MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Administration

Birth records, access to data, Minn. Statutes 2014 144.225

Human Services Department, duties, Minn. Statutes 2014 256L.02, 256L.06

Office, Minn. Statutes 2014 256L.02

Premiums, Minn. Statutes 2014 256L.06

Rulemaking, Minn. Statutes 2014 256L.02

Administrative personnel, access to child support system database, Minn. Statutes 2014 13.46

Affidavits, applicants, residence, Minn. Statutes 2014 256L.09

Affordable Care Act implementation, Minn. Statutes 2014 256L.02

Appeals

Coverage, Minn. Statutes 2014 256B.037, 256L.10

Eligibility, Minn. Statutes 2014 256L.10

Fair hearings, Minn. Statutes 2014 256.045, 256.0451

Health plan companies, complaints, Minn. Statutes 2014 62Q.73

Procedures, Minn. Statutes 2014 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2014 256L.09

Appeals, fair hearings, Minn. Statutes 2014 256.045, 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2014 62Q.22

Domestic violence waiver, Minn. Statutes 2014 256.029

Generally, Minn. Statutes 2014 256L.05

Immigration status, verification and reporting, Minn. Statutes 2014 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2014 256L.02, 256L.06

Social Security numbers, Minn. Statutes 2014 256L.04

Veterans, Minn. Statutes 2014 256L.05

Applications

Assets and income verification, Minn. Statutes 2014 256B.056

Assistance, Minn. Statutes 2014 256.962

Availability, Minn. Statutes 2014 256.962

Generally, Minn. Statutes 2014 256L.05

Medical assistance eligible persons, Minn. Statutes 2014 256L.04

Web site availability, Minn. Statutes 2014 256.01

Armed forces members, eligibility after active service, Minn. Statutes 2014 256L.15

Assets, see Eligibility under this topic

Assignments

Child support, Minn. Statutes 2014 256.741, 256.87

Medical support, Minn. Statutes 2014 256.741

Spousal maintenance, Minn. Statutes 2014 256.741

Benefits

Attachment, exemption, Minn. Statutes 2014 550.143

Coordination, Minn. Statutes 2014 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2014 256L.05

Garnishment, exemption, Minn. Statutes 2014 550.143, 571.912, 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2014 256L.05

Billing, uniform forms, Minn. Statutes 2014 62J.52

Childbirth program, evidence-based, Minn. Statutes 2014 256B.0625

Children's health care services costs, accounting, Minn. Statutes 2014 256.0161

Children's health program, Minn. Statutes 2014 256L.22 to 256L.28

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2014 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2014 256.9655

State or county agency, Minn. Statutes 2014 256.045

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

Complaints, health plan companies, adverse determination appeals, Minn. Statutes 2014 62Q.73

Compliance system, Minn. Statutes 2014 256.017

Consumers, see Enrollees under this topic

Contested cases, birth records, group purchaser data, disclosure, Minn. Statutes 2014 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2014 62Q.03

Managed care, prepaid medical assistance program, Minn. Statutes 2014 256B.69

Participating entities, competitive process, Minn. Statutes 2014 256L.121

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2014 256B.691

Providers, see same under this topic

Coordination of care

Health care homes, Minn. Statutes 2014 62U.03, 256B.0751, 256B.0753

Health homes, Minn. Statutes 2014 256B.0757

Coordination with state-administered health programs, Minn. Statutes 2014 256L.04, 256L.121

