MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Administration

Birth records, access to data, Minn. Statutes 2019 144.225

Human Services Department, duties, Minn. Statutes 2019 256L.02, 256L.06

Office, Minn. Statutes 2019 256L.02

Premiums, Minn. Statutes 2019 256L.06

Rulemaking, Minn. Statutes 2019 256L.02

Administrative personnel, access to child support system database, Minn. Statutes 2019 13.46

Affidavits, applicants, residence, Minn. Statutes 2019 256L.09

Affordable Care Act implementation, Minn. Statutes 2019 256L.02

Appeals

Coverage, Minn. Statutes 2019 256B.037, 256L.10

Eligibility, Minn. Statutes 2019 256L.10

Fair hearings, Minn. Statutes 2019 256.045, 256.0451

Health plan companies, complaints, Minn. Statutes 2019 62Q.73

Procedures, Minn. Statutes 2019 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2019 256L.09

Appeals, fair hearings, Minn. Statutes 2019 256.045, 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2019 62Q.22

Domestic violence waiver, Minn. Statutes 2019 256.029

Generally, Minn. Statutes 2019 256L.05

Immigration status, verification and reporting, Minn. Statutes 2019 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2019 256L.02, 256L.06

Social Security numbers, Minn. Statutes 2019 256L.04

Applications

Assets and income verification, Minn. Statutes 2019 256B.056

Assistance, Minn. Statutes 2019 256.962

Availability, Minn. Statutes 2019 256.962

Generally, Minn. Statutes 2019 256L.05

Medical assistance eligible persons, Minn. Statutes 2019 256L.04

Website availability, Minn. Statutes 2019 256.01

Armed forces members, eligibility after active service, Minn. Statutes 2019 256L.15

Assets, see Eligibility under this topic

Assignments, child support, Minn. Statutes 2019 256.87

Benefits

Attachment, exemption, Minn. Statutes 2019 550.143

Coordination, Minn. Statutes 2019 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2019 256L.05

Garnishment, exemption, Minn. Statutes 2019 550.143, 571.912, 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2019 256L.05

Billing, uniform forms, Minn. Statutes 2019 62J.52

Childbirth program, evidence-based, Minn. Statutes 2019 256B.0625

Children's health care services costs, accounting, Minn. Statutes 2019 256.0161

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2019 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2019 256.9655

State or county agency, Minn. Statutes 2019 256.045

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

Complaints, health plan companies, adverse determination appeals, Minn. Statutes 2019 62Q.73

Compliance system, Minn. Statutes 2019 256.017

Consumers, see Enrollees under this topic

Contested cases, birth records, group purchaser data, disclosure, Minn. Statutes 2019 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2019 62Q.03

Managed care, prepaid medical assistance program, Minn. Statutes 2019 256B.69

Participating entities, competitive process, Minn. Statutes 2019 256L.121

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2019 256B.691

Providers, see same under this topic

Coordination of care

Health care homes, Minn. Statutes 2019 62U.03, 256B.0751, 256B.0753

Health homes, Minn. Statutes 2019 256B.0757

Coordination with state-administered health programs, Minn. Statutes 2019 256L.04, 256L.121

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

Cost containment, Minn. Statutes 2019 62J.04, 256B.043, 256L.12

Coverage

Appeals, Minn. Statutes 2019 62Q.73, 256B.037, 256L.10

Armed forces members, Minn. Statutes 2019 256L.15

Case management, mental health, provider duties, Minn. Statutes 2019 256B.0625

Chemical dependency treatment, Minn. Statutes 2019 256L.03, 256L.12

Dental services, Minn. Statutes 2019 256B.037, 256L.03

Effective date, Minn. Statutes 2019 256L.05

Exclusions and limitations, Minn. Statutes 2019 144.551, 256L.03, 256L.09

Generally, Minn. Statutes 2019 256L.03

Indians, Minn. Statutes 2019 256L.12

Medical assistance eligible persons, see same under this topic

Medical cannabis, Minn. Statutes 2019 152.23

Mental health services, Minn. Statutes 2019 256L.12

New family members, Minn. Statutes 2019 256L.05

Other health coverage, Minn. Statutes 2019 256L.07

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

Preexisting conditions, Minn. Statutes 2019 256L.09

Premiums, payment requirements, Minn. Statutes 2019 256L.05

Reduction, suspension, or termination, Minn. Statutes 2019 256.01, 256L.07, 256L.10

