MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Administration

Birth records, access to data, Minn. Statutes 2007 144.225

Human Services Department, duties, Minn. Statutes 2007 256L.02, 2007 256L.06

Office, Minn. Statutes 2007 256L.02

Premiums, Minn. Statutes 2007 256L.06

Rulemaking, Minn. Statutes 2007 256L.02

Test sites, integrated administrative models, Minn. Statutes 2007 256.01

Administrative personnel

Access to child support system database, Minn. Statutes 2007 13.46

Affidavits, applicants, residence, Minn. Statutes 2007 256L.09

Appeals

Coverage, Minn. Statutes 2007 256B.037, 2007 256L.10

Eligibility, Minn. Statutes 2007 256L.10

Fair hearings, Minn. Statutes 2007 256.045, 2007 256.0451

Health plan companies, complaints, Minn. Statutes 2007 62Q.73

Procedures, Minn. Statutes 2007 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2007 256L.09

Appeals, fair hearings, Minn. Statutes 2007 256.045, 2007 256.0451

Asset requirements, Minn. Statutes 2007 256L.17

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2007 62Q.22

Databases, Minn. Statutes 2007 256D.03

Domestic violence waiver, Minn. Statutes 2007 256.029

Generally, Minn. Statutes 2007 256L.05

Immigration status, verification and reporting, Minn. Statutes 2007 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2007 256L.02, 2007 256L.06

Social Security numbers, Minn. Statutes 2007 256L.04

Verification by, Minn. Statutes 2007 256L.05

Applications

Assets and income verification, Minn. Statutes 2007 256B.056

Assistance, Minn. Statutes 2007 256.962

Availability, Minn. Statutes 2007 256.962

Generally, Minn. Statutes 2007 256L.05

Medical assistance eligible persons, Minn. Statutes 2007 256L.04

Armed forces members

Active service, disenrollment and reenrollment, Minn. Statutes 2007 256L.07

Eligibility after active service, Minn. Statutes 2007 256L.15

Assets, see Eligibility under this topic

Assignments

Child support, Minn. Statutes 2007 256.741, 2007 256.87

Medical support, Minn. Statutes 2007 256.741

Spousal maintenance, Minn. Statutes 2007 256.741

Benefits

Coordination, Minn. Statutes 2007 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2007 256L.05

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2007 256L.05

Billing, uniform forms, Minn. Statutes 2007 62J.52

Children's health program, Minn. Statutes 2007 256B.057, 2007 256L.07, 2007 256L.22 to 2007 256L.28

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2007 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2007 256.9655

State or county agency, Minn. Statutes 2007 256.045

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

Complaints, health plan companies

Adverse determination appeals, Minn. Statutes 2007 62Q.73

Consumers, see Enrollees under this topic

Contested cases, birth records

Group purchaser data, disclosure, Minn. Statutes 2007 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2007 62Q.03

Managed care, medical assistance prepaid demonstration project, Minn. Statutes 2007 256B.69

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2007 256B.691

Providers, see same under this topic

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

Cost containment, Minn. Statutes 2007 62J.04, 2007 256B.043, 2007 256L.12

Costs, Minn. Statutes 2007 256L.02

Coverage

Appeals, Minn. Statutes 2007 62Q.73, 2007 256B.037, 2007 256L.10

Armed forces members, Minn. Statutes 2007 256L.07, 2007 256L.15

Case management, mental health, provider duties, Minn. Statutes 2007 256B.0625

Chemical dependency treatment, Minn. Statutes 2007 256L.03, 2007 256L.12

Denial, nonpayment of premiums, Minn. Statutes 2007 256D.03

Dental services, Minn. Statutes 2007 256B.037, 2007 256L.03

Effective date, Minn. Statutes 2007 256L.05

Exclusions and limitations, Minn. Statutes 2007 144.551, 2007 256L.03, 2007 256L.09

