Subdivision 1. Capitation payments. The commissioner must adjust the elderly waiver capitation payment rates for managed care organizations paid to reflect the monthly service rate limits for customized living services and 24-hour customized living services established under section 256S.202 and the rate adjustments for disproportionate share facilities under section 256S.205.
Subd. 2. Reimbursement rates. Medical assistance rates paid to customized living providers by managed care organizations under this chapter must not exceed the monthly service rate limits and component rates as determined by the commissioner under sections 256S.15 and 256S.20 to 256S.202, plus any rate adjustment under section 256S.205.
2019 c 54 art 1 s 23; 1Sp2021 c 7 art 13 s 61
Structure Minnesota Statutes
Chapters 245 - 267 — Public Welfare And Related Activities
Chapter 256S — Medical Assistance Elderly Waiver
Section 256S.02 — Definitions.
Section 256S.03 — Administration By Tribes.
Section 256S.04 — Limits Of Elderly Waiver Cases.
Section 256S.05 — Eligibility.
Section 256S.06 — Assessments And Reassessments.
Section 256S.07 — Case Management Administration.
Section 256S.08 — Case Management Provider Qualifications And Standards.
Section 256S.09 — Case Management Activities.
Section 256S.10 — Support Plans.
Section 256S.11 — Approval Required For Certain State Plan Home Care Services.
Section 256S.12 — Adult Day Services.
Section 256S.13 — Individual Community Living Supports.
Section 256S.14 — Termination Of Elderly Waiver Services.
Section 256S.15 — Establishment Of Elderly Waiver Service Rates And Service Rate Limits.
Section 256S.16 — Authorization Of Elderly Waiver Services And Service Rates.
Section 256S.17 — Costs Excluded From Elderly Waiver Service Rates.
Section 256S.18 — Monthly Case Mix Budget Caps; Generally.
Section 256S.19 — Monthly Case Mix Budget Caps; Nursing Facility Residents.
Section 256S.20 — Customized Living Services; Policy.
Section 256S.201 — Customized Living Services; Rates.
Section 256S.202 — Customized Living Services; Rate Limits.
Section 256S.203 — Customized Living Services; Managed Care Rates.
Section 256S.204 — Alternative Rate System For 24-hour Customized Living Services.
Section 256S.205 — Customized Living Services; Disproportionate Share Rate Adjustments.
Section 256S.21 — Rate Setting; Application.
Section 256S.2101 — Rate Setting; Phase-in.
Section 256S.211 — Rate Setting; Rate Establishment.
Section 256S.212 — Rate Setting; Base Wage Index.
Section 256S.213 — Rate Setting; Factors.