Bill Text: MN SF469 | 2013-2014 | 88th Legislature | Engrossed
Bill Title: Chemical health navigation program creation
Spectrum: Bipartisan Bill
Status: (Introduced - Dead) 2013-03-04 - Author added Marty [SF469 Detail]
Download: Minnesota-2013-SF469-Engrossed.html
1.2relating to human services; creating a chemical health navigation program;
1.3proposing coding for new law in Minnesota Statutes, chapter 254B.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. [254B.14] CHEMICAL HEALTH NAVIGATION PROGRAM.
1.6 Subdivision 1. Establishment; purpose. (a) There is established a state-county
1.7chemical health navigation program. The Department of Human Services and interested
1.8counties shall work in partnership to augment the current chemical health service delivery
1.9system to promote better outcomes for eligible individuals and greater accountability and
1.10productivity in the delivery of state and county funded chemical dependency services.
1.11(b) The navigation program shall allow flexibility for eligible individuals to
1.12timely access needed services as well as to align systems and services to offer the most
1.13appropriate level of chemical health services to eligible individuals.
1.14(c) Chemical health navigation programs must maintain eligibility requirements for
1.15the consolidated chemical dependency treatment fund, continue to meet the requirements
1.16of Minnesota Rules, parts 9530.6405 to 9530.6505 and 9530.6600 to 9530.6655, and must
1.17not put current and future federal funding of chemical health services at risk.
1.18 Subd. 2. Program implementation. (a) Each county's participation in the chemical
1.19health navigation program is voluntary.
1.20(b) The commissioner and each county participating in the chemical health
1.21navigation program shall enter into an agreement governing the operation of the county's
1.22navigation program. Each county shall implement its program within 60 days of the final
1.23agreement with the commissioner.
2.1 Subd. 3. Notice of program discontinuation. Each county's participation in the
2.2chemical health navigation program may be discontinued for any reason by the county or
2.3the commissioner after 30 days' written notice to the other party. Any unspent funds held
2.4for the exiting county's pro rata share in the special revenue fund under the authority in
2.5subdivision 5, paragraph (d), shall be transferred to the consolidated chemical dependency
2.6treatment fund following discontinuation of the program.
2.7 Subd. 4. Eligibility for navigator program. To be considered for participation in
2.8a navigator program, an individual must:
2.9(1) be a resident of a county with an approved navigator program;
2.10(2) be eligible for chemical dependency fund services;
2.11(3) be a voluntary participant in the navigator program;
2.12(4) have at least one severity rating of two or above in dimensions four, five, or six
2.13in a comprehensive assessment under Minnesota Rules, part 9530.6422; and
2.14(5) have had at least two treatment episodes in the past two years, not limited
2.15to episodes reimbursed by the consolidated chemical dependency treatment funds. An
2.16admission to an emergency room, a detoxification program, or a hospital may be substituted
2.17for a treatment episode if it resulted from the individual's substance use disorder.
2.18 Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in this
2.19chapter, the commissioner may authorize chemical health navigator programs to use
2.20chemical dependency treatment funds to pay for nontreatment services:
2.21(1) in addition to those authorized under section 254B.03, subdivision 2, paragraph
2.22(a); and
2.23(2) by vendors in addition to those authorized under section 254B.05 when not
2.24providing chemical dependency treatment services.
2.25(b) Participating counties may contract with providers to provide nontreatment
2.26services pursuant to section 256B.69, subdivision 6, paragraph (c).
2.27(c) For the purposes of this section, "nontreatment services" include community-based
2.28navigator services, peer support, family engagement and support, housing support and rent
2.29subsidy for up to 90 days, supported employment, and independent living skills.
2.30(d) State expenditures for chemical dependency services and nontreatment
2.31services provided through the navigator programs must not be greater than the chemical
2.32dependency treatment fund expected share of forecasted expenditures in the absence of
2.33the navigator programs. The commissioner may restructure the schedule of payments
2.34between the state and participating counties under the local agency share and division of
2.35cost provisions under section 254B.03, subdivisions 3 and 4, as necessary to facilitate
2.36the operation of the navigation programs.
3.1(e) The commissioner may waive administrative rule requirements that are
3.2incompatible with the implementation of navigator programs, except that any chemical
3.3dependency treatment funded under this section must continue to be provided by a
3.4licensed treatment provider.
3.5(f) The commissioner shall not approve or enter into any agreement related to
3.6navigator programs authorized under this section that puts current or future federal
3.7funding at risk.
3.8(g) The commissioner shall provide participating counties with transactional data,
3.9reports, provider data, and other data generated by county activity to assess and measure
3.10outcomes. This information must be transmitted to participating counties at least once
3.11every six months.
3.12 Subd. 6. Duties of county board. The county board, or other county entity that is
3.13approved to administer a navigator program, shall:
3.14(1) administer the program in a manner consistent with this section;
3.15(2) ensure that no one is denied chemical dependency treatment services for which
3.16they would otherwise be eligible under section 254A.03, subdivision 3; and
3.17(3) provide the commissioner with timely and pertinent information as negotiated in
3.18the agreement governing operation of the county's navigator program.
3.19 Subd. 7. Managed care. (a) An individual who is eligible for the navigator program
3.20under subdivision 4 is excluded from mandatory enrollment in managed care until these
3.21services are included in the health plans' benefit set.
3.22(b) The commissioner shall seek any federal waivers and approvals necessary to
3.23allow managed care organizations to use capitated funds received from the commissioner
3.24to access nontreatment services defined in subdivision 5.
