MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Administration

Birth records, access to data, Minn. Statutes 2005 144.225

Human Services Department, duties, Minn. Statutes 2005 256L.02, 256L.06

Office, Minn. Statutes 2005 256L.02

Premiums, Minn. Statutes 2005 256L.06

Rulemaking, Minn. Statutes 2005 256L.02

Test sites, integrated administrative models, Minn. Statutes 2005 256.01

Administrative personnel

Access to child support system database, Minn. Statutes 2005 13.46

Affidavits, applicants, residence, Minn. Statutes 2005 256L.09

Appeals

Coverage, Minn. Statutes 2005 256B.037, 256L.10

Eligibility, Minn. Statutes 2005 256L.10

Fair hearings, Minn. Statutes 2005 256.045, 256.0451

Health plan companies, complaints, Minn. Statutes 2005 62Q.73

Procedures, Minn. Statutes 2005 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2005 256L.09

Appeals, fair hearings, Minn. Statutes 2005 256.045, 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2005 62Q.22

Databases, Minn. Statutes 2005 256D.03

Generally, Minn. Statutes 2005 256L.05

Immigration status, verification and reporting, Minn. Statutes 2005 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2005 256L.02, 256L.06

Pregnant women, assets, exemptions, Minn. Statutes 2005 256L.17

Social Security numbers, Minn. Statutes 2005 256L.04

Verification by, Minn. Statutes 2005 256L.05, 256L.17

Applications

Assets and income verification, Minn. Statutes 2005 256B.056

Generally, Minn. Statutes 2005 256L.05

Medical assistance eligible persons, Minn. Statutes 2005 256L.04

Armed forces members

Active service, disenrollment and reenrollment, Minn. Statutes 2005 256L.07

Assets, see Eligibility under this topic

Assignments

Child support, Minn. Statutes 2005 256.741, 256.87

Medical support, Minn. Statutes 2005 256.741

Spousal maintenance, Minn. Statutes 2005 256.741

Benefits

Coordination, Minn. Statutes 2005 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2005 256L.05

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2005 256L.05

Billing, uniform forms, Minn. Statutes 2005 62J.52

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2005 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2005 256.9655

State or county agency, Minn. Statutes 2005 256.045

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

Complaints, health plan companies

Adverse determination appeals, Minn. Statutes 2005 62Q.73

Consumers, see Enrollees under this topic

Contested cases, birth records

Group purchaser data, disclosure, Minn. Statutes 2005 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2005 62Q.03

Managed care, medical assistance prepaid demonstration project, Minn. Statutes 2005 256B.69

