MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Accounting and bookkeeping, managed care health plans, financial risk capacity, Minn. Rules 9506.0400

Administration

Birth records, access to data, Minn. Statutes 2022 144.225

Human Services Department, duties, Minn. Statutes 2022 256B.0371, 2022 256L.02, 2022 256L.06

Office, Minn. Statutes 2022 256L.02

Premiums, Minn. Statutes 2022 256L.06

Rulemaking, Minn. Statutes 2022 256L.02

Administrative personnel, access to child support system database, Minn. Statutes 2022 13.46

Affidavits, applicants, residence, Minn. Statutes 2022 256L.09

Affordable Care Act implementation, Minn. Statutes 2022 256L.02

Appeals

Coverage, Minn. Statutes 2022 256B.037, 2022 256L.10

Eligibility, Minn. Statutes 2022 256L.10

Fair hearings, Minn. Statutes 2022 256.045, 2022 256.0451, 2022 256B.6903

Health plan companies, complaints, Minn. Statutes 2022 62Q.73

Ombudsperson for managed care, Minn. Statutes 2022 256B.6903

Procedures, Minn. Statutes 2022 256L.10

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

Affidavits, residence, Minn. Statutes 2022 256L.09

Appeals, fair hearings, Minn. Statutes 2022 256.045, 2022 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2022 62Q.22

Domestic violence waiver, Minn. Statutes 2022 256.029

Generally, Minn. Statutes 2022 256L.05

Immigration status, verification and reporting, Minn. Statutes 2022 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2022 256L.02, 2022 256L.06

Social Security numbers, Minn. Statutes 2022 256L.04

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

Premiums, Minn. Rules 9506.0040

Requirements, generally, Minn. Rules 9506.0030

Applications, referral sources, Minn. Rules 9506.0030

Applications

Assets and income verification, Minn. Statutes 2022 256B.056

Assistance, Minn. Statutes 2022 256.962

Availability, Minn. Statutes 2022 256.962

Generally, Minn. Statutes 2022 256L.05

Medical assistance eligible persons, Minn. Statutes 2022 256L.04

Website availability, Minn. Statutes 2022 256.01

Armed forces members, eligibility after active service, Minn. Statutes 2022 256L.15

Assets, see Eligibility under this topic

Assignments, child support, Minn. Statutes 2022 256.87

Audits and examinations

Enrollees, eligibility, Minn. Rules 9506.0060

Managed care health plans, Minn. Rules 9506.0400

Benefits

Attachment, exemption, Minn. Statutes 2022 550.143

Coordination, Minn. Statutes 2022 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2022 256L.05

Garnishment, exemption, Minn. Statutes 2022 550.143, 2022 571.912, 2022 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2022 256L.05

Billing, premiums, notices, Minn. Rules 9506.0040

Billing, uniform forms, Minn. Statutes 2022 62J.52

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

Childbirth program, evidence-based, Minn. Statutes 2022 256B.0625

Children's health care services costs, accounting, Minn. Statutes 2022 256.0161

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2022 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2022 256.9655

State or county agency, Minn. Statutes 2022 256.045

Coinsurance, see Deductibles, copayments, and coinsurance under this topic

Complaints, health plan companies, adverse determination appeals, Minn. Statutes 2022 62Q.73

Complaints, Minn. Rules 9506.0070, 9506.0400

Compliance system, Minn. Statutes 2022 256.017

Consumers, see Enrollees under this topic

Contested cases, birth records, group purchaser data, disclosure, Minn. Statutes 2022 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2022 62Q.03

Managed care, prepaid medical assistance program, Minn. Statutes 2022 256B.69

Participating entities, competitive process, Minn. Statutes 2022 256L.121

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2022 256B.691

Providers, see same under this topic

Contracts

Definitions, Minn. Rules 9506.0010

Managed care health plans, Minn. Rules 9506.0200 to 9506.0400

Coordination of care

Health care homes, Minn. Statutes 2022 62U.03

Health homes, Minn. Statutes 2022 256B.0757

Coordination with state-administered health programs, Minn. Statutes 2022 256L.04, 2022 256L.121

Coordination

Cost avoidance techniques, Minn. Rules 9506.0080

Generally, Minn. Rules 9506.0400

Medical assistance, Minn. Rules 9506.0050

Copayments, see Deductibles, copayments, and coinsurance under this topic

Cost containment, Minn. Statutes 2022 62J.04, 2022 256B.043, 2022 256L.12

Coverage

Appeals, Minn. Statutes 2022 62Q.73, 2022 256B.037, 2022 256L.10

Armed forces members, Minn. Statutes 2022 256L.15

Case management, mental health, provider duties, Minn. Statutes 2022 256B.0625

Dental services, Minn. Statutes 2022 256B.037, 2022 256L.03

Effective date, Minn. Statutes 2022 256L.05

Exclusions and limitations, Minn. Statutes 2022 144.551, 2022 256L.03, 2022 256L.09

