COMMUNITY INTEGRATED SERVICE NETWORKS

Accounting and bookkeeping, shared services cooperatives, duties, Minn. Statutes 2015 62N.26

Accredited capitated providers, Minn. Statutes 2015 62N.27, 62N.31

Administration, shared services cooperatives, duties, Minn. Statutes 2015 62N.26

Admitted assets

Deposit, Minn. Statutes 2015 62N.25, 62N.29, 62N.32

Requirements, generally, Minn. Statutes 2015 62N.27

Affiliates, cost containment goals, election, Minn. Statutes 2015 62J.041

Agreements by

Guaranteeing organizations, Minn. Statutes 2015 62N.29

Prohibited agreements, Patient Protection Act, Minn. Statutes 2015 62J.71

Allied independent health providers, scope of practice, abortion regulation, compliance, Minn. Statutes 2015 62Q.145

Alternative dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Assessments, exemptions, defined, Minn. Statutes 2015 62J.041

Assets, sale or disposition, premium revenue surcharges, liability, Minn. Statutes 2015 256.9657

Assignments

Claim discounts, Minn. Statutes 2015 72A.201

Premium revenue surcharges, liability, Minn. Statutes 2015 256.9657

Audits and examinations, independent audits, Minn. Statutes 2015 62Q.37

Benefits

Coordination, insolvency or liquidation, Minn. Statutes 2015 62D.181

Requirements, Minn. Statutes 2015 62N.25

Border community networks, regulation, collaborative approach, Minn. Statutes 2015 62N.35

Certificates and certification

Coverage, federal regulations, Minn. Statutes 2015 62Q.181

Workers' compensation managed care certification, eligibility, procedures, Minn. Statutes 2015 176.1351

Certificates of authority

Denial, revocation, or suspension, small employer health benefit plan violations, Minn. Statutes 2015 62L.11

Exemptions, Minn. Statutes 2015 256B.692, 256B.77

Chemical use assessments, health plan companies, Minn. Statutes 2015 62Q.1055

Claims

Discounts, Minn. Statutes 2015 72A.201

Health plan companies, Minn. Statutes 2015 62Q.737

Unique patient identification numbers, use, Minn. Statutes 2015 62J.54

Claims administrators, utilization review, Minn. Statutes 2015 62M.02, 62M.04 to 62M.07

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

Commissions, coverage or enrollment sales, disclosure, Minn. Statutes 2015 62N.22

Community Integrated Service Network Act, Minn. Statutes 2015 62N.01 to 62N.40

Complaints

Dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Enrollee complaint system, Minn. Statutes 2015 62J.2930

Investigations, Minn. Statutes 2015 62Q.106

Conflict of laws, portability of coverage, prevailing law, Minn. Statutes 2015 62Q.18

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

Contested cases

Birth records, group purchaser data, disclosure, Minn. Statutes 2015 144.225

Excess expenditures, assessments, Minn. Statutes 2015 62J.041

Contracts and agreements

Chemical dependency treatment programs, Minn. Statutes 2015 62Q.135

Comprehensive health insurance plans, see under HEALTH AND ACCIDENT INSURANCE

Coordination, insolvency insurance, Minn. Statutes 2015 62D.181

Defined as health plans, Minn. Statutes 2015 62Q.01

Demonstration providers, Minn. Statutes 2015 256B.037, 256B.69

Dental services, Minn. Statutes 2015 256B.037

Health care network cooperatives, relicensure, effect, Minn. Statutes 2015 62R.07

Health provider cooperatives, generally, Minn. Statutes 2015 62R.06, 62R.09

Limits, determining, Minn. Statutes 2015 72A.20

Patient Protection Act, Minn. Statutes 2015 62J.701, 62J.71

Provider contracts, Minn. Statutes 2015 62N.25, 62Q.732 to 62Q.75

Restrictive terms, Minn. Statutes 2015 62J.73

Shared services cooperatives, duties, Minn. Statutes 2015 62N.26

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

Cooperatives, Minn. Statutes 2015 62N.25

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

Corporate status, premium revenue surcharge liability, effect, Minn. Statutes 2015 256.9657