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2005 256B.691

Providers, see same under this topic

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

Cost containment, Minn. Statutes 2005 62J.04, 256L.12

Costs, Minn. Statutes 2005 256L.02

Coverage

Appeals, Minn. Statutes 2005 62Q.73, 256B.037, 256L.10

Armed forces members, Minn. Statutes 2005 256L.07

Case management, mental health, provider duties, Minn. Statutes 2005 256B.0625

Chemical dependency treatment, Minn. Statutes 2005 256L.03, 256L.12

Denial, nonpayment of premiums, Minn. Statutes 2005 256D.03

Dental services, Minn. Statutes 2005 256B.037, 256L.03

Effective date, Minn. Statutes 2005 256L.05

Exclusions and limitations, Minn. Statutes 2005 144.551, 256L.03, 256L.09

Families with children, Minn. Statutes 2005 256L.16

Generally, Minn. Statutes 2005 256L.03

Households without children, Minn. Statutes 2005 256L.03, 256L.035

Indians, Minn. Statutes 2005 256L.12

Lapse, reapplication, Minn. Statutes 2005 256L.05

Limitations, Minn. Statutes 2005 256L.035

Medical assistance eligible persons, see same under this topic

New family members, Minn. Statutes 2005 256L.05

Newborns, coordination, Minn. Statutes 2005 256L.05

Other health coverage, Minn. Statutes 2005 256L.07

Outpatient mental health services

Generally, Minn. Statutes 2005 256L.03

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

Preexisting conditions, Minn. Statutes 2005 256L.09

Premiums, payment requirements, Minn. Statutes 2005 256L.05

Reduction, suspension, or termination, Minn. Statutes 2005 256L.07, 256L.10

Retroactive, Minn. Statutes 2005 256L.05

Single adults, Minn. Statutes 2005 256L.03, 256L.035

Data

Dental plans, access, Minn. Statutes 2005 256B.037

Health maintenance organizations, access, Minn. Statutes 2005 62D.145

Individual education plan health-related services provided by school districts, use and dissemination, Minn. Statutes 2005 13.05

Unemployment insurance, access, Minn. Statutes 2005 268.19

Data collection

Health care data analysis unit, Minn. Statutes 2005 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Databases, applicants, Minn. Statutes 2005 256D.03

Deductibles, copayments, or coinsurance

Enrollee payments, Minn. Statutes 2005 256L.12

Exclusions, Minn. Statutes 2005 62D.095

Exemptions, Minn. Statutes 2005 256L.03

Households without children, Minn. Statutes 2005 256L.035

Managed care plans, Minn. Statutes 2005 256L.12

Pregnant women, refunds, Minn. Statutes 2005 256L.03

Requirements, Minn. Statutes 2005 256L.03, 256L.11

Single adults, Minn. Statutes 2005 256L.035

Definitions

Asset requirements, Minn. Statutes 2005 256L.17

Cooperation, Minn. Statutes 2005 256L.04

Covered health services, Minn. Statutes 2005 256L.03, 256L.035

Eligible persons, Minn. Statutes 2005 256L.04

General assistance medical care, Minn. Statutes 2005 256D.03

Generally, Minn. Statutes 2005 256L.01

Interagency intervention services, Minn. Statutes 2005 125A.023

Provider payment, Minn. Statutes 2005 256L.11

Residence, Minn. Statutes 2005 256L.09

Small employer health benefit plan, Minn. Statutes 2005 62L.02

Demonstration projects, dental services, Minn. Statutes 2005 256B.037, 256B.69

Disease management programs, Minn. Statutes 2005 256B.075

Disqualification, asset misreporting, Minn. Statutes 2005 256L.17

Disregards

Generally, Minn. Statutes 2005 256L.01

Gross family income, Minn. Statutes 2005 256L.04

Inpatient hospital service benefits, Minn. Statutes 2005 256L.03

Eligibility

Appeals, Minn. Statutes 2005 256L.10

Applications for other benefits, Minn. Statutes 2005 256L.04

Assets, Minn. Statutes 2005 256.028, 256L.17

College students, Minn. Statutes 2005 256L.07

Community health clinic enrollees, Minn. Statutes 2005 62Q.22

Determination, time, Minn. Statutes 2005 256L.05

General assistance medical care recipients, Minn. Statutes 2005 256D.03

Generally, Minn. Statutes 2005 256L.04, 256L.07

Households with no children, former GAMC recipients, Minn. Statutes 2005 256L.05, 256L.07

Human Services Department, duties, Minn. Statutes 2005 256L.05

Income, see same under this topic

Income, annual limits adjustment, Minn. Statutes 2005 256L.04

Ineligible persons, Minn. Statutes 2005 256D.03, 256L.04

Local social services agencies, duties, Minn. Statutes 2005 256L.05, 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2005 256J.45

Period uninsured, Minn. Statutes 2005 256L.02, 256L.07

Persons ineligible for MFIP, Minn. Statutes 2005 256J.09

Premium payments, Minn. Statutes 2005 256L.04, 256L.06

Prisoners being discharged, Minn. Statutes 2005 244.054

Reduction, suspension, or termination, Minn. Statutes 2005 256L.10

Renewal, Minn. Statutes 2005 256L.04, 256L.05

Residence, Minn. Statutes 2005 256L.09

Retroactive changes, general assistance medical care recipients, effect, Minn. Statutes 2005 256B.0645

