2021 Minnesota Statutes

CHAPTER 62Q. HEALTH PLAN COMPANIES

Table of Sections

Section	Headnote
62Q.001	MS 2006 [Renumbered 15.001]
62Q.01	DEFINITIONS.
62Q.02	APPLICABILITY OF CHAPTER.
62Q.021	FEDERAL ACT; COMPLIANCE REQUIRED.
62Q.025	PRODUCT APPROVALS.
62Q.03	PROCESS FOR RISK ADJUSTMENT SYSTEM.
62Q.07	[Repealed, 2001 c 170 s 11]
62Q.075	LOCAL PUBLIC ACCOUNTABILITY AND COLLABORATION PLAN.
62Q.09	[Expired]
62Q.095	[Repealed, 2005 c 77 s 8]
62Q.096	CREDENTIALING OF PROVIDERS.
62Q.097	REQUIREMENTS FOR TIMELY PROVIDER CREDENTIALING.
62Q.10	[Repealed, 2012 c 187 art 1 s 75]
62Q.101	EVALUATION OF PROVIDER PERFORMANCE.
62Q.105	[Repealed, 1999 c 239 s 43]
62Q.1055	CHEMICAL DEPENDENCY.
62Q.106	DISPUTE RESOLUTION BY COMMISSIONER.
62Q.107	PROHIBITED PROVISION; JUDICIAL REVIEW.
62Q.11	[Repealed, 1999 c 239 s 43]
62Q.12	DENIAL OF ACCESS.
62Q.121	LICENSURE OF MEDICAL DIRECTORS.
62Q.135	CONTRACTING FOR CHEMICAL DEPENDENCY SERVICES.
62Q.137	CHEMICAL DEPENDENCY TREATMENT; COVERAGE.
62Q.14	RESTRICTIONS ON ENROLLEE SERVICES.
62Q.145	ABORTION AND SCOPE OF PRACTICE.
62Q.16	MIDMONTH TERMINATION PROHIBITED.
62Q.165	UNIVERSAL COVERAGE.
62Q.17	VOLUNTARY PURCHASING POOLS.
62Q.18	PORTABILITY OF COVERAGE.
62Q.181	WRITTEN CERTIFICATION OF COVERAGE.
62Q.184	STEP THERAPY OVERRIDE.
62Q.1841	PROHIBITION ON USE OF STEP THERAPY FOR METASTATIC CANCER.
62Q.185	GUARANTEED RENEWABILITY; LARGE EMPLOYER GROUP.
62Q.186	PROHIBITION ON RESCISSIONS OF HEALTH PLANS.
62Q.188	FLEXIBLE BENEFITS PLANS.
62Q.19	ESSENTIAL COMMUNITY PROVIDERS.
62Q.21	[Repealed, 1995 c 234 art 2 s 36]
62Q.22	HEALTH CARE SERVICES PREPAID OPTION.
62Q.23	GENERAL SERVICES.
62Q.25	[Repealed, 1997 c 225 art 2 s 63]
62Q.251	[Repealed, 2006 c 255 s 77]
62Q.27	[Repealed, 1995 c 234 art 2 s 36]
62Q.29	[Repealed, 1997 c 225 art 2 s 63]
62Q.30	[Repealed, 1999 c 239 s 43]
62Q.32	LOCAL OMBUDSPERSON.
62Q.33	LOCAL GOVERNMENT PUBLIC HEALTH FUNCTIONS.
62Q.37	AUDITS CONDUCTED BY INDEPENDENT ORGANIZATION.
62Q.41	[Repealed, 1997 c 225 art 2 s 63]
62Q.43	GEOGRAPHIC ACCESS.
62Q.45	COVERAGE FOR OUT-OF-AREA PRIMARY CARE.
62Q.46	PREVENTIVE ITEMS AND SERVICES.
62Q.47	ALCOHOLISM, MENTAL HEALTH, AND CHEMICAL DEPENDENCY SERVICES.
62Q.471	EXCLUSION FOR SUICIDE ATTEMPTS PROHIBITED.
62Q.472	SCREENING AND TESTING FOR OPIOIDS.