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

Cost containment, Minn. Statutes 2014 62J.04, 256B.043, 256L.12

Costs, Minn. Statutes 2014 256L.02

Coverage

Appeals, Minn. Statutes 2014 62Q.73, 256B.037, 256L.10

Armed forces members, Minn. Statutes 2014 256L.15

Case management, mental health, provider duties, Minn. Statutes 2014 256B.0625

Chemical dependency treatment, Minn. Statutes 2014 256L.03, 256L.12

Dental services, Minn. Statutes 2014 256B.037, 256L.03

Effective date, Minn. Statutes 2014 256L.05

Exclusions and limitations, Minn. Statutes 2014 144.551, 256L.03, 256L.09

Families with children, Minn. Statutes 2014 256L.11

Generally, Minn. Statutes 2014 256L.03

Indians, Minn. Statutes 2014 256L.12

Loss ratio, Minn. Statutes 2014 256L.03

Medical assistance eligible persons, see same under this topic

Medical cannabis, Minn. Statutes 2014 152.23

Mental health services, Minn. Statutes 2014 256L.12

New family members, Minn. Statutes 2014 256L.05

Other health coverage, Minn. Statutes 2014 256L.07

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

Preexisting conditions, Minn. Statutes 2014 256L.09

Premiums, payment requirements, Minn. Statutes 2014 256L.05

Reduction, suspension, or termination, Minn. Statutes 2014 256.01, 256L.07, 256L.10

Retroactive, Minn. Statutes 2014 256L.05

Data

Controlled substances, utilization, Minn. Statutes 2014 256B.0636

Dental plans, access, Minn. Statutes 2014 256B.037

Health maintenance organizations, access, Minn. Statutes 2014 62D.145

Individualized education program health-related services provided by school districts, use and dissemination, Minn. Statutes 2014 13.05

Unemployment insurance, access, Minn. Statutes 2014 268.19

Data collection

Health care data analysis unit, Minn. Statutes 2014 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Deductibles, copayments, or coinsurance

Cost-sharing, generally, Minn. Statutes 2014 256L.03

Enrollee payments, Minn. Statutes 2014 256L.12

Exclusions, Minn. Statutes 2014 62D.095

Managed care plans, Minn. Statutes 2014 256L.12

Requirements, Minn. Statutes 2014 256L.11

Definitions

Generally, Minn. Statutes 2014 256L.01

Interagency intervention services, Minn. Statutes 2014 125A.023

Demonstration programs

Dental services, Minn. Statutes 2014 256B.037

Health care delivery systems, Minn. Statutes 2014 256B.0755

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2014 256B.075

Disregards

Generally, Minn. Statutes 2014 256L.01

Gross family income, Minn. Statutes 2014 256L.04

Inpatient hospital service benefits, Minn. Statutes 2014 256L.03

Eligibility

Appeals, Minn. Statutes 2014 256L.10

Assets, Minn. Statutes 2014 256.028

Children's health program, Minn. Statutes 2014 256L.24

Community health clinic enrollees, Minn. Statutes 2014 62Q.22

Determination, time, Minn. Statutes 2014 256L.05

Domestic violence waiver, Minn. Statutes 2014 256.029

Free and reduced school lunch program children, Minn. Statutes 2014 124D.1115

Generally, Minn. Statutes 2014 256L.04, 256L.07

Human Services Department, duties, Minn. Statutes 2014 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2014 3.7395

Income, see same under this topic

Ineligible persons, Minn. Statutes 2014 256L.04

Local social services agencies, duties, Minn. Statutes 2014 256L.05, 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2014 256J.45

Period uninsured, Minn. Statutes 2014 256L.02, 256L.07

Persons ineligible for MFIP, Minn. Statutes 2014 256J.09

Premium payments, Minn. Statutes 2014 256L.04, 256L.06

Prisoners being discharged, Minn. Statutes 2014 244.054

Public assistance reporting information system, Minn. Statutes 2014 256.01

Reduction, suspension, or termination, Minn. Statutes 2014 256.01, 256L.10

Renewal, Minn. Statutes 2014 256L.04, 256L.05

Residence, Minn. Statutes 2014 256L.09

Retroactive changes, general assistance medical care recipients, effect, Minn. Statutes 2014 256B.0645

Verification, Minn. Statutes 2014 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2014 62J.04

Enrollees

Adults without children, healthy Minnesota contribution program, Minn. Statutes 2014 62E.14