Generally, Minn. Statutes 2022 256L.03

Indians, Minn. Statutes 2022 256L.12

Medical assistance eligible persons, see same under this topic

Medical cannabis, Minn. Statutes 2022 152.23

Mental health services, Minn. Statutes 2022 256L.12

New family members, Minn. Statutes 2022 256L.05

Other health coverage, Minn. Statutes 2022 256L.07

Outpatient mental health services, see Integrated children's mental health service system under COMMUNITY MENTAL HEALTH SERVICES

Preexisting conditions, Minn. Statutes 2022 256L.09

Premiums, payment requirements, Minn. Statutes 2022 256L.05

Reduction, suspension, or termination, Minn. Statutes 2022 256.01, 2022 256L.07, 2022 256L.10

Substance use disorder treatment, Minn. Statutes 2022 256L.03, 2022 256L.12

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

Cybersecurity events, information security program, Minn. Statutes 2022 60A.985 to 2022 60A.9858

Data collection

Health care data analysis unit, Minn. Statutes 2022 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Data

Controlled substances, utilization, Minn. Statutes 2022 256B.0636

Cybersecurity events, notice given, Minn. Statutes 2022 60A.9853

Dental plans, access, Minn. Statutes 2022 256B.037

Health maintenance organizations, access, Minn. Statutes 2022 62D.145

Individualized education program health-related services provided by school districts, use and dissemination, Minn. Statutes 2022 13.05

Information security program, Minn. Statutes 2022 60A.985 to 2022 60A.9858

Unemployment insurance, access, Minn. Statutes 2022 268.19

Data

Access to data, Minn. Rules 9506.0090, 9506.0400

Welfare data on enrollees, classification, Minn. Rules 9506.0400

Deductibles, copayments, and coinsurance

Cost-sharing, generally, Minn. Statutes 2022 256L.03

Enrollee payments, Minn. Statutes 2022 256L.12

Exclusions, Minn. Statutes 2022 62D.095

Managed care plans, Minn. Statutes 2022 256L.12

Requirements, Minn. Statutes 2022 256L.11

Deductibles, copayments, and coinsurance, Minn. Rules 9506.0090, 9506.0300

Definitions

Generally, Minn. Statutes 2022 256L.01

Information security program, Minn. Statutes 2022 60A.985

Interagency intervention services, Minn. Statutes 2022 125A.023

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

Demonstration programs

Dental services, Minn. Statutes 2022 256B.037

Integrated health partnerships program, Minn. Statutes 2022 256B.0755

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2022 256B.075

Disregards

Generally, Minn. Statutes 2022 256L.01

Gross family income, Minn. Statutes 2022 256L.04

Inpatient hospital service benefits, Minn. Statutes 2022 256L.03

Drugs and medicine, opioid prescribing improvement program, Minn. Statutes 2022 256B.0638

Eligibility

Appeals, Minn. Statutes 2022 256L.10

Assets, Minn. Statutes 2022 256.028

Community health clinic enrollees, Minn. Statutes 2022 62Q.22

Determination, time, Minn. Statutes 2022 256L.05

Domestic violence waiver, Minn. Statutes 2022 256.029

Free and reduced-price school lunch program children, Minn. Statutes 2022 124D.1115

Generally, Minn. Statutes 2022 256L.04, 2022 256L.07

Human Services Department, duties, Minn. Statutes 2022 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2022 3.7395

Income, see same under this topic

Local social services agencies, duties, Minn. Statutes 2022 256L.05, 2022 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2022 256J.45

Periodic data matching, Minn. Statutes 2022 256B.0561

Persons ineligible for MFIP, Minn. Statutes 2022 256J.09

Premium payments, Minn. Statutes 2022 256L.04, 2022 256L.06

Prisoners being discharged, Minn. Statutes 2022 244.054

Public assistance reporting information system, Minn. Statutes 2022 256.01

Redetermination, Minn. Statutes 2022 256L.05

Reduction, suspension, or termination, Minn. Statutes 2022 256.01, 2022 256L.10

Residence, Minn. Statutes 2022 256L.09

Verification, Minn. Statutes 2022 256L.05

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

Enforcement of law

Information security program, Minn. Statutes 2022 60A.9852

Providers, revenue limits, Minn. Statutes 2022 62J.04

Enrollees

Adults without children, healthy Minnesota contribution program, Minn. Statutes 2022 62E.14

