SF2986

Purpose of the Bill

The bill aims to recodify statutory language concerning assertive community treatment (ACT) and intensive residential treatment services (IRTS) in Minnesota. It introduces changes to streamline administrative processes and improve the delivery and funding of these mental health services.

Main Provisions

• Coverage and Certification: The bill outlines that medical assistance covers medically necessary ACT and IRTS when provided by entities certified or licensed according to specific standards.
• Payment and Rates: It establishes a single daily rate payment system for these services, inclusive of all necessary treatments a client receives in a day, staff travel time, and nonresidential crisis stabilization services.
• Provider Reimbursement: Payments depend on federal approval and are contingent upon a client’s eligibility and medical necessity, even if court-ordered.
• Grant Funding: Provides for sustainability and startup grants to counties, tribal authorities, or service providers to maintain and expand access to ACT and IRTS.
• Inflation Adjustment: Rates must be adjusted annually for inflation based on the Medicare Economic Index.
• Evaluation and Compliance: Providers must report client outcomes to the state's commissioner to ensure compliance with standards.

Significant Changes to Existing Law

• Standardized Rate Development: Introduces a developed rate for each provider, based on the costs of direct services, other program costs, and performance-based quality incentives.
• Licensure Procedures: The bill includes detailed procedures for provider entity licensure and the requirement for approval based on documented need in the community.
• Repealed Section: The bill repeals a former requirement for local mental health authority statements of need.

Relevant Terms

• Assertive Community Treatment (ACT)
• Intensive Residential Treatment Services (IRTS)
• Medical Assistance
• Certification and Licensure
• Grant Funding
• Mental Health Services
• Federal Approval
• Inflation Adjustment
• Reimbursement Rates