1999 Minnesota Statutes

     62M.12 Prohibition of inappropriate incentives. 

    No individual who is performing utilization review may 
 receive any financial incentive based on the number of denials 
 of certifications made by such individual, provided that 
 utilization review organizations may establish medically 
 appropriate performance standards.  This prohibition does not 
 apply to financial incentives established between health plan 
 companies and providers. 

    HIST: 1992 c 574 s 12; 1999 c 239 s 30 

*   NOTE:  The amendment to this section by Laws 1999, chapter 
*239, section 30, is effective April 1, 2000, and applies to 
*contracts issued or renewed on or after that date.  Upon 
*request, the commissioner of health or commerce shall grant an 
*extension of up to three months to any health plan company or 
*utilization review organization that is unable to comply with 
*Laws 1999, chapter 239, sections 1, 3 to 42, and 43, paragraphs 
*(a) and (c) by April 1, 2000, due to circumstances beyond the 
*control of the health plan company or utilization review 
*organization.  Laws 1999, chapter 239, section 44.