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2005 Minnesota Statutes

This is a historical version of this statute chapter. Also view the most recent published version.

Chapter 62Q. Requirements for Health Plan Companies

Chapter Sections
Section Headnote
62Q.01Definitions.
62Q.02Applicability of chapter.
62Q.021Federal act; compliance required.
62Q.025Product approvals.
62Q.03Process for defining, developing, and implementing a 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.10Nondiscrimination.
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.137Coverage for chemical dependency treatment provided by the Department of Corrections.
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 health coverage.
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.251Discounted payments.
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 nationally recognized independent organization.
62Q.41Repealed, 1997 c 225 art 2 s 63
62Q.43Geographic access.
62Q.45Coverage for out-of-area primary care.
62Q.47Mental 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.527Coverage of nonformulary drugs for mental illness and emotional disturbance.
62Q.53Mental health coverage; minimum standards for medically necessary care.
62Q.535Coverage for court-ordered mental health services.
62Q.54Referrals for residents of health care facilities.
62Q.55Emergency services.
62Q.56Continuity of care.
62Q.58Access to specialty care.
62Q.64Disclosure of executive compensation.
62Q.65Access to provider discounts.
62Q.66Durable medical equipment coverage.
62Q.67Disclosure of covered durable medical equipment.
62Q.675Hearing aids; persons 18 or younger.

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 from Comprehensive Health Association.

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.745Provider contract amendment disclosure.
62Q.746Access to certain information regarding providers.
62Q.75Prompt payment required.

DENTAL PLANS
62Q.76Definitions.
62Q.77Terms of coverage disclosure.
62Q.78Dental benefit plan requirements.
62Q.79Limitations.

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