Families with children, Minn. Statutes 2007 256L.11

Generally, Minn. Statutes 2007 256L.03

Indians, Minn. Statutes 2007 256L.12

Lapse, reapplication, Minn. Statutes 2007 256L.05

Medical assistance eligible persons, see same under this topic

Mental health services, Minn. Statutes 2007 256L.12

New family members, Minn. Statutes 2007 256L.05

Newborns, coordination, Minn. Statutes 2007 256L.05

Other health coverage, Minn. Statutes 2007 256L.07

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

Preexisting conditions, Minn. Statutes 2007 256L.09

Premiums, payment requirements, Minn. Statutes 2007 256L.05

Reduction, suspension, or termination, Minn. Statutes 2007 256L.07, 2007 256L.10

Retroactive, Minn. Statutes 2007 256L.05

Data collection

Health care data analysis unit, Minn. Statutes 2007 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Data

Controlled substances, utilization, Minn. Statutes 2007 256B.0636

Dental plans, access, Minn. Statutes 2007 256B.037

Health maintenance organizations, access, Minn. Statutes 2007 62D.145

Individual education plan health-related services provided by school districts, use and dissemination, Minn. Statutes 2007 13.05

Unemployment insurance, access, Minn. Statutes 2007 268.19

Databases, applicants, Minn. Statutes 2007 256D.03

Deductibles, copayments, or coinsurance

Enrollee payments, Minn. Statutes 2007 256L.12

Exclusions, Minn. Statutes 2007 62D.095

Exemptions, Minn. Statutes 2007 256L.03

Managed care plans, Minn. Statutes 2007 256L.12

Pregnant women, refunds, Minn. Statutes 2007 256L.03

Requirements, Minn. Statutes 2007 256L.03, 2007 256L.11

Definitions

Generally, Minn. Statutes 2007 256L.01

Interagency intervention services, Minn. Statutes 2007 125A.023

Small employer health benefit plan, Minn. Statutes 2007 62L.02

Demonstration projects, dental services, Minn. Statutes 2007 256B.037, 2007 256B.69

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2007 256B.075

Disqualification, asset misreporting, Minn. Statutes 2007 256L.17

Disregards

Generally, Minn. Statutes 2007 256L.01

Gross family income, Minn. Statutes 2007 256L.04

Inpatient hospital service benefits, Minn. Statutes 2007 256L.03

Eligibility

Appeals, Minn. Statutes 2007 256L.10

Assets, Minn. Statutes 2007 256.028, 2007 256L.17

Children's health program, Minn. Statutes 2007 256B.057, 2007 256L.07, 2007 256L.24

Citizenship requirements, Minn. Statutes 2007 256L.04

Community health clinic enrollees, Minn. Statutes 2007 62Q.22

Determination, time, Minn. Statutes 2007 256L.05

Domestic violence waiver, Minn. Statutes 2007 256.029

General assistance medical care recipients, Minn. Statutes 2007 256D.03

Generally, Minn. Statutes 2007 256L.04, 2007 256L.07

Households with no children, former GAMC recipients, Minn. Statutes 2007 256L.05, 2007 256L.07

Human Services Department, duties, Minn. Statutes 2007 256L.05

Income, see same under this topic

Ineligible persons, Minn. Statutes 2007 256D.03, 2007 256L.04

Local social services agencies, duties, Minn. Statutes 2007 256L.05, 2007 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2007 256J.45

Period uninsured, Minn. Statutes 2007 256L.02, 2007 256L.07

Persons ineligible for MFIP, Minn. Statutes 2007 256J.09

Premium payments, Minn. Statutes 2007 256L.04, 2007 256L.06

Prisoners being discharged, Minn. Statutes 2007 244.054

Reduction, suspension, or termination, Minn. Statutes 2007 256L.10

Renewal, Minn. Statutes 2007 256L.04, 2007 256L.05

Residence, Minn. Statutes 2007 256L.09

Retroactive changes, general assistance medical care recipients, effect, Minn. Statutes 2007 256B.0645

Single persons, former GAMC recipients, Minn. Statutes 2007 256L.05, 2007 256L.07

Verification, Minn. Statutes 2007 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2007 62J.04

