MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Administration

Birth records, access to data, Minn. Statutes 2023 144.225

Human Services Department, duties, Minn. Statutes 2023 256B.0371, 256L.02, 256L.06

Office, Minn. Statutes 2023 256L.02

Premiums, Minn. Statutes 2023 256L.06

Rulemaking, Minn. Statutes 2023 256L.02

Administrative personnel, access to child support system database, Minn. Statutes 2023 13.46

Affidavits, applicants, residence, Minn. Statutes 2023 256L.09

Affordable Care Act implementation, Minn. Statutes 2023 256L.02

Appeals

Coverage, Minn. Statutes 2023 256B.037, 256L.10

Eligibility, Minn. Statutes 2023 256L.10

Fair hearings, Minn. Statutes 2023 256.045, 256.0451, 256B.6903

Health plan companies, complaints, Minn. Statutes 2023 62Q.73

Ombudsperson for managed care, Minn. Statutes 2023 256B.6903

Procedures, Minn. Statutes 2023 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2023 256L.09

Appeals, fair hearings, Minn. Statutes 2023 256.045, 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2023 62Q.22

Domestic violence waiver, Minn. Statutes 2023 256.029

Generally, Minn. Statutes 2023 256L.05

Immigration status, verification and reporting, Minn. Statutes 2023 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2023 256L.02, 256L.06

Social Security numbers, Minn. Statutes 2023 256L.04

Applications

Assets and income verification, Minn. Statutes 2023 256B.056

Assistance, Minn. Statutes 2023 256.962

Automatic voter registration, Minn. Statutes 2023 201.161

Availability, Minn. Statutes 2023 256.962

Generally, Minn. Statutes 2023 256L.05

Medical assistance eligible persons, Minn. Statutes 2023 256L.04

Website availability, Minn. Statutes 2023 256.01

Armed forces members, eligibility after active service, Minn. Statutes 2023 256L.15

Assets, see Eligibility under this topic

Assignments, child support, Minn. Statutes 2023 256.87

Benefits

Attachment, exemption, Minn. Statutes 2023 550.143

Coordination, Minn. Statutes 2023 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2023 256L.05

Garnishment, exemption, Minn. Statutes 2023 550.143, 571.912, 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2023 256L.05

Billing, uniform forms, Minn. Statutes 2023 62J.52

Childbirth program, evidence-based, Minn. Statutes 2023 256B.0625

Children's health care services costs, accounting, Minn. Statutes 2023 256.0161

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2023 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2023 256.9655

State or county agency, Minn. Statutes 2023 256.045

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

Complaints, health plan companies, adverse determination appeals, Minn. Statutes 2023 62Q.73

Compliance system, Minn. Statutes 2023 256.017

Consumers, see Enrollees under this topic

Contested cases, birth records, group purchaser data, disclosure, Minn. Statutes 2023 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2023 62Q.03

Managed care, prepaid medical assistance program, Minn. Statutes 2023 256B.69

Participating entities, competitive process, Minn. Statutes 2023 256L.121

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2023 256B.691

Providers, see same under this topic

Coordination of care

Health care homes, Minn. Statutes 2023 62U.03

Health homes, Minn. Statutes 2023 256B.0757

Coordination with state-administered health programs, Minn. Statutes 2023 256L.04, 256L.121

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

Cost containment, Minn. Statutes 2023 62J.04, 256B.043, 256L.12

Coverage

Appeals, Minn. Statutes 2023 62Q.73, 256B.037, 256L.10

Armed forces members, Minn. Statutes 2023 256L.15

Case management, mental health, provider duties, Minn. Statutes 2023 256B.0625

Dental services, Minn. Statutes 2023 256B.037, 256L.03

Effective date, Minn. Statutes 2023 256L.05

Exclusions and limitations, Minn. Statutes 2023 144.551, 256L.03, 256L.09

Generally, Minn. Statutes 2023 256L.03

Indians, Minn. Statutes 2023 256L.12

Medical assistance eligible persons, see same under this topic

Medical cannabis, Minn. Statutes 2023 152.23

Mental health services, Minn. Statutes 2023 256L.12

New family members, Minn. Statutes 2023 256L.05

Other health coverage, Minn. Statutes 2023 256L.07

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

Preexisting conditions, Minn. Statutes 2023 256L.09

Premiums, payment requirements, Minn. Statutes 2023 256L.05

Reduction, suspension, or termination, Minn. Statutes 2023 256.01, 256L.07, 256L.10

Substance use disorder treatment, Minn. Statutes 2023 256L.03, 256L.12

Cybersecurity events, information security program, Minn. Statutes 2023 60A.985 to 60A.9858

