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SF1826 (Legislative Session 94 (2025-2026))

Payment rates establishment for certain substance use disorder treatment services

Related bill: HF1994

AI Generated Summary

This bill, S.F. No. 1826, relates to human services in Minnesota. It primarily focuses on establishing payment rates for substance use disorder (SUD) treatment services and recodifying vendor eligibility for payments from the Behavioral Health Fund.

Key Provisions:

Article 1 - Substance Use Disorder Treatment Rates

  1. Rate Requirements & Eligible SUD Treatment Services:

    • The bill outlines specific payment rates for various levels of substance use disorder treatment services according to the American Society of Addiction Medicine (ASAM) levels of care.
    • Includes outpatient, intensive outpatient, partial hospitalization, residential, and withdrawal management services.
    • Also provides enhanced rates for specialty programs catering to:
      • Parents with children.
      • Culturally specific or disability-responsive treatment programs.
      • Programs offering medical services and those treating co-occurring mental health and substance use disorders.

  2. New Base Payment Rates (Effective January 1, 2026):

    • Establishes fixed base payment rates for various treatment services (e.g., $166.13 per day for certain low-intensity residential services, $355.02 per day for high-intensity residential services, and $42.97 per unit for group counseling in outpatient programs).

  3. Annual Payment Adjustments (Effective January 1, 2027):

    • Rates will be adjusted annually based on the Medicare Economic Index (MEI) to keep up with inflation and cost changes.

  4. Behavioral Health Services Rate Adjustments:

    • Increases behavioral health service rates by 3% starting January 1, 2024.
    • From January 1, 2025, behavioral health and SUD services' rates will be adjusted annually using the Medicare Economic Index.

Article 2 - Recodification of SUD Treatment Vendor Eligibility

  • This section restructures statutes regarding vendor eligibility for Behavioral Health Fund payments.
  • Directs the revisor of statutes to update and reorganize relevant laws without changing their meaning.

Impact:

  • Increases funding for SUD treatment services in Minnesota.
  • Provides more structured reimbursement rates for providers.
  • Improves access to specialized treatment programs serving vulnerable populations.
  • Ensures that payment rates keep up with inflation through annual adjustments.

This bill represents a comprehensive effort to improve the financial sustainability and accessibility of substance use disorder treatment services in Minnesota.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
February 23, 2025SenateFloorActionIntroduction and first reading
February 23, 2025SenateFloorActionReferred toHuman Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Base payment rates for certain services effective January 1, 2026.",
        "Annual payment rate adjustments starting January 1, 2027."
      ],
      "removed": [],
      "summary": "Amendments are made to the rate requirements and eligible services under Minnesota Statutes 254B.05.",
      "modified": [
        "Specifies higher payment rates for certain enhanced services.",
        "Limits the hours per day or week for which payment for outpatient services will be made."
      ]
    },
    "citation": "254B.05"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Amendments regarding treatment coordination and peer recovery support services are made referring to section 245G.07.",
      "modified": [
        "Changes the payment rate for services provided under 245G.07 subdivision 1."
      ]
    },
    "citation": "245G.07"
  },
  {
    "analysis": {
      "added": [
        "A three percent increase in payment rates for behavioral health services effective January 1, 2024."
      ],
      "removed": [],
      "summary": "The statute outlines reimbursement adjustments for mental health services, with updates to incorporate rate increases.",
      "modified": [
        "Capitation payments to managed care plans must reflect behavioral health service rate increases."
      ]
    },
    "citation": "256B.761"
  }
]

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