Enrollees

Affidavits, residence, Minn. Statutes 2007 256L.09

Appeals, Minn. Statutes 2007 62Q.73, 2007 256B.037, 2007 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2007 256.741, 2007 256.87

Child support, distribution, Minn. Statutes 2007 256.741

Children, copayments, exemptions, Minn. Statutes 2007 256L.03

Community integrated service networks, Minn. Statutes 2007 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2007 253B.03

Controlled substances, utilization, Minn. Statutes 2007 256B.0636

Cooperation, Minn. Statutes 2007 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2007 268.19

Dental plans or providers, change, Minn. Statutes 2007 256B.037

Eligibility, see same under this topic

General assistance medical care recipients, Minn. Statutes 2007 256D.03

Human Services Department, duties, Minn. Statutes 2007 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 2007 256.046

Dental plans or providers, Minn. Statutes 2007 256B.037

Disenrollment, Minn. Statutes 2007 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2007 256L.02, 2007 256L.10

Managed care plans, request to change providers, Minn. Statutes 2007 256L.12

Premium subsidy, decrease, Minn. Statutes 2007 256L.02

Premiums, payment, Minn. Statutes 2007 256L.06

Private health and accident insurance, Minn. Statutes 2007 256L.05

Renewal, Minn. Statutes 2007 256.962

Wellness discounts, Minn. Statutes 2007 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2007 256L.11, 2007 256L.12

Personal data, classification, disclosure, Minn. Statutes 2007 13.46

Pregnant women, copayments, exemptions, Minn. Statutes 2007 256L.03

Prescription drug program, Minn. Statutes 2007 256.01

Provider choice, limitations, Minn. Statutes 2007 256L.12

Reports given, income, Minn. Statutes 2007 256L.05, 2007 256L.06

Spousal maintenance, distribution, Minn. Statutes 2007 256.741

Enrollment

Adjustment, Minn. Statutes 2007 256L.02

Continuation, Minn. Statutes 2007 256L.07

Disenrollment, Minn. Statutes 2007 256L.04 to 2007 256L.07, 2007 256L.15

Fees, Minn. Statutes 2007 256L.06

Generally, Minn. Statutes 2007 256L.04

Households with no children, former GAMC recipients, Minn. Statutes 2007 256L.05

Limitation, Minn. Statutes 2007 256L.02

Medical assistance eligible persons, see same under this topic

Reenrollment, premium payment, Minn. Statutes 2007 256L.06

Single persons, former GAMC recipients, Minn. Statutes 2007 256L.05

Establishment, Minn. Statutes 2007 256L.02

Fair hearings, Minn. Statutes 2007 256.045, 2007 256.0451

Federal waivers, see Waivers under this topic

Financial management, Minn. Statutes 2007 256L.02

Forms, assets, checkoff, Minn. Statutes 2007 256L.17

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding, health care access fund

Appropriations, Minn. Statutes 2007 295.581

Deposits to, Minn. Statutes 2007 16A.724

Transfers from, Minn. Statutes 2007 297I.05

Grievance procedures

Managed care plan vendors, duties, Minn. Statutes 2007 256L.12

Health care risk adjustment system

Public programs risk adjustment system, Minn. Statutes 2007 62Q.03

Health plan companies, complaints, Minn. Statutes 2007 62Q.73

Health Services Policy Committee, Minn. Statutes 2007 256B.0625

Hearings

Administrative fraud disqualification, Minn. Statutes 2007 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2007 256.045, 2007 256.0451

Rulemaking, Minn. Statutes 2007 256.045

Identification cards

Uniform health care identification cards, issuance, Minn. Statutes 2007 62J.60

Income

Applicants, duties, Minn. Statutes 2007 256D.03, 2007 256L.01

Child support, unearned income, Minn. Statutes 2007 256.741

Disregards, Minn. Statutes 2007 256L.01

Generally, Minn. Statutes 2007 256L.04, 2007 256L.05

Gross family income, Minn. Statutes 2007 256L.01, 2007 256L.04

Increase, continuation of enrollment, Minn. Statutes 2007 256L.07

Limitation, Minn. Statutes 2007 256L.04, 2007 256L.07

Reports about, Minn. Statutes 2007 256L.05, 2007 256L.06

Tax rebates, exclusion, Minn. Statutes 2007 256.028

Inpatient hospital payment system, Minn. Statutes 2007 256.969

Integration with state-operated systems for disabled

Managed care systems for disabled persons, Minn. Statutes 2007 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2007 256B.37

