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SF 3385

Permissible out-of-state billing for certain disability waiver services clarification

2025-2026 Regular Session Introduced by Rich Draheim

SF 3385 clarifies which disability waiver services Minnesota can bill when provided across state lines, potentially expanding service delivery flexibility for providers serving multi-state populations.

Referred to Human Services
#disabilitiesandaccess #humanservicesandhumanservicesdepartment
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Bill Summary · SF 3385

Legislative bill overview

SF 3385 clarifies permissible out-of-state billing practices for disability waiver services in Minnesota. The bill specifies which disability waiver services can be billed when provided across state lines, likely addressing current ambiguities in Medicaid waiver regulations that govern services for people with disabilities.

Why is this important

Disability waiver services enable individuals with disabilities to receive care and support in community settings rather than institutional facilities. Clarifying out-of-state billing rules affects service providers' ability to operate across state boundaries and ensures beneficiaries can access services consistently, particularly in border regions or when providers serve multi-state populations.

Potential points of contention

  • Interstate commerce complexity: Defining which services qualify for cross-state billing requires balancing state Medicaid autonomy with operational flexibility for providers serving border populations
  • Cost allocation concerns: States may worry about cost-shifting if unclear billing rules allow disproportionate charges to specific states for services rendered elsewhere
  • Implementation consistency: Ensuring uniform interpretation across state Medicaid agencies and service providers, particularly regarding documentation and verification requirements

Compiled from official sources — confirm details with the bill’s official record.

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