Data

Controlled substances, utilization, Minn. Statutes 2023 256B.0636

Cybersecurity events, notice given, Minn. Statutes 2023 60A.9853

Dental plans, access, Minn. Statutes 2023 256B.037

Health maintenance organizations, access, Minn. Statutes 2023 62D.145

Individualized education program health-related services provided by school districts, use and dissemination, Minn. Statutes 2023 13.05

Information security program, Minn. Statutes 2023 60A.985 to 60A.9858

Unemployment insurance, access, Minn. Statutes 2023 268.19

Data collection

Health care data analysis unit, Minn. Statutes 2023 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 2023 256L.03

Enrollee payments, Minn. Statutes 2023 256L.12

Exclusions, Minn. Statutes 2023 62D.095

Managed care plans, Minn. Statutes 2023 256L.12

Requirements, Minn. Statutes 2023 256L.11

Definitions

Generally, Minn. Statutes 2023 256L.01

Information security program, Minn. Statutes 2023 60A.985

Interagency intervention services, Minn. Statutes 2023 125A.023

Demonstration programs

Dental services, Minn. Statutes 2023 256B.037

Integrated health partnerships program, Minn. Statutes 2023 256B.0755

Dental services, see MinnesotaCare under DENTAL SERVICES

Direct payment system, Minn. Statutes 2023 256.9631

Disease management programs, Minn. Statutes 2023 256B.075

Disregards

Generally, Minn. Statutes 2023 256L.01

Gross family income, Minn. Statutes 2023 256L.04

Inpatient hospital service benefits, Minn. Statutes 2023 256L.03

Drugs and medicine, opioid prescribing improvement program, Minn. Statutes 2023 256B.0638

Eligibility

Appeals, Minn. Statutes 2023 256L.10

Assets, Minn. Statutes 2023 256.028

Community health clinic enrollees, Minn. Statutes 2023 62Q.22

Determination, time, Minn. Statutes 2023 256L.05

Domestic violence waiver, Minn. Statutes 2023 256.029

Free and reduced-price school lunch program children, Minn. Statutes 2023 124D.1115

Generally, Minn. Statutes 2023 256L.04, 256L.07

Human Services Department, duties, Minn. Statutes 2023 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2023 3.7395

Income, see same under this topic

Local social services agencies, duties, Minn. Statutes 2023 256L.05, 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2023 256J.45

Periodic data matching, Minn. Statutes 2023 256B.0561

Persons ineligible for MFIP, Minn. Statutes 2023 256J.09

Premium payments, Minn. Statutes 2023 256L.04, 256L.06

Prisoners being discharged, Minn. Statutes 2023 244.054

Public assistance reporting information system, Minn. Statutes 2023 256.01

Redetermination, Minn. Statutes 2023 256L.05

Reduction, suspension, or termination, Minn. Statutes 2023 256.01, 256L.10

Residence, Minn. Statutes 2023 256L.09

Verification, Minn. Statutes 2023 256L.05

Enforcement of law

Information security program, Minn. Statutes 2023 60A.9852

Providers, revenue limits, Minn. Statutes 2023 62J.04

Enrollees

Adults without children, healthy Minnesota contribution program, Minn. Statutes 2023 62E.14

Affidavits, residence, Minn. Statutes 2023 256L.09

Appeals, Minn. Statutes 2023 62Q.73, 256B.037, 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2023 256.87

Children, copayments, exemptions, Minn. Statutes 2023 256L.03

Community integrated service networks, Minn. Statutes 2023 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2023 253B.03, 253D.17

Contraceptives, education protocol, hospitals and primary care providers, Minn. Statutes 2023 256.01

Controlled substances, utilization, Minn. Statutes 2023 256B.0636

Cooperation, Minn. Statutes 2023 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2023 268.19

Dental plans or providers, change, Minn. Statutes 2023 256B.037

Eligibility, see same under this topic

Human Services Department, duties, Minn. Statutes 2023 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 2023 256.046

Dental plans or providers, Minn. Statutes 2023 256B.037

Disenrollment, Minn. Statutes 2023 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2023 256L.10

Managed care plans, request to change providers, Minn. Statutes 2023 256L.12

Premiums, payment, Minn. Statutes 2023 256L.06

Wellness discounts, Minn. Statutes 2023 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2023 256L.11, 256L.12