3.25EFFECTIVE DATE.This section is effective the day following final enactment.
1.3proposing coding for new law in Minnesota Statutes, chapter 254B.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. [254B.14] CHEMICAL HEALTH NAVIGATION PROGRAM.
1.6 Subdivision 1. Establishment; purpose. (a) There is established a state-county
1.7chemical health navigation program. The Department of Human Services and interested
1.8counties shall work in partnership to augment the current chemical health service delivery
1.9system to promote better outcomes for eligible individuals and greater accountability and
1.10productivity in the delivery of state and county funded chemical dependency services.
1.11(b) The navigation program shall allow flexibility for eligible individuals to
1.12timely access needed services as well as to align systems and services to offer the most
1.13appropriate level of chemical health services to eligible individuals.
1.14(c) Chemical health navigation programs must maintain eligibility requirements for
1.15the consolidated chemical dependency treatment fund, continue to meet the requirements
1.16of Minnesota Rules, parts 9530.6405 to 9530.6505 and 9530.6600 to 9530.6655, and must
1.17not put current and future federal funding of chemical health services at risk.
1.18 Subd. 2. Program implementation. (a) Each county's participation in the chemical
1.19health navigation program is voluntary.
1.20(b) The commissioner and each county participating in the chemical health
1.21navigation program shall enter into an agreement governing the operation of the county's
1.22navigation program. Each county shall implement its program within 60 days of the final
1.23agreement with the commissioner.
2.1 Subd. 3. Notice of program discontinuation. Each county's participation in the
2.2chemical health navigation program may be discontinued for any reason by the county or
2.3the commissioner after 30 days' written notice to the other party. Any unspent funds held
2.4for the exiting county's pro rata share in the special revenue fund under the authority in
2.5subdivision 5, paragraph (d), shall be transferred to the consolidated chemical dependency
2.6treatment fund following discontinuation of the program.
2.7 Subd. 4. Eligibility for navigator program. To be considered for participation in
2.8a navigator program, an individual must:
2.9(1) be a resident of a county with an approved navigator program;
2.10(2) be eligible for chemical dependency fund services;
2.11(3) be a voluntary participant in the navigator program;
2.12(4) have at least one severity rating of two or above in dimensions four, five, or six
2.13in a comprehensive assessment under Minnesota Rules, part 9530.6422; and
2.14(5) have had at least two treatment episodes in the past two years, not limited
2.15to episodes reimbursed by the consolidated chemical dependency treatment funds. An
2.16admission to an emergency room, a detoxification program, or a hospital may be substituted
2.17for a treatment episode if it resulted from the individual's substance use disorder.
2.18 Subd. 5. Duties of commissioner. (a) Notwithstanding any other provisions in this
2.19chapter, the commissioner may authorize chemical health navigator programs to use
2.20chemical dependency treatment funds to pay for nontreatment services:
2.21(1) in addition to those authorized under section 254B.03, subdivision 2, paragraph
2.22(a); and
2.23(2) by vendors in addition to those authorized under section 254B.05 when not
2.24providing chemical dependency treatment services.
2.25(b) Participating counties may contract with providers to provide nontreatment
2.26services pursuant to section 256B.69, subdivision 6, paragraph (c).
2.27(c) For the purposes of this section, "nontreatment services" include community-based
2.28navigator services, peer support, family engagement and support, housing support and rent
2.29subsidy for up to 90 days, supported employment, and independent living skills.
2.30(d) State expenditures for chemical dependency services and nontreatment
2.31services provided through the navigator programs must not be greater than the chemical
2.32dependency treatment fund expected share of forecasted expenditures in the absence of
2.33the navigator programs. The commissioner may restructure the schedule of payments
2.34between the state and participating counties under the local agency share and division of
2.35cost provisions under section 254B.03, subdivisions 3 and 4, as necessary to facilitate
2.36the operation of the navigation programs.
3.1(e) The commissioner may waive administrative rule requirements that are
3.2incompatible with the implementation of navigator programs, except that any chemical
3.3dependency treatment funded under this section must continue to be provided by a
3.4licensed treatment provider.
3.5(f) The commissioner shall not approve or enter into any agreement related to
3.6navigator programs authorized under this section that puts current or future federal
3.7funding at risk.
3.8(g) The commissioner shall provide participating counties with transactional data,
3.9reports, provider data, and other data generated by county activity to assess and measure
3.10outcomes. This information must be transmitted to participating counties at least once
3.11every six months.
3.12 Subd. 6. Duties of county board. The county board, or other county entity that is
3.13approved to administer a navigator program, shall:
3.14(1) administer the program in a manner consistent with this section;
3.15(2) ensure that no one is denied chemical dependency treatment services for which
3.16they would otherwise be eligible under section 254A.03, subdivision 3; and
3.17(3) provide the commissioner with timely and pertinent information as negotiated in
3.18the agreement governing operation of the county's navigator program.
3.19 Subd. 7. Managed care. (a) An individual who is eligible for the navigator program
3.20under subdivision 4 is excluded from mandatory enrollment in managed care until these
3.21services are included in the health plans' benefit set.
3.22(b) The commissioner shall seek any federal waivers and approvals necessary to
3.23allow managed care organizations to use capitated funds received from the commissioner
3.24to access nontreatment services defined in subdivision 5.
3.25EFFECTIVE DATE.This section is effective the day following final enactment.
