COMMUNITY INTEGRATED SERVICE NETWORKS

Accounting and bookkeeping

Shared services cooperatives, duties, Minn. Statutes 2010 62N.26

Accreditation not required, Minn. Statutes 2010 62Q.37

Accredited capitated providers, Minn. Statutes 2010 62N.27, 62N.31

Administration, shared services cooperatives, duties, Minn. Statutes 2010 62N.26

Admitted assets

Deposit, Minn. Statutes 2010 62N.25, 62N.29, 62N.32

Requirements, generally, Minn. Statutes 2010 62N.27

Affiliates, cost containment goals, election, Minn. Statutes 2010 62J.041

Agreements by

Guaranteeing organizations, Minn. Statutes 2010 62N.29

Prohibited agreements, Patient Protection Act, Minn. Statutes 2010 62J.71

Allied independent health providers, scope of practice

Abortion regulation, compliance, Minn. Statutes 2010 62Q.145

Alternative dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Assessments, exemptions, defined, Minn. Statutes 2010 62J.041

Assets, sale or disposition

Premium revenue surcharges, liability, Minn. Statutes 2010 256.9657

Assignments

Claim discounts, Minn. Statutes 2010 72A.201

Premium revenue surcharges, liability, Minn. Statutes 2010 256.9657

Audits and examinations, independent audits, Minn. Statutes 2010 62Q.37

Benefits

Coordination, insolvency or liquidation, Minn. Statutes 2010 62D.181

Requirements, Minn. Statutes 2010 62N.25

Border community networks, regulation

Collaborative approach, Minn. Statutes 2010 62N.35

Certificates and certification

Coverage, federal regulations, Minn. Statutes 2010 62Q.181

Workers' compensation managed care certification, eligibility, procedures, Minn. Statutes 2010 176.1351

Certificates of authority

Denial, revocation, or suspension, small employer health benefit plan violations, Minn. Statutes 2010 62L.11

Exemptions, Minn. Statutes 2010 256B.692, 256B.77

Chemical use assessments, health plan companies, Minn. Statutes 2010 62Q.1055

Claims

Discounts, Minn. Statutes 2010 72A.201

Health plan companies, Minn. Statutes 2010 62Q.737

Unique patient identification numbers, use, Minn. Statutes 2010 62J.54

Claims administrators, utilization review, Minn. Statutes 2010 62M.02, 62M.04 to 62M.07

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

Commissions, coverage or enrollment sales, disclosure, Minn. Statutes 2010 62N.22

Community Integrated Service Network Act, Minn. Statutes 2010 62N.01 to 62N.40

Complaints

Dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Enrollee complaint system, Minn. Statutes 2010 62J.2930

Investigations, Minn. Statutes 2010 62Q.106

Conflict of laws, portability of coverage, prevailing law, Minn. Statutes 2010 62Q.18

Consumer cost-sharing, see Cost-sharing under this topic

Contested cases

Birth records, group purchaser data, disclosure, Minn. Statutes 2010 144.225

Excess expenditures, assessments, Minn. Statutes 2010 62J.041

Contracts and agreements

Chemical dependency treatment programs, Minn. Statutes 2010 62Q.135

Comprehensive health insurance plans, see under HEALTH AND ACCIDENT INSURANCE

Coordination, insolvency insurance, Minn. Statutes 2010 62D.181

Defined as health plans, Minn. Statutes 2010 62Q.01

Demonstration providers, Minn. Statutes 2010 256B.037, 256B.69

Dental services, Minn. Statutes 2010 256B.037, 256B.69

Health care network cooperatives, relicensure, effect, Minn. Statutes 2010 62R.07

Health provider cooperatives, generally, Minn. Statutes 2010 62R.06, 62R.09

Limits, determining, Minn. Statutes 2010 72A.20

Patient Protection Act, Minn. Statutes 2010 62J.701, 62J.71

Provider contracts, Minn. Statutes 2010 62N.25, 62Q.732 to 62Q.75

Restrictive terms, Minn. Statutes 2010 62J.73

Shared services cooperatives, duties, Minn. Statutes 2010 62N.26

Contributing members, see Comprehensive health insurance plans under HEALTH AND ACCIDENT INSURANCE

