Appeals
Consulting physicians, Minn. Statutes 2016 62M.06, 62M.09
Generally, Minn. Statutes 2016 62M.06
Prior authorization, denial, Minn. Statutes 2016 62M.07
Procedures, Minn. Statutes 2016 62M.06, 62M.07
Reporting requirements, Minn. Statutes 2016 62M.09
Utilization Review Act, Minn. Statutes 2016 62M.01
Attending health care professionals
Appeals, Minn. Statutes 2016 62M.06, 62M.07, 62M.09
Certification, see same under this topic
Clinical criteria, review, Minn. Statutes 2016 62M.09
Data, certification, Minn. Statutes 2016 62M.02
Notice received, Minn. Statutes 2016 62M.04 to 62M.06, 62M.10
On-site reviews, Minn. Statutes 2016 62M.10
Certification
Appeals, Minn. Statutes 2016 62M.06
Data, Minn. Statutes 2016 62M.04
Denials
Appeals, Minn. Statutes 2016 62M.06
Attending physician, rights, Minn. Statutes 2016 62M.06
Complaints, enrollees' rights, Minn. Statutes 2016 62D.11, 62M.11
Financial incentives, Minn. Statutes 2016 62M.12
Generally, Minn. Statutes 2016 62M.05
Lawsuits, compliance with regulations, effect, Minn. Statutes 2016 62M.14
Review, Minn. Statutes 2016 62M.04
Generally, Minn. Statutes 2016 62M.05
Notice, Minn. Statutes 2016 62M.04, 62M.05
Outpatient services, Minn. Statutes 2016 62M.09
Review, Minn. Statutes 2016 62M.04, 62M.05
Claimants, notice received, certification, denial, Minn. Statutes 2016 62M.05
Claims administrators
Contracts, utilization review certification, Minn. Statutes 2016 62M.04
Notice given, Minn. Statutes 2016 62M.05, 62M.06
Notice received, Minn. Statutes 2016 62M.05 to 62M.07
Prior authorization, Minn. Statutes 2016 62M.07
Concurrent review
Committed persons, rights, Minn. Statutes 2016 253B.03, 253D.17
Generally, Minn. Statutes 2016 62M.02 to 62M.05
Conduct of review, generally, Minn. Statutes 2016 62M.01, 62M.15
Contested cases, unlicensed organizations, cease and desist orders, Minn. Statutes 2016 62M.03
Continued stay review
Committed persons, Minn. Statutes 2016 253B.03, 253D.17
Generally, Minn. Statutes 2016 62M.02 to 62M.05
County-based purchasing, Minn. Statutes 2016 256B.692
Data, Minn. Statutes 2016 62M.04, 62M.08
Definitions, generally, Minn. Statutes 2016 62M.02
Diagnostic imaging facilities, Minn. Statutes 2016 144.565
Employees
Financial incentives for denials, Minn. Statutes 2016 62M.12
Identification, Minn. Statutes 2016 62M.10
On-site reviews, Minn. Statutes 2016 62M.10
Utilization review organizations, Minn. Statutes 2016 62M.09
Enforcement of law
County-based purchasing, Minn. Statutes 2016 256B.692
Health Department, powers, Minn. Statutes 2016 256B.77
Enrollees
Appeals by, Minn. Statutes 2016 62M.06, 62M.07, 62M.09
Certification review organizations, data sharing, Minn. Statutes 2016 62M.04
Claimants, enrollees defined as, Minn. Statutes 2016 62M.02
Complaints, rights, Minn. Statutes 2016 62D.11, 62M.11
Data, certification, Minn. Statutes 2016 62M.04
Notice given, Minn. Statutes 2016 62M.04, 62M.07
Notice received, Minn. Statutes 2016 62M.05 to 62M.07
On-site reviews, Minn. Statutes 2016 62M.10
Reports received, utilization review organizations, review criteria, Minn. Statutes 2016 62M.10
Unconscious persons, utilization review, Minn. Statutes 2016 62M.02
Evidence-based standards, Minn. Statutes 2016 62M.072
Fines, unlicensed organizations, Minn. Statutes 2016 62M.03
Health care taxes, exclusions, Minn. Statutes 2016 295.50
