Minnesota Administrative Rules

4688.0120 CONFLICT OF INTEREST.

A conflict of interest may arise when a local government unit owns a health plan and also owns and operates an ECP. In these circumstances, if an enrollee files a complaint against the health plan or the ECP, the local government unit shall:

A.

fully disclose in writing to every complainant that the health plan and the ECP are both owned and operated by local government unit;

B.

clearly explain in writing to every complainant that there is the potential for a conflict of interest when local government unit is both the provider and the contractor of the health service; and

C.

offer every complainant the option of filing the complaint with the appropriate state agency rather than with the health plan.

Statutory Authority:

MS s 62Q.19

History:

21 SR 6

Published Electronically:

September 26, 1997