Affidavits, residence, Minn. Statutes 2014 256L.09

Appeals, Minn. Statutes 2014 62Q.73, 256B.037, 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2014 256.741, 256.87

Child support, distribution, Minn. Statutes 2014 256.741

Children, copayments, exemptions, Minn. Statutes 2014 256L.03

Community integrated service networks, Minn. Statutes 2014 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2014 253B.03, 253D.17

Controlled substances, utilization, Minn. Statutes 2014 256B.0636

Cooperation, Minn. Statutes 2014 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2014 268.19

Dental plans or providers, change, Minn. Statutes 2014 256B.037

Eligibility, see same under this topic

Human Services Department, duties, Minn. Statutes 2014 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 2014 256.046

Dental plans or providers, Minn. Statutes 2014 256B.037

Disenrollment, Minn. Statutes 2014 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2014 256L.02, 256L.10

Managed care plans, request to change providers, Minn. Statutes 2014 256L.12

Premium subsidy, decrease, Minn. Statutes 2014 256L.02

Premiums, payment, Minn. Statutes 2014 256L.06

Private health and accident insurance, Minn. Statutes 2014 256L.05

Wellness discounts, Minn. Statutes 2014 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2014 256L.11, 256L.12

Personal data, classification, disclosure, Minn. Statutes 2014 13.46

Pregnant women, Minn. Statutes 2014 256L.03

Provider choice, limitations, Minn. Statutes 2014 256L.12

Reports given, income, Minn. Statutes 2014 256L.05, 256L.06

Spousal maintenance, distribution, Minn. Statutes 2014 256.741

Enrollment

Adjustment, Minn. Statutes 2014 256L.02

Continuation, Minn. Statutes 2014 256L.07

Disenrollment, Minn. Statutes 2014 256L.04 to 256L.07, 256L.15

Fees, Minn. Statutes 2014 256L.06

Generally,, Minn. Statutes 2014 256L.04

Limitation, Minn. Statutes 2014 256L.02

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2014 256L.05

Reenrollment, premium payment, Minn. Statutes 2014 256L.06

Establishment, Minn. Statutes 2014 256L.02

Fair hearings, Minn. Statutes 2014 256.045, 256.0451

Federal waivers, see Waivers under this topic

Financial management, Minn. Statutes 2014 256L.02

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding

Federal receipts, appropriated to Human Services Department, Minn. Statutes 2014 16A.724

Health care access fund

Appropriations, Minn. Statutes 2014 295.581

Deposits to, Minn. Statutes 2014 16A.724

Transfers from, Minn. Statutes 2014 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2014 256L.12

Health care delivery systems demonstration program, Minn. Statutes 2014 256B.0755

Health care homes, Minn. Statutes 2014 62U.03, 256B.0751 to 256B.0753

Health care risk adjustment system, public programs, Minn. Statutes 2014 62Q.03

Health homes, Minn. Statutes 2014 256B.0757

Health plan companies, complaints, Minn. Statutes 2014 62Q.73

Health plans, competitive bidding, Minn. Statutes 2014 256L.121

Health Services Policy Committee, Minn. Statutes 2014 256B.0625

Healthy Minnesota contribution program, Minn. Statutes 2014 62E.14

Hearings

Administrative fraud disqualification, Minn. Statutes 2014 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2014 256.045, 256.0451

Rulemaking, Minn. Statutes 2014 256.045

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2014 3.7395

Identification cards, uniform health care cards, issuance, Minn. Statutes 2014 62J.60

Income

Applicants, duties, Minn. Statutes 2014 256L.01

Child support, unearned income, Minn. Statutes 2014 256.741

Disregards, Minn. Statutes 2014 256L.01

Generally, Minn. Statutes 2014 256L.04, 256L.05

Gross family income, Minn. Statutes 2014 256L.04

Increase, continuation of enrollment, Minn. Statutes 2014 256L.07

Limitation, Minn. Statutes 2014 256L.04, 256L.07

Reports about, Minn. Statutes 2014 256L.05, 256L.06

Tax rebates, exclusion, Minn. Statutes 2014 256.028

Inpatient hospital payment system, Minn. Statutes 2014 256.969

Integration with state-operated systems for disabled, managed care systems for disabled persons, Minn. Statutes 2014 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2014 256B.37

