Minnesota Legislature
Office of the Revisor of Statutes
Minnesota Rules Index (topics)
MINNESOTACARE
Accounting and bookkeeping, managed care health plans, financial risk capacity, Minn. Rules 9506.0400
Appeals
Application of rules, Minn. Rules 9506.0070, 9506.0400
Prior authorization, Minn. Rules 9505.5105
Recipients, denial of inpatient hospital services, Minn. Rules 9505.0545
Applicants
Appeals, Minn. Rules 9506.0070
Defined, Minn. Rules 9506.0010
Eligibility, see same under this topic
Notice given, prepaid health plans, health plan selection, Minn. Rules 9506.0200
Notice received
Denial, suspension, reduction, or termination of eligibility, Minn. Rules 9506.0070
Prepaid health plans, health plan selection, Minn. Rules 9506.0200
Requirements, generally, Minn. Rules 9506.0030
Applications, referral sources, Minn. Rules 9506.0030
Audits and examinations
Enrollees, eligibility, Minn. Rules 9506.0060
Managed care health plans, Minn. Rules 9506.0400
Case management, Minn. Rules 9506.0400
Certificates and certification
Certificate of coverage, Minn. Rules 9506.0400
Inpatient hospital admissions, Minn. Rules 9506.0080
Change of health plan or primary care provider, prepaid health plans, Minn. Rules 9506.0200
Chemical dependency assessments, Minn. Rules 9506.0400
Complaints, Minn. Rules 9506.0070, 9506.0400
Contracts
Definitions, Minn. Rules 9506.0010
Managed care health plans, Minn. Rules 9506.0200 to 9506.0400
Coordination
Cost avoidance techniques, Minn. Rules 9506.0080
Generally, Minn. Rules 9506.0400
Medical assistance, Minn. Rules 9506.0050
Coverage
Beginning, determination, Minn. Rules 9506.0030
Certificate of coverage, Minn. Rules 9506.0400
Coordination with medical assistance, Minn. Rules 9506.0050
Definitions, Minn. Rules 9506.0010
Generally, Minn. Rules 9506.0080
Managed care health plans, Minn. Rules 9506.0300
Data
Access to data, Minn. Rules 9506.0090, 9506.0400
Welfare data on enrollees, classification, Minn. Rules 9506.0400
Deductibles, copayments, and coinsurance, Minn. Rules 9506.0090, 9506.0300
Definitions
Generally, Minn. Rules 9506.0010
Hospital admissions certification (public assistance), Minn. Rules 9505.0505
Public assistance payments, conditions, Minn. Rules 9505.5005
State health care program participation, Minn. Rules 9505.5210
Surveillance and integrity review program (health services), Minn. Rules 9505.2165
Eligibility
Application, Minn. Rules 9506.0030
Audits, Minn. Rules 9506.0060
Definitions, Minn. Rules 9506.0010
Denial, suspension, reduction, or termination, notice, Minn. Rules 9506.0070
Determination deadline, Minn. Rules 9506.0030
Generally, Minn. Rules 9506.0020
Medical assistance, coordination, Minn. Rules 9506.0050
Enrollees
Appeals, Minn. Rules 9506.0070
Audits, Minn. Rules 9506.0060
Change of health plan or primary care provider, prepaid health plans, Minn. Rules 9506.0200
Copayments, Minn. Rules 9506.0090
Defined, Minn. Rules 9506.0010
Eligibility, see same under this topic
Liability, Minn. Rules 9506.0300, 9506.0400
Notice given
Prepaid health plans, health plan selection, Minn. Rules 9506.0200
Requirements, generally, Minn. Rules 9506.0060
Notice received
Denial, suspension, reduction, or termination of eligibility, Minn. Rules 9506.0070
Inpatient hospital services, medical assistance eligibility, Minn. Rules 9506.0050
Managed care health plans, contract termination, Minn. Rules 9506.0400
Prepaid health plans, Minn. Rules 9506.0200
Enrollment
Date, determination, Minn. Rules 9506.0030
Family enrollment, Minn. Rules 9506.0020
Medical assistance eligibility, effect, Minn. Rules 9506.0050
Open enrollment period, prepaid health plans, Minn. Rules 9506.0200