Single persons, former GAMC recipients, Minn. Statutes 2005 256L.05, 256L.07

Verification, Minn. Statutes 2005 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2005 62J.04

Enrollees

Affidavits, residence, Minn. Statutes 2005 256L.09

Appeals, Minn. Statutes 2005 62Q.73, 256B.037, 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2005 256.741, 256.87

Child support, distribution, Minn. Statutes 2005 256.741

Children, copayments, exemptions, Minn. Statutes 2005 256L.03

Community integrated service networks, Minn. Statutes 2005 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2005 253B.03

Cooperation, Minn. Statutes 2005 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2005 268.19

Eligibility, see same under this topic

General assistance medical care recipients, Minn. Statutes 2005 256D.03

Human Services Department, duties, Minn. Statutes 2005 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 given, dental plans or providers, change, Minn. Statutes 2005 256B.037

Notice received

Combined hearings, Minn. Statutes 2005 256.046

Denial of services, individuals with uncollected debt, Minn. Statutes 2005 256L.035

Dental plans or providers, Minn. Statutes 2005 256B.037

Disenrollment, Minn. Statutes 2005 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2005 256L.02, 256L.10

Managed care plans, request to change providers, Minn. Statutes 2005 256L.12

Premium subsidy, decrease, Minn. Statutes 2005 256L.02

Premiums, payment, Minn. Statutes 2005 256L.06

Private health and accident insurance, Minn. Statutes 2005 256L.05

Wellness discounts, Minn. Statutes 2005 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2005 256L.11, 256L.12

Personal data, classification, disclosure, Minn. Statutes 2005 13.46

Pregnant women, copayments, exemptions, Minn. Statutes 2005 256L.03

Prescription drug program, see under DRUGS AND MEDICINE

Provider choice, limitations, Minn. Statutes 2005 256L.12

Reports given, income, Minn. Statutes 2005 256L.05, 256L.06

Spousal maintenance, distribution, Minn. Statutes 2005 256.741

Enrollment

Adjustment, Minn. Statutes 2005 256L.02

Continuation, Minn. Statutes 2005 256L.07

Disenrollment, Minn. Statutes 2005 256L.04 to 256L.07, 256L.15

Fees, Minn. Statutes 2005 256L.06

Generally,, Minn. Statutes 2005 256L.04

Households with no children, former GAMC recipients, Minn. Statutes 2005 256L.05

Limitation, Minn. Statutes 2005 256L.02

Medical assistance eligible persons, see same under this topic

Reenrollment, premium payment, Minn. Statutes 2005 256L.06

Single persons, former GAMC recipients, Minn. Statutes 2005 256L.05

Establishment, Minn. Statutes 2005 256L.02

Fair hearings, Minn. Statutes 2005 256.045, 256.0451

Federal waivers, see Waivers under this topic

Financial management, Minn. Statutes 2005 256L.02

Forms, assets, checkoff, Minn. Statutes 2005 256L.17

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding, health care access fund

Deposits to, Minn. Statutes 2005 16A.724

Transfers from, Minn. Statutes 2005 297I.05

Grievance procedures

Managed care plan vendors, duties, Minn. Statutes 2005 256L.12

Health care risk adjustment system

Public programs risk adjustment system, Minn. Statutes 2005 62Q.03

Health plan companies, complaints, Minn. Statutes 2005 62Q.73

Health Services Policy Committee, Minn. Statutes 2005 256B.0625

Hearings

Administrative fraud disqualification, Minn. Statutes 2005 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2005 256.045, 256.0451