62Q.48	COST-SHARING IN PRESCRIPTION INSULIN DRUGS.
62Q.49	ENROLLEE COST SHARING; NEGOTIATED PROVIDER PAYMENTS.
62Q.50	PROSTATE CANCER SCREENING.
62Q.51	POINT-OF-SERVICE OPTION.
62Q.52	DIRECT ACCESS TO OBSTETRIC AND GYNECOLOGIC SERVICES.
62Q.525	COVERAGE FOR OFF-LABEL DRUG USE.
62Q.526	COVERAGE FOR PARTICIPATION IN APPROVED CLINICAL TRIALS.
62Q.527	NONFORMULARY ANTIPSYCHOTIC DRUGS; REQUIRED COVERAGE.
62Q.528	DRUG COVERAGE IN EMERGENCY SITUATIONS.
62Q.529	COVERAGE FOR DRUGS PRESCRIBED AND DISPENSED BY PHARMACIES.
62Q.53	MENTAL HEALTH COVERAGE; MEDICALLY NECESSARY CARE.
62Q.535	COVERAGE FOR COURT-ORDERED MENTAL HEALTH SERVICES.
62Q.54	REFERRALS FOR RESIDENTS OF HEALTH CARE FACILITIES.
62Q.545	COVERAGE OF HOME CARE NURSING.
62Q.55	EMERGENCY SERVICES.
62Q.556	UNAUTHORIZED PROVIDER SERVICES.
62Q.56	CONTINUITY OF CARE.
62Q.57	DESIGNATION OF PRIMARY CARE PROVIDER.
62Q.58	ACCESS TO SPECIALTY CARE.
62Q.64	[Repealed, 2012 c 247 art 1 s 32]
62Q.645	EFFICIENCY REPORTS AND DISTRIBUTION OF INFORMATION.
62Q.65	ACCESS TO PROVIDER DISCOUNTS.
62Q.66	DURABLE MEDICAL EQUIPMENT COVERAGE.
62Q.67	DISCLOSURE OF COVERED DURABLE MEDICAL EQUIPMENT.
62Q.675	HEARING AIDS; PERSONS 18 OR YOUNGER.
62Q.676	MEDICATION THERAPY MANAGEMENT.
62Q.677	LIFETIME AND ANNUAL LIMITS.
62Q.678	DEPENDENT CHILD NOTICE.
COMPLAINT RESOLUTION
62Q.68	DEFINITIONS.
62Q.69	COMPLAINT RESOLUTION.
62Q.70	APPEAL OF THE COMPLAINT DECISION.
62Q.71	NOTICE TO ENROLLEES.
62Q.72	RECORD KEEPING; REPORTING.
62Q.73	EXTERNAL REVIEW OF ADVERSE DETERMINATIONS.
62Q.731	APPEAL FROM ADVERSE DETERMINATION.
MINNESOTA HEALTH PLAN CONTRACTING ACT
62Q.732	CITATION.
62Q.733	DEFINITIONS.
62Q.734	EXEMPTION.
62Q.735	PROVIDER CONTRACTING PROCEDURES.
62Q.736	PAYMENT RATES.
62Q.737	SERVICE CODE CHANGES.
62Q.739	UNILATERAL TERMS PROHIBITED.
62Q.74	NETWORK SHADOW CONTRACTING.
62Q.745	[Repealed, 2004 c 246 s 11]
62Q.746	ACCESS TO CERTAIN INFORMATION REGARDING PROVIDERS.
62Q.75	PROMPT PAYMENT REQUIRED.
62Q.751	COLLECTING DEDUCTIBLES AND COINSURANCE.
DENTAL PLANS
62Q.76	DEFINITIONS.
62Q.77	TERMS OF COVERAGE DISCLOSURE.
62Q.78	DENTAL BENEFIT PLAN REQUIREMENTS.
62Q.79	LIMITATIONS.
62Q.80	COMMUNITY-BASED HEALTH CARE COVERAGE PROGRAM.
62Q.81	ESSENTIAL HEALTH BENEFIT PACKAGE REQUIREMENTS.
62Q.82	BENEFITS AND COVERAGE EXPLANATION.