Minneslate Logo

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:

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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

Past committee meetings

Actions

DateChamberWhereTypeNameCommittee Name
February 27, 2025SenateActionIntroduction and first reading
February 27, 2025SenateActionReferred toHealth and Human Services
March 24, 2025SenateActionAuthor added
SenateActionSee

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"
  }
]

Progress through the legislative process

17%
In Committee

Sponsors