Data

Controlled substances, utilization, Minn. Statutes 2019 256B.0636

Dental plans, access, Minn. Statutes 2019 256B.037

Health maintenance organizations, access, Minn. Statutes 2019 62D.145

Individualized education program health-related services provided by school districts, use and dissemination, Minn. Statutes 2019 13.05

Unemployment insurance, access, Minn. Statutes 2019 268.19

Data collection

Health care data analysis unit, Minn. Statutes 2019 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Deductibles, copayments, and coinsurance

Cost-sharing, generally, Minn. Statutes 2019 256L.03

Enrollee payments, Minn. Statutes 2019 256L.12

Exclusions, Minn. Statutes 2019 62D.095

Managed care plans, Minn. Statutes 2019 256L.12

Requirements, Minn. Statutes 2019 256L.11

Definitions

Generally, Minn. Statutes 2019 256L.01

Interagency intervention services, Minn. Statutes 2019 125A.023

Demonstration programs

Dental services, Minn. Statutes 2019 256B.037

Integrated health partnerships program, Minn. Statutes 2019 256B.0755

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2019 256B.075

Disregards

Generally, Minn. Statutes 2019 256L.01

Gross family income, Minn. Statutes 2019 256L.04

Inpatient hospital service benefits, Minn. Statutes 2019 256L.03

Drugs and medicine, opioid prescribing improvement program, Minn. Statutes 2019 256B.0638

Eligibility

Appeals, Minn. Statutes 2019 256L.10

Assets, Minn. Statutes 2019 256.028

Community health clinic enrollees, Minn. Statutes 2019 62Q.22

Determination, time, Minn. Statutes 2019 256L.05

Domestic violence waiver, Minn. Statutes 2019 256.029

Free and reduced-price school lunch program children, Minn. Statutes 2019 124D.1115

Generally, Minn. Statutes 2019 256L.04, 256L.07

Human Services Department, duties, Minn. Statutes 2019 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2019 3.7395

Income, see same under this topic

Local social services agencies, duties, Minn. Statutes 2019 256L.05, 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2019 256J.45

Periodic data matching, Minn. Statutes 2019 256B.0561

Persons ineligible for MFIP, Minn. Statutes 2019 256J.09

Premium payments, Minn. Statutes 2019 256L.04, 256L.06

Prisoners being discharged, Minn. Statutes 2019 244.054

Public assistance reporting information system, Minn. Statutes 2019 256.01

Redetermination, Minn. Statutes 2019 256L.05

Reduction, suspension, or termination, Minn. Statutes 2019 256.01, 256L.10

Residence, Minn. Statutes 2019 256L.09

Verification, Minn. Statutes 2019 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2019 62J.04

Enrollees

Adults without children, healthy Minnesota contribution program, Minn. Statutes 2019 62E.14

Affidavits, residence, Minn. Statutes 2019 256L.09

Appeals, Minn. Statutes 2019 62Q.73, 256B.037, 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2019 256.87

Children, copayments, exemptions, Minn. Statutes 2019 256L.03

Community integrated service networks, Minn. Statutes 2019 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2019 253B.03, 253D.17

Controlled substances, utilization, Minn. Statutes 2019 256B.0636

Cooperation, Minn. Statutes 2019 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2019 268.19

Dental plans or providers, change, Minn. Statutes 2019 256B.037

Eligibility, see same under this topic

Human Services Department, duties, Minn. Statutes 2019 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 2019 256.046

Dental plans or providers, Minn. Statutes 2019 256B.037

Disenrollment, Minn. Statutes 2019 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2019 256L.10

Managed care plans, request to change providers, Minn. Statutes 2019 256L.12

Premiums, payment, Minn. Statutes 2019 256L.06

Wellness discounts, Minn. Statutes 2019 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2019 256L.11, 256L.12