Parents' contribution, Minn. Statutes 2007 256.87

Public assistance liens, Minn. Statutes 2007 256.015, 2007 256L.03

Legislative intent, Minn. Statutes 2007 62J.015

Liability

Parents, Minn. Statutes 2007 256.87

Third parties, Minn. Statutes 2007 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2007 256.015, 2007 256L.03

Managed care plans

Children's health program, Minn. Statutes 2007 256L.26

Generally, Minn. Statutes 2007 256L.12

Payments to, see Provider payments under this topic

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2007 256.015, 2007 256L.03

Renewal notice, Minn. Statutes 2007 256.962

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2007 62J.25

Marketing, Minn. Statutes 2007 256L.02

Medical assistance eligible persons

Copayments, duties, Minn. Statutes 2007 256L.03

Coverage, Minn. Statutes 2007 256B.037, 2007 256B.0625, 2007 256L.07

Dental services, Minn. Statutes 2007 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2007 256L.05

Determination, Minn. Statutes 2007 256B.04

Failure to cooperate, disenrollment from MinnesotaCare, Minn. Statutes 2007 256L.04

Local social services agencies, duties, Minn. Statutes 2007 256B.19

Managed care plans, Minn. Statutes 2007 256L.12

Optional eligibility, Minn. Statutes 2007 256L.04

Requirements, Minn. Statutes 2007 256L.04

Enrollment, Human Services Department, duties, Minn. Statutes 2007 256B.035

Local social services agencies, referrals to, Minn. Statutes 2007 256L.04

Providers, Minn. Statutes 2007 256B.035, 2007 256B.0644

Spenddown, Minn. Statutes 2007 256L.03

Subrogation rights, enforcement, Minn. Statutes 2007 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

Orders, Minn. Statutes 2007 256.87

Parents' contribution, Minn. Statutes 2007 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Patient Protection Act, application, Minn. Statutes 2007 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2007 256.01

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2007 256.362

Policy of state, Minn. Statutes 2007 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2007 256L.02, 2007 256L.05, 2007 256L.06, 2007 256L.15

Agreement to pay defined as debt, Minn. Statutes 2007 270A.03

Amount, Minn. Statutes 2007 256L.04, 2007 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2007 256.045

Exemptions, Minn. Statutes 2007 256L.06, 2007 256L.15

Former general assistance medical care recipients, Minn. Statutes 2007 256L.15

Generally, Minn. Statutes 2007 256L.15

Increase, notice, Minn. Statutes 2007 256L.03

Payment, Minn. Statutes 2007 256L.04 to 2007 256L.07, 2007 256L.15

Purchases at full cost, reports about, Minn. Statutes 2007 256.362

Reports about, Minn. Statutes 2007 256.362

Rulemaking, nonpayment, good cause, Minn. Statutes 2007 256L.06

Sliding fee scale, Minn. Statutes 2007 256L.02, 2007 256L.06, 2007 256L.15

Wellness discounts, Minn. Statutes 2007 256.362

Primary care access initiative, Minn. Statutes 2007 256.963

Provider payments

Abortions, reporting, Minn. Statutes 2007 145.4131, 2007 145.4133

Certain providers, Minn. Statutes 2007 256L.11

Generally, Minn. Statutes 2007 256L.02, 2007 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2007 16A.124

Indian health services facilities, Minn. Statutes 2007 256B.0625

Inpatient hospital services, Minn. Statutes 2007 256L.11

Medical assistance eligible enrollees, redetermination, Minn. Statutes 2007 256L.04