Affidavits, residence, Minn. Statutes 2022 256L.09

Appeals, Minn. Statutes 2022 62Q.73, 2022 256B.037, 2022 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2022 256.87

Children, copayments, exemptions, Minn. Statutes 2022 256L.03

Community integrated service networks, Minn. Statutes 2022 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2022 253B.03, 2022 253D.17

Controlled substances, utilization, Minn. Statutes 2022 256B.0636

Cooperation, Minn. Statutes 2022 256L.04

Copayments, see Deductibles, copayments, and coinsurance under this topic

Data, unemployment insurance, access, Minn. Statutes 2022 268.19

Dental plans or providers, change, Minn. Statutes 2022 256B.037

Eligibility, see same under this topic

Human Services Department, duties, Minn. Statutes 2022 256B.035

Income, see same under this topic

Managed care plans, see same under this topic

Medical assistance eligible persons, see same under this topic

Notice received

Combined hearings, Minn. Statutes 2022 256.046

Dental plans or providers, Minn. Statutes 2022 256B.037

Disenrollment, Minn. Statutes 2022 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2022 256L.10

Managed care plans, request to change providers, Minn. Statutes 2022 256L.12

Premiums, payment, Minn. Statutes 2022 256L.06

Wellness discounts, Minn. Statutes 2022 256.362

Payments by

Copayments, see Deductibles, copayments, and coinsurance under this topic

Inpatient hospital charges, Minn. Statutes 2022 256L.11, 2022 256L.12

Personal data, classification, disclosure, Minn. Statutes 2022 13.46

Pregnant women, Minn. Statutes 2022 256L.03

Provider choice, limitations, Minn. Statutes 2022 256L.12

Reports given, income, Minn. Statutes 2022 256L.05, 2022 256L.06

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

Premiums, Minn. Rules 9506.0040

Enrollment

Continuation, Minn. Statutes 2022 256L.07

Disenrollment, Minn. Statutes 2022 256L.04 to 2022 256L.07, 2022 256L.15

Fees, Minn. Statutes 2022 256L.06

Generally, Minn. Statutes 2022 256L.04

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2022 256L.05

Reenrollment, premium payment, Minn. Statutes 2022 256L.06

Enrollment

Date, determination, Minn. Rules 9506.0030

Failure to pay premiums, effect, Minn. Rules 9506.0040

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

Establishment, Minn. Statutes 2022 256L.02

Fair hearings, Minn. Statutes 2022 256.045, 2022 256.0451, 2022 256B.6903

Families

Defined, Minn. Rules 9506.0010

Enrollment, Minn. Rules 9506.0020

Federal waivers, see Waivers under this topic

Forms, prior authorization, Minn. Rules 9505.5010

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding

Federal receipts, appropriated to Human Services Department, Minn. Statutes 2022 16A.724

Health care access fund

Appropriations, Minn. Statutes 2022 295.581

Deposits to, Minn. Statutes 2022 16A.724

Transfers from, Minn. Statutes 2022 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2022 256L.12

Health care homes, Minn. Statutes 2022 62U.03

Health care risk adjustment system, public programs, Minn. Statutes 2022 62Q.03

Health homes, Minn. Statutes 2022 256B.0757

Health plan companies, complaints, Minn. Statutes 2022 62Q.73

Health plans, competitive bidding, Minn. Statutes 2022 256L.121

Health plans, see Managed care health plans under this topic

Health Services Advisory Council, Minn. Statutes 2022 256B.0625

Healthy Minnesota contribution program, Minn. Statutes 2022 62E.14

Hearings

Administrative fraud disqualification, Minn. Statutes 2022 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2022 256.045, 2022 256.0451

Ombudsperson for managed care, Minn. Statutes 2022 256B.6903

Rulemaking, Minn. Statutes 2022 256.045

Hospital inpatient services, see MinnesotaCare under INPATIENT HOSPITAL SERVICES

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2022 3.7395

Identification cards, uniform health care cards, issuance, Minn. Statutes 2022 62J.60