Essential community providers, Minn. Rules 4688.0001 to 4688.0160
Families
Defined, Minn. Rules 9506.0010
Enrollment, Minn. Rules 9506.0020
Forms, prior authorization, Minn. Rules 9505.5010
Health plans, see Managed care health plans under this topic
Hospital inpatient services, see MinnesotaCare under INPATIENT HOSPITAL SERVICES
Identification cards, Minn. Rules 9506.0400
Immunization, Minn. Rules 9506.0400
Income
Eligibility requirements, Minn. Rules 9506.0020
Liability
Recipients, providers' failure to obtain prior authorization, Minn. Rules 9505.5010, 9505.5085
State and enrollees held harmless, Minn. Rules 9506.0400
Third-party, Minn. Rules 9506.0400
Liens, Minn. Rules 9506.0080
Managed care health plans
Access to data, Minn. Rules 9506.0400
Complaint procedures, Minn. Rules 9506.0070, 9506.0400
Defined, Minn. Rules 9506.0010
Generally, Minn. Rules 9506.0200
Medical assistance or general assistance medical care eligible enrollee's continued participation, Minn. Rules 9506.0050
Payments, Minn. Rules 9506.0300
Requirements, generally, Minn. Rules 9506.0400
Medical records, Human Services Department, access, Minn. Rules 9506.0090
Medical review agents
Definitions, Minn. Rules 9505.0505, 9505.5005
Reconsideration requests, Minn. Rules 9505.5078
Second medical opinions, duties, Minn. Rules 9505.5076
Notice, prior authorization requests, Minn. Rules 9505.5020
Payments
Coordination with medical assistance, Minn. Rules 9506.0050
Generally, Minn. Rules 9506.0090
Managed care health plans, Minn. Rules 9506.0300
Prepaid health plans, Minn. Rules 9506.0200
Prior authorization
Appeals, Minn. Rules 9505.5105
Application of rules, Minn. Rules 9505.5000
Criteria, Minn. Rules 9505.5030
Definitions, Minn. Rules 9505.5005
Failure to comply, Minn. Rules 9505.5085, 9505.5091
Human Services Department, duties, Minn. Rules 9505.5020
Out-of-state service, Minn. Rules 9505.5025
Procedures, Minn. Rules 9505.5010
Reconsideration requests, Minn. Rules 9505.5078
Providers
Change of primary care provider, prepaid health plans, Minn. Rules 9506.0200
Definitions, Minn. Rules 9506.0010
Payments, Minn. Rules 9506.0050, 9506.0090, 9506.0300
Quality assurance, Minn. Rules 9506.0060, 9506.0400
Recipients, liability, providers' failure to obtain prior authorization, Minn. Rules 9505.5010, 9505.5085
Residence
Definitions, Minn. Rules 9506.0010
Eligibility requirements, Minn. Rules 9506.0020
Scope of rules, Minn. Rules 9506.0010
Second medical opinions
Generally, Minn. Rules 9506.0400
Medical assistance
Applicants, Minn. Rules 9505.5035
Application of rules, Minn. Rules 9505.5000
Definitions, Minn. Rules 9505.5005
Failure to obtain, Minn. Rules 9505.5080
Medical appropriateness criteria, Minn. Rules 9505.5046
Medical review agents, duties, Minn. Rules 9505.5076
Medicare recipients, Minn. Rules 9505.5041
Notice requirements, Minn. Rules 9505.5082
Physician advisers, duties, Minn. Rules 9505.5077
Physicians and surgeons, duties, Minn. Rules 9505.5075, 9505.5080
Procedures requiring, Minn. Rules 9505.0175, 9505.5035, 9505.5045
Spenddowns
Defined, Minn. Rules 9506.0010
Medical assistance, coordination, Minn. Rules 9506.0050
Requirements, generally, Minn. Rules 9506.0020
Surveillance and integrity review program (health services), Minn. Rules 9505.2160 to 9505.2245
Surveillance and utilization review, application of rules, Minn. Rules 9506.0100
Third party payers
Cost avoidance, Minn. Rules 9506.0080
Defined, Minn. Rules 9506.0010
Identification, Minn. Rules 9506.0020
Liability, Minn. Rules 9506.0400
Vendors
Participation requirements, Minn. Rules 9505.5200 to 9505.5240
State health care program participation, Minn. Rules 9505.5210, 9505.5220, 9505.5240