Cooperatives, Minn. Statutes 2010 62N.25

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

Corporate status

Premium revenue surcharge liability, effect, Minn. Statutes 2010 256.9657

Cost containment, see under HEALTH CARE

Cost-sharing

Chemical dependency treatment, Minn. Statutes 2010 62Q.47

Closed-panel health plans, Minn. Statutes 2010 62Q.43

Disclosure, Minn. Statutes 2010 62Q.49

Generally, Minn. Statutes 2010 62J.041

Mental health services, Minn. Statutes 2010 62Q.47

Point-of-service options, Minn. Statutes 2010 62Q.51

Prostate cancer screening, Minn. Statutes 2010 62Q.50

Coverage

Abortion, Minn. Statutes 2010 145.414

Adopted children, Minn. Statutes 2010 62A.27

Chemical dependency treatment, Minn. Statutes 2010 62N.40, 62Q.47

Conflict of laws, Minn. Statutes 2010 62Q.18

Date available, Minn. Statutes 2010 62N.25

Denial of access, professional opinion required, Minn. Statutes 2010 62Q.12

Dental procedures, Minn. Statutes 2010 62A.308, 256B.037

Dependents, Minn. Statutes 2010 62A.048, 62A.302

Eligibility, genetic tests, Minn. Statutes 2010 72A.139

Guaranteed issue, Minn. Statutes 2010 62A.10, 62Q.18

Health maintenance organization benefit set, Minn. Statutes 2010 62N.25

Hearing aids, Minn. Statutes 2010 62Q.675

Insolvency or liquidation of community integrated service networks, Minn. Statutes 2010 62D.181