Personal data, classification, disclosure, Minn. Statutes 2023 13.46

Pregnant women, Minn. Statutes 2023 256L.03

Provider choice, limitations, Minn. Statutes 2023 256L.12

Reports given, income, Minn. Statutes 2023 256L.05, 256L.06

Enrollment

Continuation, Minn. Statutes 2023 256L.07

Disenrollment, Minn. Statutes 2023 256B.04, 256L.04 to 256L.07, 256L.15

Fees, Minn. Statutes 2023 256L.06

Generally,, Minn. Statutes 2023 256L.04

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2023 256L.05

Reenrollment, premium payment, Minn. Statutes 2023 256L.06

Establishment, Minn. Statutes 2023 256L.02

Fair hearings, Minn. Statutes 2023 256.045, 256.0451, 256B.6903

Federal waivers, see Waivers under this topic

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding

Federal receipts, appropriated to Human Services Department, Minn. Statutes 2023 16A.724

Health care access fund

Appropriations, Minn. Statutes 2023 295.581

Deposits to, Minn. Statutes 2023 16A.724

Transfers from, Minn. Statutes 2023 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2023 256L.12

Health care homes, Minn. Statutes 2023 62U.03

Health care risk adjustment system, public programs, Minn. Statutes 2023 62Q.03

Health homes, Minn. Statutes 2023 256B.0757

Health plan companies, complaints, Minn. Statutes 2023 62Q.73

Health plans, competitive bidding, Minn. Statutes 2023 256L.121

Health Services Advisory Council, Minn. Statutes 2023 256B.0625

Healthy Minnesota contribution program, Minn. Statutes 2023 62E.14

Hearings

Administrative fraud disqualification, Minn. Statutes 2023 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2023 256.045, 256.0451

Ombudsperson for managed care, Minn. Statutes 2023 256B.6903

Rulemaking, Minn. Statutes 2023 256.045

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2023 3.7395

Identification cards, uniform health care cards, issuance, Minn. Statutes 2023 62J.60

Income

Applicants, duties, Minn. Statutes 2023 256L.01

Disregards, Minn. Statutes 2023 256L.01

Generally, Minn. Statutes 2023 256L.04, 256L.05

Increase, continuation of enrollment, Minn. Statutes 2023 256L.07

Limitation, Minn. Statutes 2023 256L.04, 256L.07

Reports about, Minn. Statutes 2023 256L.05, 256L.06

Tax rebates, exclusion, Minn. Statutes 2023 256.028

Information provision to the public, Pharmacy Board, duties, Minn. Statutes 2023 151.06

Information security program, Minn. Statutes 2023 60A.985 to 60A.9858

Inpatient hospital payment system, Minn. Statutes 2023 256.969

Integrated health partnerships program, Minn. Statutes 2023 256B.0755

Integration with state-operated systems for disabled, managed care systems for disabled persons, Minn. Statutes 2023 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2023 256B.37

Parents' contribution, Minn. Statutes 2023 256.87

Public assistance liens, Minn. Statutes 2023 256.015, 256L.03

Legislative intent, Minn. Statutes 2023 62J.015

Liability

Parents, Minn. Statutes 2023 256.87

Third parties, Minn. Statutes 2023 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2023 256.015, 256L.03

Managed care plans

Competitive bidding, Minn. Statutes 2023 256B.69

Critical access dental providers, Minn. Statutes 2023 256L.11

Financial audits, Minn. Statutes 2023 256B.69

Generally, Minn. Statutes 2023 256L.12

Ombudsperson for managed care, Minn. Statutes 2023 256B.6903

Payments to, see Provider payments under this topic

Prepaid program, Minn. Statutes 2023 256B.69, 256B.6903

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2023 256.015, 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2023 62J.25

Medical assistance eligible persons

Coordination of eligibility and coverage, Minn. Statutes 2023 256L.04, 256L.121

Cost-sharing, duties, Minn. Statutes 2023 256L.03

Coverage, Minn. Statutes 2023 256B.037, 256B.0625, 256L.07

Dental services, Minn. Statutes 2023 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2023 256L.05

Generally, Minn. Statutes 2023 256L.04

Local social services agencies, duties, Minn. Statutes 2023 256B.19

Managed care plans, Minn. Statutes 2023 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2023 256B.035

Providers, Minn. Statutes 2023 256B.035

Spenddown, Minn. Statutes 2023 256L.03

Subrogation rights, enforcement, Minn. Statutes 2023 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

MNsure, coordination, Minn. Statutes 2023 256L.02

Orders, Minn. Statutes 2023 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2023 270A.03

Parents' contribution, Minn. Statutes 2023 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Participating entities

Competitive bidding, Minn. Statutes 2023 256L.121

Definitions, Minn. Statutes 2023 256L.01

Patient Protection Act, application, Minn. Statutes 2023 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2023 256.01

Payments to providers, errors, rate penalties, Minn. Statutes 2023 256.017

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2023 256.362

Policy of state, Minn. Statutes 2023 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2023 256L.05, 256L.06, 256L.15