Identification cards, Minn. Rules 9506.0400

Immunization, Minn. Rules 9506.0400

Income

Applicants, duties, Minn. Statutes 2022 256L.01

Disregards, Minn. Statutes 2022 256L.01

Generally, Minn. Statutes 2022 256L.04, 2022 256L.05

Increase, continuation of enrollment, Minn. Statutes 2022 256L.07

Limitation, Minn. Statutes 2022 256L.04, 2022 256L.07

Reports about, Minn. Statutes 2022 256L.05, 2022 256L.06

Tax rebates, exclusion, Minn. Statutes 2022 256.028

Income

Eligibility requirements, Minn. Rules 9506.0020

Premiums, determination, Minn. Rules 9506.0040

Information provision to the public, Pharmacy Board, duties, Minn. Statutes 2022 151.06

Information security program, Minn. Statutes 2022 60A.985 to 2022 60A.9858

Inpatient hospital payment system, Minn. Statutes 2022 256.969

Integrated health partnerships program, Minn. Statutes 2022 256B.0755

Integration with state-operated systems for disabled, managed care systems for disabled persons, Minn. Statutes 2022 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2022 256B.37

Parents' contribution, Minn. Statutes 2022 256.87

Public assistance liens, Minn. Statutes 2022 256.015, 2022 256L.03

Legislative intent, Minn. Statutes 2022 62J.015

Liability

Parents, Minn. Statutes 2022 256.87

Third parties, Minn. Statutes 2022 256L.04

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, public assistance, lawsuits, Minn. Statutes 2022 256.015, 2022 256L.03

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

Managed care plans

Competitive bidding, Minn. Statutes 2022 256B.69

Critical access dental providers, Minn. Statutes 2022 256L.11

Financial audits, Minn. Statutes 2022 256B.69

Generally, Minn. Statutes 2022 256L.12

Ombudsperson for managed care, Minn. Statutes 2022 256B.6903

Payments to, see Provider payments under this topic

Prepaid program, Minn. Statutes 2022 256B.69, 2022 256B.6903

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2022 256.015, 2022 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2022 62J.25

Medical assistance eligible persons

Coordination of eligibility and coverage, Minn. Statutes 2022 256L.04, 2022 256L.121

Cost-sharing, duties, Minn. Statutes 2022 256L.03

Coverage, Minn. Statutes 2022 256B.037, 2022 256B.0625, 2022 256L.07

Dental services, Minn. Statutes 2022 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2022 256L.05

Generally, Minn. Statutes 2022 256L.04

Local social services agencies, duties, Minn. Statutes 2022 256B.19

Managed care plans, Minn. Statutes 2022 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2022 256B.035

Providers, Minn. Statutes 2022 256B.035

Spenddown, Minn. Statutes 2022 256L.03

Subrogation rights, enforcement, Minn. Statutes 2022 256B.37

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

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

MNsure, coordination, Minn. Statutes 2022 256L.02

Notice, prior authorization requests, Minn. Rules 9505.5020

Orders, Minn. Statutes 2022 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2022 270A.03

Parents' contribution, Minn. Statutes 2022 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Participating entities

Competitive bidding, Minn. Statutes 2022 256L.121

Definitions, Minn. Statutes 2022 256L.01

Patient Protection Act, application, Minn. Statutes 2022 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2022 256.01

Payments to providers, errors, rate penalties, Minn. Statutes 2022 256.017

Payments

Coordination with medical assistance, Minn. Rules 9506.0050

Generally, Minn. Rules 9506.0090

Managed care health plans, Minn. Rules 9506.0300

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2022 256.362

Policy of state, Minn. Statutes 2022 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2022 256L.05, 2022 256L.06, 2022 256L.15

Agreement to pay defined as debt, Minn. Statutes 2022 270A.03

Amount, Minn. Statutes 2022 256L.04, 2022 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2022 256.045

Exemptions, Minn. Statutes 2022 256L.06, 2022 256L.15

Generally, Minn. Statutes 2022 256L.15

Increase, notice, Minn. Statutes 2022 256L.03

Payment, Minn. Statutes 2022 256L.04 to 2022 256L.07, 2022 256L.15

Purchases at full cost, reports about, Minn. Statutes 2022 256.362

Reports about, Minn. Statutes 2022 256.362

Sliding fee scale, Minn. Statutes 2022 256L.06, 2022 256L.15

Wellness discounts, Minn. Statutes 2022 256.362

Premiums, Minn. Rules 9506.0040

Prepaid health plans, Minn. Rules 9506.0200

Primary care access initiative, Minn. Statutes 2022 256.963

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

Provider payments

Abortions, reporting, Minn. Statutes 2022 145.4131, 2022 145.4133

Audits and examinations, Minn. Statutes 2022 256B.194

Certain providers, Minn. Statutes 2022 256L.11

Dental providers, payments, Minn. Statutes 2022 256L.11

Generally, Minn. Statutes 2022 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2022 16A.124

