2007 Minnesota Statutes

62J.54 IDENTIFICATION AND IMPLEMENTATION OF UNIQUE IDENTIFIERS.
    Subdivision 1. Unique identification number for health care provider organizations.
(a) Not later than 24 months after the date on which a national provider identifier is made
effective under United States Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent
amendments), all group purchasers and any health care provider organization that meets the
definition of a health care provider under United States Code, title 42, sections 1320d to 1320d-8,
as amended, and regulations adopted thereunder shall use a national provider identifier to identify
health care provider organizations in Minnesota, according to this section, except as provided in
paragraph (b).
(b) Small health plans, as defined by the federal Secretary of Health and Human Services
under United States Code, title 42, section 1320d-4 (1996 and subsequent amendments), shall use
a national provider identifier to identify health provider organizations no later than 36 months
after the date on which a national provider identifier is made effective under United States Code,
title 42, sections 1320d to 1320d-8 (1996 and subsequent amendments).
(c) The national provider identifier for health care providers established by the federal
Secretary of Health and Human Services under United States Code, title 42, sections 1320d to
1320d-8 (1996 and subsequent amendments), shall be used as the unique identification number
for health care provider organizations in Minnesota under this section.
(d) All health care provider organizations in Minnesota that are eligible to obtain a national
provider identifier according to United States Code, title 42, sections 1320d to 1320d-8, as
amended, and regulations adopted thereunder shall obtain a national provider identifier from the
federal Secretary of Health and Human Services using the process prescribed by the Secretary.
(e) Only the national provider identifier shall be used to identify health care provider
organizations when submitting and receiving paper and electronic claims and remittance advice
notices, and in conjunction with other data collection and reporting functions.
(f) Health care provider organizations in Minnesota shall make available their national
provider identifier to other health care providers when required to be included in the administrative
transactions regulated by United States Code, title 42, sections 1320d to 1320d-8, as amended,
and regulations adopted thereunder.
(g) The commissioner of health may contract with the federal Secretary of Health and
Human Services or the Secretary's agent to implement this subdivision.
    Subd. 2. Unique identification number for individual health care providers. (a) Not later
than 24 months after the date on which a national provider identifier is made effective under
United States Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent amendments), all
group purchasers in Minnesota and any individual health care provider that meets the definition
of a health care provider under United States Code, title 42, sections 1320d to 1320d-8, as
amended, and regulations adopted thereunder shall use the national provider identifier to identify
an individual health care provider in Minnesota, according to this section, except as provided in
paragraph (b).
(b) Small health plans, as defined by the federal Secretary of Health and Human Services
under United States Code, title 42, section 1320d-4 (1996 and subsequent amendments), shall
use the national provider identifier to identify an individual health care provider no later than 36
months after the date on which a national provider identifier for health care providers is made
effective under United States Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent
amendments).
(c) The national provider identifier for health care providers established by the federal
Secretary of Health and Human Services under United States Code, title 42, sections 1320d to
1320d-8 (1996 and subsequent amendments), shall be used as the unique identification number
for individual health care providers.
(d) All individual health care providers in Minnesota that are eligible to obtain a national
provider identifier according to United States Code, title 42, sections 1320d to 1320d-8, as
amended, and regulations adopted thereunder shall obtain a national provider identifier from the
federal Secretary of Health and Human Services using the process prescribed by the Secretary.
(e) Only the national provider identifier shall be used to identify individual health care
providers when submitting and receiving paper and electronic claims and remittance advice
notices, and in conjunction with other data collection and reporting functions.
(f) Individual health care providers in Minnesota shall make available their national provider
identifier to other health care providers when required to be included in the administrative
transactions regulated by United States Code, title 42, sections 1320d to 1320d-8, as amended,
and regulations adopted thereunder.
(g) The commissioner of health may contract with the federal Secretary of Health and
Human Services or the Secretary's agent to implement this subdivision.
    Subd. 3. Unique identification number for group purchasers. (a) Not later than 24 months
after the date on which a unique health identifier for employers and health plans is adopted or
established under United States Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent
amendments), all group purchasers and health care providers in Minnesota shall use a unique
identification number to identify group purchasers, except as provided in paragraph (b).
(b) Small health plans, as defined by the federal Secretary of Health and Human Services
under United States Code, title 42, section 1320d-4 (1996 and subsequent amendments), shall use
a unique identification number to identify group purchasers no later than 36 months after the date
on which a unique health identifier for employers and health plans is adopted or established under
United States Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent amendments).
(c) The unique health identifier for health plans and employers adopted or established by
the federal Secretary of Health and Human Services under United States Code, title 42, sections
1320d to 1320d-8 (1996 and subsequent amendments), shall be used as the unique identification
number for group purchasers.
(d) Group purchasers shall obtain a unique health identifier from the federal Secretary of
Health and Human Services using the process prescribed by the Secretary.
(e) The unique group purchaser identifier, as described in this section, shall be used for
purposes of submitting and receiving claims, and in conjunction with other data collection and
reporting functions.
(f) The commissioner of health may contract with the federal Secretary of Health and Human
Services or the Secretary's agent to implement this subdivision.
    Subd. 4. Unique patient identification number. (a) Not later than 24 months after the
date on which a unique health identifier for individuals is adopted or established under United
States Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent amendments), all group
purchasers and health care providers in Minnesota shall use a unique identification number to
identify each patient who receives health care services in Minnesota, except as provided in
paragraph (b).
(b) Small health plans, as defined by the federal Secretary of Health and Human Services
under United States Code, title 42, section 1320d-4 (1996 and subsequent amendments), shall
use a unique identification number to identify each patient who receives health care services
in Minnesota no later than 36 months after the date on which a unique health identifier for
individuals is adopted or established under United States Code, title 42, sections 1320d to
1320d-8 (1996 and subsequent amendments).
(c) The unique health identifier for individuals adopted or established by the federal
Secretary of Health and Human Services under United States Code, title 42, sections 1320d to
1320d-8 (1996 and subsequent amendments), shall be used as the unique patient identification
number, except as provided in paragraphs (e) and (f).
(d) The unique patient identification number shall be used by group purchasers and health
care providers for purposes of submitting and receiving claims, and in conjunction with other data
collection and reporting functions.
(e) Within the limits of available appropriations, the commissioner shall develop a proposal
for an alternate numbering system for patients who do not have or refuse to provide their Social
Security numbers, if:
(1) a unique health identifier for individuals is adopted or established under United States
Code, title 42, sections 1320d to 1320d-8 (1996 and subsequent amendments);
(2) the unique health identifier is the Social Security number of the patient;
(3) there is no federal alternate numbering system for patients who do not have or refuse to
provide their Social Security numbers; and
(4) federal law or the federal Secretary of Health and Human Services explicitly allows a
state to develop an alternate numbering system for patients who do not have or refuse to provide
their Social Security numbers.
(f) If an alternate numbering system is developed under paragraph (e), patients who use
numbers issued by the alternate numbering system are not required to provide their Social
Security numbers and group purchasers or providers may not demand the Social Security numbers
of patients who provide numbers issued by the alternate numbering system. If an alternate
numbering system is developed under paragraph (e), group purchasers and health care providers
shall establish procedures to notify patients that they can elect not to have their Social Security
number used as the unique patient identifier.
(g) The commissioner of health may contract with the federal Secretary of Health and
Human Services or the Secretary's agent to implement this subdivision.
History: 1994 c 625 art 9 s 5; 1995 c 234 art 5 s 17; 1996 c 440 art 1 s 26-28; 1997 c
228 s 2; 1Sp1997 c 5 s 16; 2005 c 106 s 6,7