Personal data, classification, disclosure, Minn. Statutes 2019 13.46

Pregnant women, Minn. Statutes 2019 256L.03

Provider choice, limitations, Minn. Statutes 2019 256L.12

Reports given, income, Minn. Statutes 2019 256L.05, 256L.06

Enrollment

Continuation, Minn. Statutes 2019 256L.07

Disenrollment, Minn. Statutes 2019 256L.04 to 256L.07, 256L.15

Fees, Minn. Statutes 2019 256L.06

Generally,, Minn. Statutes 2019 256L.04

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2019 256L.05

Reenrollment, premium payment, Minn. Statutes 2019 256L.06

Establishment, Minn. Statutes 2019 256L.02

Fair hearings, Minn. Statutes 2019 256.045, 256.0451

Federal waivers, see Waivers under this topic

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding

Federal receipts, appropriated to Human Services Department, Minn. Statutes 2019 16A.724

Health care access fund

Appropriations, Minn. Statutes 2019 295.581

Deposits to, Minn. Statutes 2019 16A.724

Transfers from, Minn. Statutes 2019 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2019 256L.12

Health care homes, Minn. Statutes 2019 62U.03, 256B.0751 to 256B.0753

Health care risk adjustment system, public programs, Minn. Statutes 2019 62Q.03

Health homes, Minn. Statutes 2019 256B.0757

Health plan companies, complaints, Minn. Statutes 2019 62Q.73

Health plans, competitive bidding, Minn. Statutes 2019 256L.121

Health Services Policy Committee, Minn. Statutes 2019 256B.0625

Healthy Minnesota contribution program, Minn. Statutes 2019 62E.14

Hearings

Administrative fraud disqualification, Minn. Statutes 2019 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2019 256.045, 256.0451

Rulemaking, Minn. Statutes 2019 256.045

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2019 3.7395

Identification cards, uniform health care cards, issuance, Minn. Statutes 2019 62J.60

Income

Applicants, duties, Minn. Statutes 2019 256L.01

Disregards, Minn. Statutes 2019 256L.01

Generally, Minn. Statutes 2019 256L.04, 256L.05

Increase, continuation of enrollment, Minn. Statutes 2019 256L.07

Limitation, Minn. Statutes 2019 256L.04, 256L.07

Reports about, Minn. Statutes 2019 256L.05, 256L.06

Tax rebates, exclusion, Minn. Statutes 2019 256.028

Information provision to the public, Pharmacy Board, duties, Minn. Statutes 2019 151.06

Inpatient hospital payment system, Minn. Statutes 2019 256.969

Integrated health partnerships program, Minn. Statutes 2019 256B.0755

Integration with state-operated systems for disabled, managed care systems for disabled persons, Minn. Statutes 2019 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2019 256B.37

Parents' contribution, Minn. Statutes 2019 256.87

Public assistance liens, Minn. Statutes 2019 256.015, 256L.03

Legislative intent, Minn. Statutes 2019 62J.015

Liability

Parents, Minn. Statutes 2019 256.87

Third parties, Minn. Statutes 2019 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2019 256.015, 256L.03

Managed care plans

Competitive bidding, Minn. Statutes 2019 256B.69

Financial audits, Minn. Statutes 2019 256B.69

Generally, Minn. Statutes 2019 256L.12

Payments to, see Provider payments under this topic

Prepaid program, Minn. Statutes 2019 256B.69

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2019 256.015, 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2019 62J.25

Medical assistance eligible persons

Coordination of eligibility and coverage, Minn. Statutes 2019 256L.04, 256L.121

Cost-sharing, duties, Minn. Statutes 2019 256L.03

Coverage, Minn. Statutes 2019 256B.037, 256B.0625, 256L.07

Dental services, Minn. Statutes 2019 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2019 256L.05

Generally, Minn. Statutes 2019 256L.04

Local social services agencies, duties, Minn. Statutes 2019 256B.19

Managed care plans, Minn. Statutes 2019 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2019 256B.035

Providers, Minn. Statutes 2019 256B.035

Spenddown, Minn. Statutes 2019 256L.03

Subrogation rights, enforcement, Minn. Statutes 2019 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

MNsure, coordination, Minn. Statutes 2019 256L.02

Orders, Minn. Statutes 2019 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2019 270A.03

Parents' contribution, Minn. Statutes 2019 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Participating entities

Competitive bidding, Minn. Statutes 2019 256L.121

Definitions, Minn. Statutes 2019 256L.01

Patient Protection Act, application, Minn. Statutes 2019 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2019 256.01

Payments to providers, errors, rate penalties, Minn. Statutes 2019 256.017

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2019 256.362

Policy of state, Minn. Statutes 2019 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2019 256L.05, 256L.06, 256L.15