Increase, Minn. Statutes 2022 256B.04

Indian health services facilities, Minn. Statutes 2022 256B.0625

Inpatient hospital services, Minn. Statutes 2022 256L.11

Medical assistance rates, use, Minn. Statutes 2022 256L.11

Mental health case management services, Minn. Statutes 2022 256B.0625

Pay-for-performance system, Minn. Statutes 2022 256.01

Payment reforms, Minn. Statutes 2022 62U.01 to 2022 62U.08, 2022 256B.0754

Physicians' services, Minn. Statutes 2022 256B.0625

Quality improvement payment system, Minn. Statutes 2022 256B.072

Recovery, Minn. Statutes 2022 62A.046

Targeted case management services, Minn. Statutes 2022 256B.0924

Transportation services, risk basis, Minn. Statutes 2022 256B.691

Provider taxes, health care cost containment, taxes and assessments, exemption, Minn. Statutes 2022 62J.041

Providers

Audits and examinations, Minn. Statutes 2022 256B.194

Claims, electronic submission, Minn. Statutes 2022 256.9655

Contracts, Minn. Statutes 2022 62J.71, 2022 256B.035, 2022 256L.12

Cybersecurity events, notice given, Minn. Statutes 2022 60A.9853

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2022 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2022 256B.194

Generally, Minn. Statutes 2022 256L.12

Health care facilities, applications, Minn. Statutes 2022 256L.05

Information security program, Minn. Statutes 2022 60A.985 to 2022 60A.9858

Interagency data exchange, Minn. Statutes 2022 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2022 62J.25

Participation requirements, Minn. Statutes 2022 62D.04, 2022 62D.30, 2022 62N.25, 2022 256B.0644

Payments to, see Provider payments under this topic

Performance reporting and quality improvement payment system, Minn. Statutes 2022 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2022 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2022 62J.04

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

Public information and education programs, Minn. Statutes 2022 256.962

Purpose, Minn. Statutes 2022 256L.02

Quality assurance, Minn. Rules 9506.0060, 9506.0400

Quality control/quality assurance, Minn. Statutes 2022 256.017

Recipients, liability, providers' failure to obtain prior authorization, Minn. Rules 9505.5010, 9505.5085

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2022 256.019

Contingency contract fee retention, Minn. Statutes 2022 256.01

Overpayments, revenue recapture, Minn. Statutes 2022 270A.03

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2022 256.362

Residence, Minn. Statutes 2022 256L.09

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

Severability of law, residency, Minn. Statutes 2022 256L.09

Spenddowns

Defined, Minn. Rules 9506.0010

Medical assistance, coordination, Minn. Rules 9506.0050

Requirements, generally, Minn. Rules 9506.0020

State aid, comprehensive health insurance plans, member premiums, exclusion, Minn. Statutes 2022 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2022 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2022 3.7395

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

Taxes, provider tax, exemption, Minn. Statutes 2022 62J.041

Termination, Minn. Statutes 2022 256.01

Third parties, identification, eligibility, Minn. Statutes 2022 256L.04

Third party payers

Cost avoidance, Minn. Rules 9506.0080

Defined, Minn. Rules 9506.0010

Identification, Minn. Rules 9506.0020

Liability, Minn. Rules 9506.0400

Toll-free telephone lines, Minn. Statutes 2022 256L.02

Transportation, payments, risk basis, Minn. Statutes 2022 256B.691

Utilization review, controlled substances, Minn. Statutes 2022 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Selection, Minn. Statutes 2022 256B.69

Vendors

Participation requirements, Minn. Rules 9505.5200 to 9505.5240

State health care program participation, Minn. Rules 9505.5210, 9505.5220, 9505.5240

Verification, Minn. Statutes 2022 256L.05

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Information security program, Minn. Statutes 2022 60A.9857

Premiums, nonpayment, disenrollment, Minn. Statutes 2022 256L.06

Waivers

Federal waivers

Coordination with medical assistance, Minn. Statutes 2022 256.362

Dental services, coverage, Minn. Statutes 2022 256B.037

Health insurance credit, assignment, Minn. Statutes 2022 256.362

Individualized education programs, Minn. Statutes 2022 256B.69

Individualized family service plan services, Minn. Statutes 2022 256B.69

Provider contracts, Minn. Statutes 2022 256B.035

MinnesotaCare health care reform, Minn. Statutes 2022 256L.03

Web pages, government information on, Minn. Statutes 2022 256L.02

Wrongfully obtaining, disqualification, Minn. Statutes 2022 256.98