This bill amends Minnesota Statutes 2025 Supplement, section 256B.0625, subdivision 5m, to modify the reimbursement rates and rebasing schedules for certified community behavioral health clinics (CCBHCs) under the medical assistance program. The bill establishes a daily bundled rate system for CCBHC services, which includes a quality incentive payment. It mandates that the commissioner of health rebase CCBHC rates every two years, with specific provisions for newly certified CCBHCs and adjustments based on changes in service scope. Additionally, the bill outlines the requirements for managed care plans to reimburse CCBHCs at the established daily bundled rate and includes a process for appeals related to rate rebasing.

Key insertions in the bill include provisions for the commissioner to apply the 2023 rate for services through December 31, 2026, for certain CCBHCs and to rebase rates for services provided on or after January 1, 2027. The bill also introduces a quality incentive payment program for CCBHCs based on performance metrics and establishes a process for claims submission to the commissioner if managed care plans fail to comply with federal payment requirements. Furthermore, it clarifies that peer services provided by CCBHCs are covered under medical assistance when deemed medically necessary by licensed professionals.