Agreement to pay defined as debt, Minn. Statutes 2019 270A.03

Amount, Minn. Statutes 2019 256L.04, 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2019 256.045

Exemptions, Minn. Statutes 2019 256L.06, 256L.15

Generally, Minn. Statutes 2019 256L.15

Increase, notice, Minn. Statutes 2019 256L.03

Payment, Minn. Statutes 2019 256L.04 to 256L.07, 256L.15

Purchases at full cost, reports about, Minn. Statutes 2019 256.362

Reports about, Minn. Statutes 2019 256.362

Sliding fee scale, Minn. Statutes 2019 256L.06, 256L.15

Wellness discounts, Minn. Statutes 2019 256.362

Primary care access initiative, Minn. Statutes 2019 256.963

Provider payments

Abortions, reporting, Minn. Statutes 2019 145.4131, 145.4133

Audits and examinations, Minn. Statutes 2019 256B.194

Certain providers, Minn. Statutes 2019 256L.11

Dental providers, payments, Minn. Statutes 2019 256L.11

Generally, Minn. Statutes 2019 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2019 16A.124

Increase, Minn. Statutes 2019 256B.04

Indian health services facilities, Minn. Statutes 2019 256B.0625

Inpatient hospital services, Minn. Statutes 2019 256L.11

Medical assistance rates, use, Minn. Statutes 2019 256L.11

Mental health case management services, Minn. Statutes 2019 256B.0625

Pay-for-performance system, Minn. Statutes 2019 256.01

Payment reforms, Minn. Statutes 2019 62U.01 to 62U.08, 256B.0754

Physicians' services, Minn. Statutes 2019 256B.0625

Quality improvement payment system, Minn. Statutes 2019 256B.072

Recovery, Minn. Statutes 2019 62A.046

Targeted case management services, Minn. Statutes 2019 256B.0924

Transportation services, risk basis, Minn. Statutes 2019 256B.691

Provider taxes, health care cost containment, taxes and assessments, exemption, Minn. Statutes 2019 62J.041

Providers

Audits and examinations, Minn. Statutes 2019 256B.194

Claims, electronic submission, Minn. Statutes 2019 256.9655

Contracts, Minn. Statutes 2019 62J.71, 256B.035, 256L.12

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2019 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2019 256B.194

Generally, Minn. Statutes 2019 256L.12

Health care facilities, applications, Minn. Statutes 2019 256L.05

Interagency data exchange, Minn. Statutes 2019 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2019 62J.25

Participation requirements, Minn. Statutes 2019 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 2019 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2019 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2019 62J.04

Public information and education programs, Minn. Statutes 2019 256.962

Purpose, Minn. Statutes 2019 256L.02

Quality control/quality assurance, Minn. Statutes 2019 256.017

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2019 256.019

Contingency contract fee retention, Minn. Statutes 2019 256.01

Overpayments, revenue recapture, Minn. Statutes 2019 270A.03

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2019 256.362

Residence, Minn. Statutes 2019 256L.09

Severability of law, residency, Minn. Statutes 2019 256L.09

State aid, comprehensive health insurance plans, member premiums, exclusion, Minn. Statutes 2019 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2019 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2019 3.7395

Taxes, provider tax, exemption, Minn. Statutes 2019 62J.041

Termination, Minn. Statutes 2019 256.01

Third parties, identification, eligibility, Minn. Statutes 2019 256L.04

Toll-free telephone lines, Minn. Statutes 2019 256L.02

Transportation, payments, risk basis, Minn. Statutes 2019 256B.691

Utilization review, controlled substances, Minn. Statutes 2019 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Selection, Minn. Statutes 2019 256B.69

Verification, Minn. Statutes 2019 256L.05

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2019 256L.06

Waivers

Federal waivers

Coordination with medical assistance, Minn. Statutes 2019 256.362

Dental services, coverage, Minn. Statutes 2019 256B.037

Health insurance credit, assignment, Minn. Statutes 2019 256.362

Individualized education programs, Minn. Statutes 2019 256B.69

Individualized family service plan services, Minn. Statutes 2019 256B.69

Provider contracts, Minn. Statutes 2019 256B.035

MinnesotaCare health care reform, Minn. Statutes 2019 256L.03

Web pages, government information on, Minn. Statutes 2019 256L.02

Wrongfully obtaining, disqualification, Minn. Statutes 2019 256.98