Medical assistance capitation payment withhold related to verification of coverage established.

HF 2604 amends Minnesota Statutes to require the commissioner to withhold 5% of payments to managed care plans providing medical assistance (for programs like Medicaid) until the plans meet specific, measurable performance targets. These targets must relate to administrative efficiency, clinical outcomes, and cost containment, and must be developed with input from healthcare stakeholders. The withheld funds are returned by July 1-31 of the following year if targets are met. This directly affects managed care organizations contracted to deliver medical assistance services to Minnesota residents. The bill does not change eligibility or coverage verification but modifies payment terms based on performance metrics.