Cost containment, see under HEALTH CARE

Cost-sharing

Chemical dependency treatment, Minn. Statutes 2015 62Q.47

Closed-panel health plans, Minn. Statutes 2015 62Q.43

Disclosure, Minn. Statutes 2015 62Q.49

Generally, Minn. Statutes 2015 62J.041

Mental health services, Minn. Statutes 2015 62Q.47

Point-of-service options, Minn. Statutes 2015 62Q.51

Prostate cancer screening, Minn. Statutes 2015 62Q.50

Coverage

Abortion, Minn. Statutes 2015 145.414

Adopted children, Minn. Statutes 2015 62A.27

Chemical dependency treatment, Minn. Statutes 2015 62N.40, 62Q.47

Conflict of laws, Minn. Statutes 2015 62Q.18

Date available, Minn. Statutes 2015 62N.25

Denial of access, professional opinion required, Minn. Statutes 2015 62Q.12

Dental procedures, Minn. Statutes 2015 62A.308, 256B.037

Dependents, Minn. Statutes 2015 62A.048, 62A.302

Eligibility, genetic tests, Minn. Statutes 2015 72A.139

Guaranteed issue, Minn. Statutes 2015 62A.10, 62Q.18

Health maintenance organization benefit set, Minn. Statutes 2015 62N.25

Hearing aids, Minn. Statutes 2015 62Q.675

Insolvency or liquidation of community integrated service networks, Minn. Statutes 2015 62D.181