Parents' contribution, Minn. Statutes 2014 256.87

Public assistance liens, Minn. Statutes 2014 256.015, 256L.03

Legislative intent, Minn. Statutes 2014 62J.015

Liability

Parents, Minn. Statutes 2014 256.87

Third parties, Minn. Statutes 2014 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2014 256.015, 256L.03

Managed care plans

Children's health program, Minn. Statutes 2014 256L.26

Competitive bidding, Minn. Statutes 2014 256B.69

Financial audits, Minn. Statutes 2014 256B.69

Generally, Minn. Statutes 2014 256L.12

Low-birth rate reduction initiatives, Minn. Statutes 2014 256B.69

Payments to, see Provider payments under this topic

Prepaid program, Minn. Statutes 2014 256B.69

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2014 256.015, 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2014 62J.25

Marketing, Minn. Statutes 2014 256L.02

Medical assistance eligible persons

Coordination of eligibility and coverage, Minn. Statutes 2014 256L.04, 256L.121

Cost-sharing, duties, Minn. Statutes 2014 256L.03

Coverage, Minn. Statutes 2014 256B.037, 256B.0625, 256L.07

Dental services, Minn. Statutes 2014 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2014 256L.05

Generally, Minn. Statutes 2014 256L.04

Local social services agencies, duties, Minn. Statutes 2014 256B.19

Managed care plans, Minn. Statutes 2014 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2014 256B.035

Local social services agencies, referrals to, Minn. Statutes 2014 256L.04

Providers, Minn. Statutes 2014 256B.035

Spenddown, Minn. Statutes 2014 256L.03

Subrogation rights, enforcement, Minn. Statutes 2014 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

MNsure, coordination, Minn. Statutes 2014 256L.02

Orders, Minn. Statutes 2014 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2014 270A.03

Parents' contribution, Minn. Statutes 2014 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Participating entities

Competitive bidding, Minn. Statutes 2014 256L.121

Definitions, Minn. Statutes 2014 256L.01

Payments to, generally, Minn. Statutes 2014 256L.02

Patient Protection Act, application, Minn. Statutes 2014 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2014 256.01

Payments to providers, errors, rate penalties, Minn. Statutes 2014 256.017

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2014 256.362

Policy of state, Minn. Statutes 2014 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2014 256L.02, 256L.05, 256L.06, 256L.15

Agreement to pay defined as debt, Minn. Statutes 2014 270A.03

Amount, Minn. Statutes 2014 256L.04, 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2014 256.045

Exemptions, Minn. Statutes 2014 256L.06, 256L.15

Generally, Minn. Statutes 2014 256L.15

Increase, notice, Minn. Statutes 2014 256L.03

Payment, Minn. Statutes 2014 256L.04 to 256L.07, 256L.15

Purchases at full cost, reports about, Minn. Statutes 2014 256.362

Reports about, Minn. Statutes 2014 256.362

Sliding fee scale, Minn. Statutes 2014 256L.02, 256L.06, 256L.15

Wellness discounts, Minn. Statutes 2014 256.362

Primary care access initiative, Minn. Statutes 2014 256.963

Provider payments

Abortions, reporting, Minn. Statutes 2014 145.4131, 145.4133

Audits and examinations, Minn. Statutes 2014 256B.194

Certain providers, Minn. Statutes 2014 256L.11

Generally, Minn. Statutes 2014 256L.02, 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2014 16A.124

Indian health services facilities, Minn. Statutes 2014 256B.0625

Inpatient hospital services, Minn. Statutes 2014 256L.11

Medical assistance eligible enrollees, redetermination, Minn. Statutes 2014 256L.04