Agreement to pay defined as debt, Minn. Statutes 2023 270A.03

Amount, Minn. Statutes 2023 256L.04, 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2023 256.045

Exemptions, Minn. Statutes 2023 256L.06, 256L.15

Generally, Minn. Statutes 2023 256L.15

Increase, notice, Minn. Statutes 2023 256L.03

Payment, Minn. Statutes 2023 256L.04 to 256L.07, 256L.15

Purchases at full cost, reports about, Minn. Statutes 2023 256.362

Reports about, Minn. Statutes 2023 256.362

Sliding fee scale, Minn. Statutes 2023 256L.06, 256L.15

Wellness discounts, Minn. Statutes 2023 256.362

Primary care access initiative, Minn. Statutes 2023 256.963

Provider payments

Audits and examinations, Minn. Statutes 2023 256B.194

Certain providers, Minn. Statutes 2023 256L.11

Dental providers, payments, Minn. Statutes 2023 256L.11

Generally, Minn. Statutes 2023 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2023 16A.124

Increase, Minn. Statutes 2023 256B.04

Indian health services facilities, Minn. Statutes 2023 256B.0625

Inpatient hospital services, Minn. Statutes 2023 256L.11

Medical assistance rates, use, Minn. Statutes 2023 256L.11

Mental health case management services, Minn. Statutes 2023 256B.0625

Pay-for-performance system, Minn. Statutes 2023 256.01

Payment reforms, Minn. Statutes 2023 62U.01 to 62U.08, 256B.0754

Physicians' services, Minn. Statutes 2023 256B.0625

Prompt payment required, interest on late payments, Minn. Statutes 2023 256.9655

Quality improvement payment system, Minn. Statutes 2023 256B.072

Recovery, Minn. Statutes 2023 62A.046

Targeted case management services, Minn. Statutes 2023 256B.0924

Transportation services, risk basis, Minn. Statutes 2023 256B.691

Provider taxes, health care cost containment, taxes and assessments, exemption, Minn. Statutes 2023 62J.041

Providers

Audits and examinations, Minn. Statutes 2023 256B.194

Claims, electronic submission, Minn. Statutes 2023 256.9655

Contraceptives, education protocol, hospitals and primary care providers, Minn. Statutes 2023 256.01

Contracts, Minn. Statutes 2023 62J.71, 256B.035, 256L.12

Cybersecurity events, notice given, Minn. Statutes 2023 60A.9853

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2023 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2023 256B.194

Generally, Minn. Statutes 2023 256L.12

Health care facilities, applications, Minn. Statutes 2023 256L.05

Information security program, Minn. Statutes 2023 60A.985 to 60A.9858

Interagency data exchange, Minn. Statutes 2023 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2023 62J.25

Participation requirements, Minn. Statutes 2023 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 2023 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2023 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2023 62J.04

Public information and education programs, Minn. Statutes 2023 256.962

Purpose, Minn. Statutes 2023 256L.02

Quality control/quality assurance, Minn. Statutes 2023 256.017

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2023 256.019

Contingency contract fee retention, Minn. Statutes 2023 256.01

Overpayments, revenue recapture, Minn. Statutes 2023 270A.03

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2023 256.362

Residence, Minn. Statutes 2023 256L.09

Severability of law, residency, Minn. Statutes 2023 256L.09

State aid, comprehensive health insurance plans, member premiums, exclusion, Minn. Statutes 2023 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2023 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2023 3.7395

Taxes, provider tax, exemption, Minn. Statutes 2023 62J.041

Termination, Minn. Statutes 2023 256.01

Third parties, identification, eligibility, Minn. Statutes 2023 256L.04

Toll-free telephone lines, Minn. Statutes 2023 256L.02

Transportation, payments, risk basis, Minn. Statutes 2023 256B.691

Utilization review, controlled substances, Minn. Statutes 2023 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Selection, Minn. Statutes 2023 256B.69

Verification, Minn. Statutes 2023 256L.05

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Information security program, Minn. Statutes 2023 60A.9857

Premiums, nonpayment, disenrollment, Minn. Statutes 2023 256L.06

Waivers

Federal waivers

Coordination with medical assistance, Minn. Statutes 2023 256.362

Dental services, coverage, Minn. Statutes 2023 256B.037

Health insurance credit, assignment, Minn. Statutes 2023 256.362

Individualized education programs, Minn. Statutes 2023 256B.69

Individualized family service plan services, Minn. Statutes 2023 256B.69

Provider contracts, Minn. Statutes 2023 256B.035

MinnesotaCare health care reform, Minn. Statutes 2023 256L.03

Web pages, government information on, Minn. Statutes 2023 256L.02

Wrongfully obtaining, disqualification, Minn. Statutes 2023 256.98