Lyme disease, treatment, Minn. Statutes 2015 62A.265

Maternity, Minn. Statutes 2015 62A.0411

Medical tests ordered by advanced practice nurses, Minn. Statutes 2015 62A.3091

Mental health services, cost-sharing, Minn. Statutes 2015 62Q.47

Out-of-area primary care, Minn. Statutes 2015 62Q.45

Point-of-service options, Minn. Statutes 2015 62Q.51

Portability, Minn. Statutes 2015 62Q.021, 62Q.18

Preexisting conditions, Minn. Statutes 2015 62N.33, 62Q.18

Prescription drugs written by nonphysicians, Minn. Statutes 2015 62A.307

Prostate cancer screening, Minn. Statutes 2015 62Q.50

Replacement coverage, Minn. Statutes 2015 62N.33

Surgical first assistants, Minn. Statutes 2015 62A.3092

Termination, mid-month, Minn. Statutes 2015 62Q.16

Voluntary purchasing pools, Minn. Statutes 2015 62Q.17

X-rays ordered by advanced practice nurses, Minn. Statutes 2015 62A.3091

Data, access to data, Minn. Statutes 2015 62Q.03, 62Q.135

Data collection

Health care data and research initiatives, Minn. Statutes 2015 62J.321

Standard identifiers, use, Minn. Statutes 2015 62J.321

Deductibles, copayments, or coinsurance

Consumer cost-sharing, effect, disclosure, Minn. Statutes 2015 62Q.49

Lyme disease treatment, restriction, Minn. Statutes 2015 62A.265

Negotiated provider payments, effect, disclosure, Minn. Statutes 2015 62Q.49

Patient Protection Act, disclosure, Minn. Statutes 2015 62J.72

Prostate cancer screening, Minn. Statutes 2015 62Q.50

Definitions

Community Integrated Service Network Act, Minn. Statutes 2015 62N.02

Essential community providers, designation, Minn. Statutes 2015 62Q.19

Health plan companies, Minn. Statutes 2015 62Q.01, 62Q.76

Insurance fraud, Minn. Statutes 2015 60A.951

Small Employer Health Benefit Act, Minn. Statutes 2015 62L.02

Demonstration providers

Community integrated service networks defined as, Minn. Statutes 2015 256B.69

Contracts, dental services, Minn. Statutes 2015 256B.037

Dental insurance coverage, see Coverage under this topic

Dental organizations, Minn. Statutes 2015 62Q.76 to 62Q.79

Dental services, contracts, medical assistance, Minn. Statutes 2015 256B.037

Deposit requirements

Generally, Minn. Statutes 2015 62N.25, 62N.32

Guaranteeing organizations, Minn. Statutes 2015 62N.29

Development, implementation, timetable, Minn. Statutes 2015 62J.017

Disclosure

Audits by independent organizations, Minn. Statutes 2015 62Q.37

Claim discounts, Minn. Statutes 2015 72A.201

Commissions, coverage or enrollment sales, Minn. Statutes 2015 62N.22

Consumer cost-sharing, effect, Minn. Statutes 2015 62Q.49

Health Plan Contracting Act, Minn. Statutes 2015 62Q.735, 62Q.737

Marketing, Minn. Statutes 2015 62Q.49

Negotiated provider payments, effect, Minn. Statutes 2015 62Q.49

Reimbursement methodologies, Patient Protection Act, Minn. Statutes 2015 62J.72

Small employer health benefit plans, underwriting, Minn. Statutes 2015 62L.06

Dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Enforcement of law

Coverage, Minn. Statutes 2015 62Q.021, 62Q.181

Health care cost containment, Minn. Statutes 2015 62J.041

Health Department, powers, Minn. Statutes 2015 256B.77

Medical assistance demonstration project for people with disabilities, Minn. Statutes 2015 256B.77

Voluntary purchasing pools, Minn. Statutes 2015 62Q.17

Enrollee complaint system, health care information clearinghouse, duties, Minn. Statutes 2015 62J.2930

Enrollees

Chemical dependency treatment assessments, Minn. Statutes 2015 62N.25

Cost-sharing, see same under this topic

Definitions, Minn. Statutes 2015 62J.70, 62N.02, 62Q.01

Dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Insolvent networks, Minn. Statutes 2015 62N.33

Patient Protection Act, Minn. Statutes 2015 62J.695 to 62J.76

Reports about, Minn. Statutes 2015 62N.31

Rights, health care information clearinghouse, Minn. Statutes 2015 62J.2930

Enrollment

Limits, exceptions, Minn. Statutes 2015 62N.25

Reports about, Minn. Statutes 2015 62J.041

Essential community providers, Minn. Statutes 2015 62Q.096, 62Q.19, 62Q.22

Essential facilities and services, Minn. Statutes 2015 62J.73

Exclusive relationships, Minn. Statutes 2015 62J.73

Exempt rules, technical assistance program (CISNTAP), Minn. Statutes 2015 62N.23

Expenditures, see Cost containment under HEALTH CARE

Federal regulations, Medicare antikickback laws, Minn. Statutes 2015 62J.23

Fines

Patient Protection Act, violations, Minn. Statutes 2015 62J.74

Premium revenue surcharges, tax penalties, Minn. Statutes 2015 256.9657

Small employer health benefit plan violations, Minn. Statutes 2015 62L.11

Fraud, see Insurance fraud under FRAUD

Good faith, proposals, service to government program recipients, Minn. Statutes 2015 62N.25

Governing body, members, Minn. Statutes 2015 62N.25

Group health and accident insurance

Coverage, see same under this topic

Guaranteed issue, Minn. Statutes 2015 62Q.18

Issuance, Minn. Statutes 2015 62A.10

Requirements, Minn. Statutes 2015 62A.10

Group purchasers, see under HEALTH CARE

Guaranteeing organizations, Minn. Statutes 2015 62N.29

Health care data and research initiatives, cooperation, Minn. Statutes 2015 62J.301

Health care information, review organizations, see under HEALTH CARE

Health care provider cooperatives, exception, Minn. Statutes 2015 62R.02

Health care providing entities, accreditation procedures, Minn. Statutes 2015 62N.27, 62N.31

Health care risk adjustment system, Minn. Statutes 2015 60A.235, 62Q.03

Health care taxes, Minn. Statutes 2015 295.50 to 295.53, 295.56, 295.582

Health carriers, community integrated service networks defined as, Minn. Statutes 2015 62L.02