Lyme disease, treatment, Minn. Statutes 2010 62A.265

Maternity, Minn. Statutes 2010 62A.0411

Medical tests ordered by advanced practice nurses, Minn. Statutes 2010 62A.3091

Mental health services, cost-sharing, Minn. Statutes 2010 62Q.47

Out-of-area primary care, Minn. Statutes 2010 62Q.45

Point-of-service options, Minn. Statutes 2010 62Q.51

Portability, Minn. Statutes 2010 62Q.021, 62Q.18

Preexisting conditions, Minn. Statutes 2010 62N.33, 62Q.18

Prescription drugs written by nonphysicians, Minn. Statutes 2010 62A.307

Prostate cancer screening, Minn. Statutes 2010 62Q.50

Replacement coverage, Minn. Statutes 2010 62N.33

Surgical first assistants, Minn. Statutes 2010 62A.3092

Termination, mid-month, Minn. Statutes 2010 62Q.16

Voluntary purchasing pools, Minn. Statutes 2010 62Q.17

X-rays ordered by advanced practice nurses, Minn. Statutes 2010 62A.3091

Data

Access to data, Minn. Statutes 2010 62Q.03, 62Q.135

Provider information pilot study, Minn. Statutes 2010 62J.322

Data collection

Health care data and research initiatives, Minn. Statutes 2010 62J.321, 62J.381

Standard identifiers, use, Minn. Statutes 2010 62J.321

Deductibles, copayments, or coinsurance

Consumer cost-sharing, effect, disclosure, Minn. Statutes 2010 62Q.49

Lyme disease treatment, restriction, Minn. Statutes 2010 62A.265

Negotiated provider payments, effect, disclosure, Minn. Statutes 2010 62Q.49

Patient Protection Act, disclosure, Minn. Statutes 2010 62J.72

Prostate cancer screening, Minn. Statutes 2010 62Q.50

Definitions

Community Integrated Service Network Act, Minn. Statutes 2010 62N.02

Essential community providers, designation, Minn. Statutes 2010 62Q.19

Health plan companies, Minn. Statutes 2010 62Q.01, 62Q.76

Insurance fraud, Minn. Statutes 2010 60A.951

Small Employer Health Benefit Act, Minn. Statutes 2010 62L.02

Demonstration providers

Community integrated service networks defined as, Minn. Statutes 2010 256B.69

Contracts, dental services, Minn. Statutes 2010 256B.037, 256B.69

Dental insurance coverage, see Coverage under this topic

Dental organizations, Minn. Statutes 2010 62Q.76 to 62Q.79

Dental services, contracts

Medical assistance, Minn. Statutes 2010 256B.037

Medical assistance prepaid demonstration project, Minn. Statutes 2010 256B.69

Deposit requirements

Generally, Minn. Statutes 2010 62N.25, 62N.32

Guaranteeing organizations, Minn. Statutes 2010 62N.29

Development, implementation, timetable, Minn. Statutes 2010 62J.017

Disclosure

Audits by independent organizations, Minn. Statutes 2010 62Q.37

Claim discounts, Minn. Statutes 2010 72A.201

Commissions, coverage or enrollment sales, Minn. Statutes 2010 62N.22

Consumer cost-sharing, effect, Minn. Statutes 2010 62Q.49

Health Plan Contracting Act, Minn. Statutes 2010 62Q.735, 62Q.737

Marketing, Minn. Statutes 2010 62Q.49

Negotiated provider payments, effect, Minn. Statutes 2010 62Q.49

Reimbursement methodologies, Patient Protection Act, Minn. Statutes 2010 62J.72

Small employer health benefit plans, underwriting, Minn. Statutes 2010 62L.06

Dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Enforcement of law

Coverage, Minn. Statutes 2010 62Q.021, 62Q.181

Health care cost containment, Minn. Statutes 2010 62J.041

Health Department, powers, Minn. Statutes 2010 256B.77

Medical assistance demonstration project for people with disabilities, Minn. Statutes 2010 256B.77

Voluntary purchasing pools, Minn. Statutes 2010 62Q.17

Enrollee complaint system

Health care information clearinghouse, duties, Minn. Statutes 2010 62J.2930

Enrollees

Chemical dependency treatment assessments, Minn. Statutes 2010 62N.25

Cost-sharing, see same under this topic

Definitions, Minn. Statutes 2010 62J.70, 62N.02, 62Q.01

Dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Insolvent networks, Minn. Statutes 2010 62N.33

Patient Protection Act, Minn. Statutes 2010 62J.695 to 62J.76

Reports about, Minn. Statutes 2010 62N.31

Rights, health care information clearinghouse, Minn. Statutes 2010 62J.2930

Enrollment

Limits, exceptions, Minn. Statutes 2010 62N.25

Reports about, Minn. Statutes 2010 62J.041

Essential community providers, Minn. Statutes 2010 62Q.096, 62Q.19, 62Q.22

Essential facilities and services, Minn. Statutes 2010 62J.73

Exclusive relationships, Minn. Statutes 2010 62J.73

Exempt rules, technical assistance program (CISNTAP), Minn. Statutes 2010 62N.23

Expenditures, see Cost containment under HEALTH CARE

Federal regulations, Medicare antikickback laws, Minn. Statutes 2010 62J.23

Fines

Patient Protection Act, violations, Minn. Statutes 2010 62J.74

Premium revenue surcharges, tax penalties, Minn. Statutes 2010 256.9657

Small employer health benefit plan violations, Minn. Statutes 2010 62L.11

Fraud, see Insurance fraud under FRAUD

Good faith, proposals

Service to government program recipients, Minn. Statutes 2010 62N.25

Governing body, members, Minn. Statutes 2010 62N.25

Group health and accident insurance

Coverage, see same under this topic

Guaranteed issue, Minn. Statutes 2010 62Q.18

Issuance, Minn. Statutes 2010 62A.10

Requirements, Minn. Statutes 2010 62A.10

Group purchasers, see under HEALTH CARE

Guaranteeing organizations, Minn. Statutes 2010 62N.29

Health care data and research initiatives, cooperation, Minn. Statutes 2010 62J.301

Health care information, review organizations, see under HEALTH CARE

Health care provider cooperatives, exception, Minn. Statutes 2010 62R.02

Health care providing entities

Accreditation procedures, Minn. Statutes 2010 62N.27, 62N.31

Health care risk adjustment system, Minn. Statutes 2010 60A.235, 62Q.03

Health care taxes, Minn. Statutes 2010 295.50 to 295.53, 295.56, 295.582

Health carriers, community integrated service networks defined as, Minn. Statutes 2010 62L.02