Rulemaking, Minn. Statutes 2005 256.045

Identification cards

Uniform health care identification cards, issuance, Minn. Statutes 2005 62J.60

Income

Annual limits adjustment, Minn. Statutes 2005 256L.04

Applicants, duties, Minn. Statutes 2005 256D.03, 256L.01

Child support, unearned income, Minn. Statutes 2005 256.741

Disregards, Minn. Statutes 2005 256L.01

Generally, Minn. Statutes 2005 256L.04, 256L.05

Gross family income, Minn. Statutes 2005 256L.01, 256L.04

Increase, continuation of enrollment, Minn. Statutes 2005 256L.07

Limitation, Minn. Statutes 2005 256L.04, 256L.07

Reports about, Minn. Statutes 2005 256L.05, 256L.06

Tax rebates, exclusion, Minn. Statutes 2005 256.028

Inpatient hospital payment system, Minn. Statutes 2005 256.969

Integration with state-operated systems for disabled

Managed care systems for disabled persons, Minn. Statutes 2005 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2005 256B.37

Parents' contribution, Minn. Statutes 2005 256.87

Public assistance liens, Minn. Statutes 2005 256.015, 256L.03

Legislative intent, Minn. Statutes 2005 62J.015

Liability

Parents, Minn. Statutes 2005 256.87

Third parties, Minn. Statutes 2005 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2005 256.015, 256L.03

Managed care plans

Generally, Minn. Statutes 2005 256L.12

Payments to, see Provider payments under this topic

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2005 256.015, 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2005 62J.25

Marketing, Minn. Statutes 2005 256L.02

Medical assistance eligible persons

Copayments, duties, Minn. Statutes 2005 256L.03

Coverage, Minn. Statutes 2005 256B.037, 256B.0625, 256L.07

Dental services, Minn. Statutes 2005 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2005 256L.05

Determination, Minn. Statutes 2005 256B.04

Failure to cooperate, disenrollment from MinnesotaCare, Minn. Statutes 2005 256L.04

Local social services agencies, duties, Minn. Statutes 2005 256B.19

Managed care plans, Minn. Statutes 2005 256L.12

Optional eligibility, Minn. Statutes 2005 256L.04

Requirements, Minn. Statutes 2005 256L.04

Enrollment, Human Services Department, duties, Minn. Statutes 2005 256B.035

Local social services agencies, referrals to, Minn. Statutes 2005 256L.04

Providers, Minn. Statutes 2005 256B.035, 256B.0644

Spenddown, coordination, Minn. Statutes 2005 256L.03

Spendown, Minn. Statutes 2005 256L.03

Subrogation rights, enforcement, Minn. Statutes 2005 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE GROSS REVENUES TAXES

Orders, Minn. Statutes 2005 256.87

Parents' contribution, Minn. Statutes 2005 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Patient Protection Act, application, Minn. Statutes 2005 62J.701

Patients, see Enrollees under this topic

Planning, eligibility

Coordination with medical assistance, Minn. Statutes 2005 256.362

Policy of state, Minn. Statutes 2005 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2005 256L.02, 256L.05, 256L.06, 256L.15

Agreement to pay defined as debt, Minn. Statutes 2005 270A.03

Amount, Minn. Statutes 2005 256L.04, 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2005 256.045

Exemptions, Minn. Statutes 2005 256L.06, 256L.15

Former general assistance medical care recipients, Minn. Statutes 2005 256L.15

Generally, Minn. Statutes 2005 256L.15

Increase, notice, Minn. Statutes 2005 256L.03

Payment, Minn. Statutes 2005 256L.04 to 256L.07, 256L.15

Purchases at full cost, reports about, Minn. Statutes 2005 256.362

Reports about, Minn. Statutes 2005 256.362

Rulemaking, nonpayment, good cause, Minn. Statutes 2005 256L.06

Sliding fee scale, Minn. Statutes 2005 256L.02, 256L.06, 256L.15

Wellness discounts, Minn. Statutes 2005 256.362

Provider payments

Abortions, reporting, Minn. Statutes 2005 145.4131, 145.4133

Certain providers, Minn. Statutes 2005 256L.11, 256L.16

Copayments, effect, Minn. Statutes 2005 256L.035

Generally, Minn. Statutes 2005 256L.02, 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2005 16A.124

