Minn. R. agency 196, ch. 9505, EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT, pt. 9505.1706

Current through Register Vol. 49, No. 25, December 16, 2024
Part 9505.1706 - REIMBURSEMENT
Subpart 1.Maximum payment rates.

Payment rates shall be as provided by part 9505.0445, item M.

Subp. 2.Eligibility for reimbursement; Head Start agency.

A Head Start agency may complete all the screening components under part 9505.1718, subparts 2 to 14 or those components that have not been completed by another provider within the six months before completion of the screening components by the Head Start agency. A Head Start agency that completes the previously incomplete screening components must document on the EPSDT screening form that the other screening components of part 9505.1718, subparts 2 to 14, have been completed by another provider.

The department shall reimburse a Head Start agency for those screening components of part 9505.1718, subparts 2 to 14, that the Head Start agency has provided. The amount of reimbursement must be the same as a Head Start agency's usual and customary cost for each screening component or the maximum fee determined under subpart 1, whichever is lower.

Subp. 3.Prepaid health plan.

A prepaid health plan is not eligible for a separate payment for screening. The early and periodic screening, diagnosis, and treatment screening must be a service included within the prepaid capitation rate specified in its contract with the department.

Minn. R. agency 196, ch. 9505, EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT, pt. 9505.1706

13 SR 1150

Statutory Authority: MS s 256B.04; 256B.0625