Minnesota Administrative Rules

9505.0080 COOPERATION WITH QUALITY CONTROL REVIEW.

Subpart 1.

Cooperation required.

A recipient, or the recipient's authorized representative or guardian, shall cooperate with the department's quality control review process by providing information necessary to verify the recipient's eligibility for medical assistance. In order to continue a recipient's eligibility, the recipient, representative, or guardian must:

A.

agree to a personal interview with the quality control staff person at a mutually acceptable time and location; and

B.

assist the quality control staff person in securing verifications necessary to establish eligibility for the month of review, provided verifications do not duplicate what is already in the case record and do not cause the recipient to incur an expense in securing those verifications.

Subp. 2.

Consequences of failure to cooperate.

Failure to cooperate with the quality control review process without good cause shall result in termination of assistance. A person has good cause under this subpart if the person's refusal to cooperate stems from a diagnosis of mental illness or a physical disability or illness long enough and severe enough to prevent the person from participating within the period the quality control unit has allotted to complete its review process.

Statutory Authority:

MS s 256B.04

History:

11 SR 1069

Published Electronically:

August 12, 2008