Health Department, rulemaking authority, Minn. Statutes 2015 256B.77

Health plan companies

Community integrated service networks defined as

Health care cost containment, Minn. Statutes 2015 62J.041

Requirements, Minn. Statutes 2015 62Q.01, 62Q.37, 62Q.733

Coverage, Minn. Statutes 2015 62Q.02

Generally, see Health plan companies under HEALTH AND ACCIDENT INSURANCE

Income and franchise taxes, exemption, Minn. Statutes 2015 290.0921

Information about, health care information clearinghouse, duties, Minn. Statutes 2015 62J.2930

Insolvency, Minn. Statutes 2015 62D.181, 62N.33

Insolvency insurance, benefits, coordination, Minn. Statutes 2015 62D.181

Insurance taxes, see INSURANCE TAXES

Insureds, see Enrollees under this topic

Insurers

Community integrated service networks defined as, Minn. Statutes 2015 60A.951

Exclusion, Comprehensive Health Insurance Act, Minn. Statutes 2015 62E.02

Investigations, complaints, Minn. Statutes 2015 62Q.106

Lawsuits

Dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Providers, Minn. Statutes 2015 62N.25

Leases, premium revenue surcharges, liability, Minn. Statutes 2015 256.9657

Legal services, shared services cooperatives, duties, Minn. Statutes 2015 62N.26

Liability

Conflicts of interest, exemptions, Minn. Statutes 2015 62J.23

Health care taxes, Minn. Statutes 2015 295.56

Patient data, disclosure, immunity, Minn. Statutes 2015 62J.321

Premium revenue surcharges, Minn. Statutes 2015 256.9657

Licenses

Applications, Minn. Statutes 2015 62J.041, 62N.25

Conversion, mergers or consolidations, Minn. Statutes 2015 256.9657

Generally, Minn. Statutes 2015 62N.25

Health care network cooperatives licensed as, Minn. Statutes 2015 62R.03, 62R.07

Health care risk adjustment system, participation, Minn. Statutes 2015 62Q.03

Liquidation

Enrollees, Minnesota Comprehensive Health Association alternative coverage, Minn. Statutes 2015 62D.181

Guaranteeing organizations, duties, Minn. Statutes 2015 62N.29

Loans to, technical assistance program, Minn. Statutes 2015 62N.23

Managed care organizations

Community integrated service networks defined as, Minn. Statutes 2015 62Q.01

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

Marketing, disclosure, Minn. Statutes 2015 62Q.49

Medicare recipients, total premium revenues, surcharges, Minn. Statutes 2015 256.9657

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Memberships, Minnesota Comprehensive Health Association (MCHA), Minn. Statutes 2015 62E.10

Mental health services, coordination of care pilot projects, Minn. Statutes 2015 245.4682

Mergers or consolidations, new corporations, premium revenue surcharges, liability, Minn. Statutes 2015 256.9657

Monitoring, Minn. Statutes 2015 62J.041

Negotiated payment rates, see Providers under this topic

Net worth

Deposit requirements, Minn. Statutes 2015 62N.25, 62N.29, 62N.32

Generally, Minn. Statutes 2015 62N.27, 62N.28

Guaranteeing organizations, Minn. Statutes 2015 62N.29

Monitoring, Minn. Statutes 2015 62J.041

Phasing in, Minn. Statutes 2015 62N.25, 62N.28

Orders, complaints, resolution, Minn. Statutes 2015 62Q.106

Organization, cooperatives, Minn. Statutes 2015 62N.25

Patient Protection Act, Minn. Statutes 2015 62J.73

Payments by

Ambulance services, reimbursements, Minn. Statutes 2015 62J.48

Point-of-service options, Minn. Statutes 2015 62Q.51

Premium revenue surcharges, Minn. Statutes 2015 256.9657

Unpaid capitated amounts, Minn. Statutes 2015 62N.31

Percentage of risk ceded, net worth, reduction, Minn. Statutes 2015 62N.28

Performance standards, Minn. Statutes 2015 62Q.37

Personal health care services, funding, recommendations, Minn. Statutes 2015 62Q.33

