This bill amends Minnesota Statutes 2024, specifically section 256B.76, to modify reimbursement rates for dental services and critical access dental providers under the medical assistance program. Notably, it introduces a new provision that establishes a payment rate for dental services effective January 1, 2028, or upon federal approval, which will be set at a percentage of the median charges for coverage year 2024. Additionally, it specifies that this rate increase will not apply to state-operated dental clinics, federally qualified health centers, rural health centers, or Indian health services. The bill also includes a provision that mandates adjustments to capitation rates for managed care plans if federal approval for this new payment structure is not obtained.

Furthermore, the bill outlines increased reimbursement rates for critical access dental providers, with a 20 percent increase for services rendered on or after January 1, 2022, and a future increase set for January 1, 2028, contingent on federal approval. The legislation emphasizes that managed care plans must reflect these increased reimbursements and allows for recovery of payments if capitation rates are adjusted. The effective date for these changes is the day following final enactment, ensuring prompt implementation of the new reimbursement structures.

Statutes affected:
Introduction: 256B.76