of the commissioner of health, allowing for more rigorous oversight of resident assessments and the accuracy of case mix classifications. The commissioner is granted the ability to conduct unannounced audits and must provide timely notifications to nursing facilities regarding any changes in classifications resulting from audits. The bill emphasizes the importance of accurate assessments and the need for facilities to maintain compliance with the updated requirements, ensuring that residents receive appropriate care and reimbursement based on their needs.

Statutes affected:
Introduction: 144.0724