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2013 Minnesota Statutes

Chapter 62Q. Health Plan Companies

Chapter Sections
Section Headnote
62Q.001S 2006 Renumbered 15.001
62Q.01Definitions
62Q.02Applicability of Chapter
62Q.021Federal Act; Compliance Required
62Q.025Product Approvals
62Q.03Process for risk Adjustment System
62Q.07Repealed, 2001 c 170 s 11
62Q.075Local Public Accountability and Collaboration Plan
62Q.09Expired
62Q.095Repealed, 2005 c 77 s 8
62Q.096Credentialing of Providers
62Q.10Repealed, 2012 c 187 art 1 s 75
62Q.101Evaluation of Provider Performance
62Q.105Repealed, 1999 c 239 s 43
62Q.1055Chemical Dependency
62Q.106Dispute Resolution by Commissioner
62Q.107Prohibited Provision; Judicial Review
62Q.11Repealed, 1999 c 239 s 43
62Q.12Denial of Access
62Q.121Licensure of Medical Directors
62Q.135Contracting for Chemical Dependency Services
62Q.137Chemical Dependency Treatment; Coverage
62Q.14Restrictions on Enrollee Services
62Q.145Abortion and Scope of Practice
62Q.16Midmonth Termination Prohibited
62Q.165Universal Coverage
62Q.17Voluntary Purchasing Pools
62Q.18Portability of Coverage
62Q.181Written Certification of Coverage
62Q.185Guaranteed Renewability; Large Employer Group
62Q.186Prohibition on Rescissions of Health Plans
62Q.188Flexible Benefits Plans
62Q.19Essential Community Providers
62Q.21Repealed, 1995 c 234 art 2 s 36
62Q.22Health Care Services Prepaid Option
62Q.23General Services
62Q.25Repealed, 1997 c 225 art 2 s 63
62Q.251Repealed, 2006 c 255 s 77
62Q.27Repealed, 1995 c 234 art 2 s 36
62Q.29Repealed, 1997 c 225 art 2 s 63
62Q.30Repealed, 1999 c 239 s 43
62Q.32Local Ombudsperson
62Q.33Local Government Public Health Functions
62Q.37Audits Conducted by Independent Organization
62Q.41Repealed, 1997 c 225 art 2 s 63
62Q.43Geographic Access
62Q.45Coverage for Out-of-Area Primary Care
62Q.46Preventive Items and Services
62Q.47Alcoholism, Mental Health, and Chemical Dependency Services
62Q.471Exclusion for Suicide Attempts Prohibited
62Q.49Enrollee Cost Sharing; Negotiated Provider Payments
62Q.50Prostate Cancer Screening
62Q.51Point-of-Service Option
62Q.52Direct Access to Obstetric and Gynecologic Services
62Q.525Coverage for Off-Label Drug Use
62Q.526Coverage for Participation in Approved Clinical Trials
62Q.527Nonformulary Antipsychotic Drugs; Required Coverage
62Q.53Mental Health Coverage; Medically Necessary Care
62Q.535Coverage for Court-Ordered Mental Health Services
62Q.54Referrals for Residents of Health Care Facilities
62Q.545Coverage of Private Duty Nursing Services
62Q.55Emergency Services
62Q.56Continuity of Care
62Q.57Designation of Primary Care Provider
62Q.58Access to Specialty Care
62Q.64Repealed, 2012 c 247 art 1 s 32
62Q.645Efficiency Reports and Distribution of Information
62Q.65Access to Provider Discounts
62Q.66Durable Medical Equipment Coverage
62Q.67Disclosure of Covered Durable Medical Equipment
62Q.675Hearing Aids; Persons 18 or Younger
62Q.676Medication Therapy Management
62Q.677Lifetime and Annual Limits

COMPLAINT RESOLUTION
62Q.68Definitions
62Q.69Complaint Resolution
62Q.70Appeal of the Complaint Decision
62Q.71Notice to Enrollees
62Q.72Record Keeping; Reporting
62Q.73External Review of Adverse Determinations
62Q.731External Review of Adverse Determination

MINNESOTA HEALTH PLAN CONTRACTING ACT
62Q.732Citation
62Q.733Definitions
62Q.734Exemption
62Q.735Provider Contracting Procedures
62Q.736Payment Rates
62Q.737Service Code Changes
62Q.739Unilateral Terms Prohibited
62Q.74Network Shadow Contracting
62Q.745Repealed, 2004 c 246 s 11
62Q.746Access to Certain Information Regarding Providers
62Q.75Prompt Payment Required
62Q.751Collecting Deductibles and Coinsurance

DENTAL PLANS
62Q.76Definitions
62Q.77Terms of Coverage Disclosure
62Q.78Dental Benefit Plan Requirements
62Q.79Limitations
62Q.80Community-Based Health Care Coverage Program
62Q.81Essential Health Benefit Package Requirements
62Q.82Benefits and Coverage Explanation

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