Planning, exemptions, Minn. Statutes 2015 62N.25

Point-of-service options, Minn. Statutes 2015 62Q.51

Policy, closed-panel health plans, Minn. Statutes 2015 62Q.43

Policy of state

Abortion coverage, Minn. Statutes 2015 145.414

Medicare antikickback laws, Minn. Statutes 2015 62J.23

Premiums

Closed panel health plans, student enrollees, Minn. Statutes 2015 62Q.43

Insolvency insurance and Minnesota Comprehensive Health Association premiums, Minn. Statutes 2015 62D.181

Rates, Minn. Statutes 2015 62J.041

Reasonable, adequate, and nonpredatory premiums, Minn. Statutes 2015 72A.20

Reinsurance credit, Minn. Statutes 2015 62N.28

Revenues, surcharges, Minn. Statutes 2015 256.9657

Prohibited health plans, disclosures, noncompliance, Minn. Statutes 2015 62Q.49

Proposals, government program recipients, services to, Minn. Statutes 2015 62N.25

Provider amount at risk

Accreditation requirements, Minn. Statutes 2015 62N.31

Certification, Minn. Statutes 2015 62N.27

Reports about, Minn. Statutes 2015 62N.31

Provider networks, alternative dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Providers

Accredited capitated providers, Minn. Statutes 2015 62N.27, 62N.31

Allied independent health providers, Minn. Statutes 2015 62Q.145

Claims, Minn. Statutes 2015 62Q.737

Contracts, Minn. Statutes 2015 62N.25, 62Q.732 to 62Q.75

Disclosure, Minn. Statutes 2015 62Q.49

Dispute resolution, Minn. Statutes 2015 62Q.106, 62Q.19

Lawsuits, Minn. Statutes 2015 62N.25

Notice received, contracts, Minn. Statutes 2015 62Q.735, 62Q.739

Payments, Minn. Statutes 2015 62Q.49, 62Q.51, 62Q.736

Purpose, Minn. Statutes 2015 62N.02

Rehabilitation, Minn. Statutes 2015 62N.29

Reports given

Expenditures, Minn. Statutes 2015 62J.041

Small employer health benefit plans, Minn. Statutes 2015 62L.10

Reserves

Generally, Minn. Statutes 2015 62J.041

Requirements, generally, Minn. Statutes 2015 62N.25

Retaliation by, health care providers, Minn. Statutes 2015 62J.71

Revenues, reports about, Minn. Statutes 2015 62J.041

Scope of practice, abortion, compliance, Minn. Statutes 2015 62Q.145

Shared service cooperatives, Minn. Statutes 2015 62N.26

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

Small employer health benefit plans, cessation of business, Minn. Statutes 2015 62L.09

Solvency

Generally, Minn. Statutes 2015 62N.25

Insolvency, Minn. Statutes 2015 62D.181

Special education services, Minn. Statutes 2015 125A.023

Technical assistance, shared services cooperatives, duties, Minn. Statutes 2015 62N.26

Technical assistance program (CISNTAP), Minn. Statutes 2015 62N.23

Trade secret information, reserve calculations, Minn. Statutes 2015 62J.041

Transacting business in Minnesota, Minn. Statutes 2015 295.51

Uncovered health services costs, Minn. Statutes 2015 62N.28

Unfair or deceptive trade practices, Minn. Statutes 2015 72A.20

Utilization Review Act, Minn. Statutes 2015 62M.01

Violations and penalties

Patient Protection Act, fines, injunctions, Minn. Statutes 2015 62J.74

Premium revenues surcharges, fines, tax penalties, Minn. Statutes 2015 256.9657

Prohibited agreements, violations, Minn. Statutes 2015 62J.71

Small employer health benefit plan violations, Minn. Statutes 2015 62L.11

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