Health Care Utilization Act, Minn. Statutes 2016 62M.01 to 62M.16
Implementation, timetable, Minn. Statutes 2016 62J.017
Lawsuits, compliance with regulations, effect, Minn. Statutes 2016 62M.14
Licenses, utilization review organizations, Minn. Statutes 2016 62M.03
Mental health and substance abuse reviews, psychologists, Minn. Statutes 2016 62M.09
On-site reviews, Minn. Statutes 2016 62M.10
Orders, unlicensed utilization review organizations, contested cases, Minn. Statutes 2016 62M.03
Prior authorization, Minn. Statutes 2016 62M.02, 62M.07
Procedures, health plan companies, notice, Minn. Statutes 2016 62Q.71
Providers
Agreements, review, procedures, Minn. Statutes 2016 62M.10
Appeals, duties, Minn. Statutes 2016 62M.06, 62M.07
Attending health care professionals, see same under this topic
Certification, see same under this topic
Certification denial, inappropriate incentives, Minn. Statutes 2016 62M.12
Claimants, providers defined as, Minn. Statutes 2016 62M.02
Disciplinary action, Minn. Statutes 2016 147.091
Essential community providers, Minn. Statutes 2016 62Q.19
Failure to provide information, procedures, Minn. Statutes 2016 62M.05
Generally, Minn. Statutes 2016 62M.04
Notice received, Minn. Statutes 2016 62M.05, 62M.07, 62M.10
On-site reviews, Minn. Statutes 2016 62M.10
Prior authorization requests, Minn. Statutes 2016 62M.07
Referrals, Minn. Statutes 2016 62M.02
Reports received, utilization review organizations, review criteria, Minn. Statutes 2016 62M.10
Psychologists, mental health and substance abuse reviews, Minn. Statutes 2016 62M.09
Quality assessment program, Minn. Statutes 2016 62M.02, 62M.09
Review
Concurrent review, Minn. Statutes 2016 62M.02 to 62M.05, 253B.05
On-site review, Minn. Statutes 2016 62M.10
Scope, Minn. Statutes 2016 62M.01
Severability of law, Minn. Statutes 2016 62M.13
Standards
Compliance, Minn. Statutes 2016 62M.03
Evidence-based standards, Minn. Statutes 2016 62M.072
Generally, Minn. Statutes 2016 62M.04
Telephones, Minn. Statutes 2016 62M.10
Utilization review organizations
Accountability, delegated activities, clinics or health care systems, Minn. Statutes 2016 62M.02
Agreements, on-site reviews, procedures, Minn. Statutes 2016 62M.10
Appeals, Minn. Statutes 2016 62M.06, 62M.07, 62M.09
Certification, see same under this topic
Clinical criteria, Minn. Statutes 2016 62M.02, 62M.09
Contracts, continuing care program, persons with mental illness, Minn. Statutes 2016 256.9693
Delegation of duties, limitations, Minn. Statutes 2016 62M.02
Employees, Minn. Statutes 2016 62M.09
Licensed utilization review organizations, Minn. Statutes 2016 62M.03
Notice given, Minn. Statutes 2016 62M.03, 62M.05, 62M.06, 62M.07, 62M.09
Notice received, Minn. Statutes 2016 62M.04
Payments by, medical records, duplication costs, Minn. Statutes 2016 62M.04
Physician consultants, Minn. Statutes 2016 62M.09
Prior authorization, Minn. Statutes 2016 62M.07
Quality assessment program, Minn. Statutes 2016 62M.02, 62M.09
Reports given, Minn. Statutes 2016 62M.10
Requests, Minn. Statutes 2016 62M.04
Review procedures, Minn. Statutes 2016 62M.05, 62M.09, 62M.10
Standards, Minn. Statutes 2016 62M.03, 62M.04
Unlicensed utilization review organizations, Minn. Statutes 2016 62M.03
Violations and penalties, disciplinary action, Minn. Statutes 2016 147.091