Health Department, rulemaking authority, Minn. Statutes 2010 256B.77

Health plan companies

Community integrated service networks defined as

Health care cost containment, Minn. Statutes 2010 62J.041

Requirements, Minn. Statutes 2010 62Q.01, 62Q.37, 62Q.733

Coverage, Minn. Statutes 2010 62Q.02

Generally, see Health plan companies under HEALTH AND ACCIDENT INSURANCE

Income and franchise taxes, exemption, Minn. Statutes 2010 290.0921

Information about

Health care information clearinghouse, duties, Minn. Statutes 2010 62J.2930

Insolvency, Minn. Statutes 2010 62D.181, 62N.33

Insolvency insurance, benefits, coordination, Minn. Statutes 2010 62D.181

Insurance taxes, see INSURANCE TAXES

Insureds, see Enrollees under this topic

Insurers

Community integrated service networks defined as, Minn. Statutes 2010 60A.951

Exclusion, Comprehensive Health Insurance Act, Minn. Statutes 2010 62E.02

Investigations, complaints, Minn. Statutes 2010 62Q.106

Lawsuits

Dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Providers, Minn. Statutes 2010 62N.25

Leases, premium revenue surcharges, liability, Minn. Statutes 2010 256.9657

Legal services, shared services cooperatives, duties, Minn. Statutes 2010 62N.26

Liability

Conflicts of interest, exemptions, Minn. Statutes 2010 62J.23

Health care taxes, Minn. Statutes 2010 295.56

Patient data, disclosure, immunity, Minn. Statutes 2010 62J.321

Premium revenue surcharges, Minn. Statutes 2010 256.9657

Licenses

Applications, Minn. Statutes 2010 62J.041, 62N.25

Conversion, mergers or consolidations, Minn. Statutes 2010 256.9657

Generally, Minn. Statutes 2010 62N.25

Health care network cooperatives licensed as, Minn. Statutes 2010 62R.03, 62R.07

Health care risk adjustment system, participation, Minn. Statutes 2010 62Q.03

Liquidation

Enrollees, Minnesota Comprehensive Health Association alternative coverage, Minn. Statutes 2010 62D.181

Guaranteeing organizations, duties, Minn. Statutes 2010 62N.29

Loans to, technical assistance program, Minn. Statutes 2010 62N.23

Managed care organizations

Community integrated service networks defined as, Minn. Statutes 2010 62Q.01

Generally, see Managed care plans or organizations under HEALTH AND ACCIDENT INSURANCE

Marketing, disclosure, Minn. Statutes 2010 62Q.49

Medicare recipients, total premium revenues, surcharges, Minn. Statutes 2010 256.9657

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Memberships, Minnesota Comprehensive Health Association (MCHA), Minn. Statutes 2010 62E.10

Mental health services, coordination of care pilot projects, Minn. Statutes 2010 245.4682

Mergers or consolidations, new corporations

Premium revenue surcharges, liability, Minn. Statutes 2010 256.9657

Monitoring, Minn. Statutes 2010 62J.041

Negotiated payment rates, see Providers under this topic

Net worth

Deposit requirements, Minn. Statutes 2010 62N.25, 62N.29, 62N.32

Generally, Minn. Statutes 2010 62N.27, 62N.28

Guaranteeing organizations, Minn. Statutes 2010 62N.29

Monitoring, Minn. Statutes 2010 62J.041

Phasing in, Minn. Statutes 2010 62N.25, 62N.28

Notice given

Providers, contracts, Minn. Statutes 2010 62Q.735, 62Q.739

Small employer health benefit plans, cessation of business, Minn. Statutes 2010 62L.09

Orders, complaints, resolution, Minn. Statutes 2010 62Q.106

Organization, cooperatives, Minn. Statutes 2010 62N.25

Patient Protection Act, Minn. Statutes 2010 62J.73

Payments by

Ambulance services, reimbursements, Minn. Statutes 2010 62J.48

Point-of-service options, Minn. Statutes 2010 62Q.51

Premium revenue surcharges, Minn. Statutes 2010 256.9657

Unpaid capitated amounts, Minn. Statutes 2010 62N.31

Percentage of risk ceded, net worth, reduction, Minn. Statutes 2010 62N.28

Performance standards, Minn. Statutes 2010 62Q.37

Personal health care services, funding, recommendations, Minn. Statutes 2010 62Q.33