Indian health services facilities, Minn. Statutes 2005 256B.0625

Inpatient hospital services, Minn. Statutes 2005 256L.11

Managed care plans, Minn. Statutes 2005 256L.12

Medical assistance eligible enrollees, redetermination, Minn. Statutes 2005 256L.04

Medical assistance rates, use, Minn. Statutes 2005 256L.11

Mental health case management services, Minn. Statutes 2005 256B.0625

Quality improvement payment system, Minn. Statutes 2005 256B.072

Recovery, Minn. Statutes 2005 62A.046

Retroactive eligibility changes, effect, Minn. Statutes 2005 256B.0645

Targeted case management services, Minn. Statutes 2005 256B.0924

Transportation services, risk basis, Minn. Statutes 2005 256B.691

Provider taxes, health care cost containment

Taxes and assessments, exemption, Minn. Statutes 2005 62J.041

Providers

Claims, electronic submission, Minn. Statutes 2005 256.9655

Contracts

Children's mental health services, Minn. Statutes 2005 245.493, 245.4933

Federal waivers, Minn. Statutes 2005 256B.035

Human Services Department, duties, Minn. Statutes 2005 256B.035

Managed care plans, Minn. Statutes 2005 256L.12

Preferred provider programs, Minn. Statutes 2005 256B.035

Prohibited contracts, Patient Protection Act, Minn. Statutes 2005 62J.71

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2005 62J.71

Generally, Minn. Statutes 2005 256L.12

Health care facilities, applications, Minn. Statutes 2005 256L.05

Mandatory Medicare assignment, duties, Minn. Statutes 2005 62J.25

Notice given, denial of services, individuals with uncollected debt, Minn. Statutes 2005 256L.035

Participation requirements, Minn. Statutes 2005 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 2005 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2005 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2005 62J.04

Public assistance, MinnesotaCare defined as, Minn. Statutes 2005 256.741

Purpose, Minn. Statutes 2005 256L.02

Qualifying coverage, MinnesotaCare defined as, Minn. Statutes 2005 62L.02

Recipients, see Enrollees under this topic

Recovery of money, apportionment, Minn. Statutes 2005 256.019

Relative caretakers

Cooperation, children, paternity, medical support, Minn. Statutes 2005 256L.04

Reports about

Eligibility, coordination with medical assistance, Minn. Statutes 2005 256.362

Reserves, Minn. Statutes 2005 256L.02

Residence, Minn. Statutes 2005 256L.09

Severability of law, residency, Minn. Statutes 2005 256L.09

State agency, MinnesotaCare defined as

General assistance medical care, Minn. Statutes 2005 256D.03

State aid, comprehensive health insurance plans

Member premiums, exclusion, Minn. Statutes 2005 62E.11

Subrogation, health and accident insurance, Minn. Statutes 2005 62A.045

Taxes, provider tax, exemption, Minn. Statutes 2005 62J.041

Third parties, identification, eligibility, Minn. Statutes 2005 256L.04

Toll-free telephone lines, Minn. Statutes 2005 256L.02

Transportation, payments, risk basis, Minn. Statutes 2005 256B.691

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Verification, Minn. Statutes 2005 256L.05, 256L.17

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2005 256L.06

Wrongfully obtaining, disqualification, Minn. Statutes 2005 256.98

Waivers

Federal waivers

Coordination with medical assistance, Minn. Statutes 2005 256.362

Dental services, coverage, Minn. Statutes 2005 256B.037

Health insurance credit, assignment, Minn. Statutes 2005 256.362

Individual education plans, Minn. Statutes 2005 256B.69

Individualized family service plan services, Minn. Statutes 2005 256B.69

Maintenance of effort, Minn. Statutes 2005 256L.17

Provider contracts, Minn. Statutes 2005 256B.035

MinnesotaCare health care reform, Minn. Statutes 2005 256L.03