Medical assistance rates, use, Minn. Statutes 2014 256L.11

Mental health case management services, Minn. Statutes 2014 256B.0625

Pay-for-performance system, Minn. Statutes 2014 256.01

Payment reforms, Minn. Statutes 2014 62U.01 to 62U.08, 256B.0754

Physicians' services, Minn. Statutes 2014 256B.0625

Quality improvement payment system, Minn. Statutes 2014 256B.072

Recovery, Minn. Statutes 2014 62A.046

Retroactive eligibility changes, effect, Minn. Statutes 2014 256B.0645

Targeted case management services, Minn. Statutes 2014 256B.0924

Transportation services, risk basis, Minn. Statutes 2014 256B.691

Provider taxes, health care cost containment, taxes and assessments, exemption, Minn. Statutes 2014 62J.041

Providers

Audits and examinations, Minn. Statutes 2014 256B.194

Claims, electronic submission, Minn. Statutes 2014 256.9655

Contracts

General, Minn. Statutes 2014 256B.035

Managed care plans and similar entities, Minn. Statutes 2014 256L.12

Prohibited contracts, Patient Protection Act, Minn. Statutes 2014 62J.71

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2014 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2014 256B.194

Generally, Minn. Statutes 2014 256L.12

Health care facilities, applications, Minn. Statutes 2014 256L.05

Interagency data exchange, Minn. Statutes 2014 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2014 62J.25

Participation requirements, Minn. Statutes 2014 62D.04, 62D.30, 62N.25, 256B.0644

Payments to, see Provider payments under this topic

Performance reporting and quality improvement payment system, Minn. Statutes 2014 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2014 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2014 62J.04

Public assistance, MinnesotaCare defined as, Minn. Statutes 2014 256.741

Public information and education programs, Minn. Statutes 2014 256.962

Purpose, Minn. Statutes 2014 256L.02

Quality control/quality assurance

Case penalties, Minn. Statutes 2014 256.017

Compliance system, Minn. Statutes 2014 256.017

Human Services Department, duties, Minn. Statutes 2014 256.017

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2014 256.019

Contingency contract fee retention, Minn. Statutes 2014 256.01

Overpayments, revenue recapture, Minn. Statutes 2014 270A.03

Relative caretakers, cooperation, children, paternity, medical support, Minn. Statutes 2014 256L.04

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2014 256.362

Reserves, Minn. Statutes 2014 256L.02

Residence, Minn. Statutes 2014 256L.09

Severability of law, residency, Minn. Statutes 2014 256L.09

State aid, comprehensive health insurance plans, member premiums, exclusion, Minn. Statutes 2014 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2014 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2014 3.7395

Taxes, provider tax, exemption, Minn. Statutes 2014 62J.041

Termination, Minn. Statutes 2014 256.01

Third parties, identification, eligibility, Minn. Statutes 2014 256L.04

Toll-free telephone lines, Minn. Statutes 2014 256L.02

Transportation, payments, risk basis, Minn. Statutes 2014 256B.691

Utilization review, controlled substances, Minn. Statutes 2014 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Selection, Minn. Statutes 2014 256B.69

Verification, Minn. Statutes 2014 256L.05

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2014 256L.06

Waivers

Federal waivers

Children's health program, Minn. Statutes 2014 256L.28

Coordination with medical assistance, Minn. Statutes 2014 256.362

Dental services, coverage, Minn. Statutes 2014 256B.037

Health insurance credit, assignment, Minn. Statutes 2014 256.362

Individualized education programs, Minn. Statutes 2014 256B.69

Individualized family service plan services, Minn. Statutes 2014 256B.69

Provider contracts, Minn. Statutes 2014 256B.035

MinnesotaCare health care reform, Minn. Statutes 2014 256L.03

Web pages, government information on, Minn. Statutes 2014 256L.02

Wrongfully obtaining, disqualification, Minn. Statutes 2014 256.98