Medical assistance rates, use, Minn. Statutes 2007 256L.11

Mental health case management services, Minn. Statutes 2007 256B.0625

Pay-for-performance system, Minn. Statutes 2007 256.01

Quality improvement payment system, Minn. Statutes 2007 256B.072

Recovery, Minn. Statutes 2007 62A.046

Retroactive eligibility changes, effect, Minn. Statutes 2007 256B.0645

Targeted case management services, Minn. Statutes 2007 256B.0924

Transportation services, risk basis, Minn. Statutes 2007 256B.691

Provider taxes, health care cost containment

Taxes and assessments, exemption, Minn. Statutes 2007 62J.041

Providers

Claims, electronic submission, Minn. Statutes 2007 256.9655

Contracts

Children's mental health services, Minn. Statutes 2007 245.493, 2007 245.4933

Federal waivers, Minn. Statutes 2007 256B.035

Human Services Department, duties, Minn. Statutes 2007 256B.035

Managed care plans, Minn. Statutes 2007 256L.12

Preferred provider programs, Minn. Statutes 2007 256B.035

Prohibited contracts, Patient Protection Act, Minn. Statutes 2007 62J.71

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2007 62J.71

Generally, Minn. Statutes 2007 256L.12

Health care facilities, applications, Minn. Statutes 2007 256L.05

Mandatory Medicare assignment, duties, Minn. Statutes 2007 62J.25

Participation requirements, Minn. Statutes 2007 62D.04, 2007 62D.30, 2007 62N.25, 2007 256B.0644

Payments to, see Provider payments under this topic

Performance reporting and quality improvement payment system, Minn. Statutes 2007 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2007 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2007 62J.04

Public assistance, MinnesotaCare defined as, Minn. Statutes 2007 256.741

Public information and education programs, Minn. Statutes 2007 256.962

Purpose, Minn. Statutes 2007 256L.02

Qualifying coverage, MinnesotaCare defined as, Minn. Statutes 2007 62L.02

Recipients, see Enrollees under this topic

Recovery of money, apportionment, Minn. Statutes 2007 256.019

Relative caretakers, cooperation, children, paternity, medical support, Minn. Statutes 2007 256L.04

Renewal notice, Minn. Statutes 2007 256.962

Reports about

Eligibility, coordination with medical assistance, Minn. Statutes 2007 256.362

Reserves, Minn. Statutes 2007 256L.02

Residence, Minn. Statutes 2007 256L.09

Severability of law, residency, Minn. Statutes 2007 256L.09

State agency, MinnesotaCare defined as

General assistance medical care, Minn. Statutes 2007 256D.03

State aid, comprehensive health insurance plans

Member premiums, exclusion, Minn. Statutes 2007 62E.11

Subrogation, health and accident insurance, Minn. Statutes 2007 62A.045

Taxes, provider tax, exemption, Minn. Statutes 2007 62J.041

Third parties, identification, eligibility, Minn. Statutes 2007 256L.04

Toll-free telephone lines, Minn. Statutes 2007 256L.02

Transportation, payments, risk basis, Minn. Statutes 2007 256B.691

Utilization review

Controlled substances, Minn. Statutes 2007 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Verification, Minn. Statutes 2007 256L.05, 2007 256L.17

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2007 256L.06

Waivers

Federal waivers

Children's health program, Minn. Statutes 2007 256L.28

Coordination with medical assistance, Minn. Statutes 2007 256.362

Dental services, coverage, Minn. Statutes 2007 256B.037

Health insurance credit, assignment, Minn. Statutes 2007 256.362

Individual education plans, Minn. Statutes 2007 256B.69

Individualized family service plan services, Minn. Statutes 2007 256B.69

Maintenance of effort, Minn. Statutes 2007 256L.17

Provider contracts, Minn. Statutes 2007 256B.035

Medical assistance, transfer from MinnesotaCare, Minn. Statutes 2007 256L.17

MinnesotaCare health care reform, Minn. Statutes 2007 256L.03

Wrongfully obtaining, disqualification

Violations and penalties, Minn. Statutes 2007 256.98