Planning, exemptions, Minn. Statutes 2010 62N.25

Point-of-service options, Minn. Statutes 2010 62Q.51

Policy, closed-panel health plans, Minn. Statutes 2010 62Q.43

Policy of state

Abortion coverage, Minn. Statutes 2010 145.414

Medicare antikickback laws, Minn. Statutes 2010 62J.23

Premiums

Closed panel health plans, student enrollees, Minn. Statutes 2010 62Q.43

Insolvency insurance and Minnesota Comprehensive Health Association premiums, Minn. Statutes 2010 62D.181

Rates, Minn. Statutes 2010 62J.041

Reasonable, adequate, and nonpredatory premiums, Minn. Statutes 2010 72A.20

Reinsurance credit, Minn. Statutes 2010 62N.28

Revenues, surcharges, Minn. Statutes 2010 256.9657

Prohibited health plans, disclosures, noncompliance, Minn. Statutes 2010 62Q.49

Proposals, government program recipients, services to, Minn. Statutes 2010 62N.25

Provider amount at risk

Accreditation requirements, Minn. Statutes 2010 62N.31

Certification, Minn. Statutes 2010 62N.27

Reports about, Minn. Statutes 2010 62N.31

Provider networks, alternative dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Providers

Accredited capitated providers, Minn. Statutes 2010 62N.27, 62N.31

Allied independent health providers, Minn. Statutes 2010 62Q.145

Claims, Minn. Statutes 2010 62Q.737

Contracts, Minn. Statutes 2010 62N.25, 62Q.732 to 62Q.75

Disclosure, Minn. Statutes 2010 62Q.49

Dispute resolution, Minn. Statutes 2010 62Q.106, 62Q.19

Lawsuits, Minn. Statutes 2010 62N.25

Notice received, contracts, Minn. Statutes 2010 62Q.735, 62Q.739

Payments, Minn. Statutes 2010 62Q.49, 62Q.51, 62Q.736

Purpose, Minn. Statutes 2010 62N.02

Rehabilitation, Minn. Statutes 2010 62N.29

Reports given

Expenditures, Minn. Statutes 2010 62J.041

Small employer health benefit plans, Minn. Statutes 2010 62L.10

Reserves

Generally, Minn. Statutes 2010 62J.041

Requirements, generally, Minn. Statutes 2010 62N.25

Retaliation by, health care providers, Minn. Statutes 2010 62J.71

Revenues, reports about, Minn. Statutes 2010 62J.041

Scope of practice, abortion, compliance, Minn. Statutes 2010 62Q.145

Shared service cooperatives, Minn. Statutes 2010 62N.26

Small employer health benefit plans, see Health carriers under SMALL EMPLOYER HEALTH BENEFIT PLANS

Solvency

Generally, Minn. Statutes 2010 62N.25

Insolvency, Minn. Statutes 2010 62D.181

Special education services, Minn. Statutes 2010 125A.023

Technical assistance, shared services cooperatives, duties, Minn. Statutes 2010 62N.26

Technical assistance program (CISNTAP), Minn. Statutes 2010 62N.23

Trade secret information, reserve calculations, Minn. Statutes 2010 62J.041

Transacting business in Minnesota, Minn. Statutes 2010 295.51

Uncovered health services costs, Minn. Statutes 2010 62N.28

Unfair or deceptive trade practices, Minn. Statutes 2010 72A.20

Utilization Review Act, Minn. Statutes 2010 62M.01

Violations and penalties

Patient Protection Act, fines, injunctions, Minn. Statutes 2010 62J.74

Premium revenues surcharges, fines, tax penalties, Minn. Statutes 2010 256.9657

Prohibited agreements, violations, Minn. Statutes 2010 62J.71

Small employer health benefit plan violations, Minn. Statutes 2010 62L.11

Writing carriers, see Comprehensive health insurance plans under HEALTH AND ACCIDENT INSURANCE