SF1896 (Legislative Session 94 (2025-2026))
Requirements modification for dental administrator rates in the medical assistance and MinnesotaCare programs
Related bill: HF1934
AI Generated Summary
This bill proposes modifications to dental administrator requirements in Minnesota’s Medical Assistance and MinnesotaCare programs. Key provisions include:
Contractual Changes for Dental Services:
- The bill delays the implementation of a dental administrator contract from 2026 to 2030.
- If performance benchmarks are not met, the contract must be terminated and a new administrator selected by 2032.
- The dental administrator must comply with provider recruitment, utilization management, fraud prevention, claims processing, and meet network adequacy requirements.
- The bill delays the implementation of a dental administrator contract from 2026 to 2030.
Creation of the Critical Access Dental Provider Task Force:
- A task force will be established to evaluate the impact of contracting a single dental administrator on financial viability and patient access for Critical Access Dental Providers (providers that serve low-income and complex-need populations).
- The task force will assess financial consequences on reimbursement rates, supplemental funding, service expansions, and potential care disruptions.
- A task force will be established to evaluate the impact of contracting a single dental administrator on financial viability and patient access for Critical Access Dental Providers (providers that serve low-income and complex-need populations).
Task Force Membership:
- Members include officials from the Department of Human Services, state legislators, dental associations, nonprofit and private dental clinics, and rural health organizations.
Reporting Requirements:
- The task force must submit a report by January 15, 2027, detailing impacts on patient access, financial stability, and recommendations for preventing harm to dental providers and maintaining service accessibility.
Expiration:
- The task force's work concludes after submitting its final report.
This bill aims to enhance accountability, accessibility, and financial sustainability within state-funded dental programs while ensuring that low-income residents continue receiving dental care.
Bill text versions
- Introduction PDF file
Actions
Date | Chamber | Where | Type | Name | Committee Name |
---|---|---|---|---|---|
February 26, 2025 | Senate | Floor | Action | Introduction and first reading | |
February 26, 2025 | Senate | Floor | Action | Referred to | Health and Human Services |
March 23, 2025 | Senate | Floor | Action | Author added | |
March 23, 2025 | Senate | Floor | Action | Author added |
Citations
[ { "analysis": { "added": [ "Clarifies the establishment of a task force to review the impact of a single dental administrator." ], "removed": [], "summary": "This bill modifies the requirements for dental administrator contracts in the medical assistance and MinnesotaCare programs under section 256B.0371.", "modified": [ "Updates the performance benchmark and contract criteria for dental administrators." ] }, "citation": "256B.0371" }, { "analysis": { "added": [], "removed": [], "summary": "References section 256B.76 for establishing dental provider payment rates.", "modified": [ "Specifies that dental administrator payments to contracted providers must align with rates established under this section." ] }, "citation": "256B.76" }, { "analysis": { "added": [], "removed": [], "summary": "References section 256L.11 for establishing dental provider payment rates in MinnesotaCare.", "modified": [ "Ensures payment rates for dental services are consistent with those established under this section." ] }, "citation": "256L.11" }, { "analysis": { "added": [], "removed": [], "summary": "Dental administrators must comply with network adequacy and geographic access requirements under section 62K.14.", "modified": [ "Strengthens network adequacy requirements in line with existing managed care regulations." ] }, "citation": "62K.14" } ]