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2005 Minnesota Statutes

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CHAPTER 62Q. Requirements for health plan companies

Table of Sections
Section Headnote
62Q.01 Definitions.
62Q.02 Applicability of chapter.
62Q.021 Federal act; compliance required.
62Q.025 Product approvals.
62Q.03 Process for defining, developing, and implementing a risk adjustment system.
62Q.07 [Repealed, 2001 c 170 s 11]
62Q.075 Local public accountability and collaboration plan.
62Q.09 Expired
62Q.095 [Repealed, 2005 c 77 s 8]
62Q.096 Credentialing of providers.
62Q.10 Nondiscrimination.
62Q.105 [Repealed, 1999 c 239 s 43]
62Q.1055 Chemical dependency.
62Q.106 Dispute resolution by commissioner.
62Q.107 Prohibited provision; judicial review.
62Q.11 [Repealed, 1999 c 239 s 43]
62Q.12 Denial of access.
62Q.121 Licensure of medical directors.
62Q.135 Contracting for chemical dependency services.
62Q.137 Coverage for chemical dependency treatment provided by the Department of Corrections.
62Q.14 Restrictions on enrollee services.
62Q.145 Abortion and scope of practice.
62Q.16 Midmonth termination prohibited.
62Q.165 Universal coverage.
62Q.17 Voluntary purchasing pools.
62Q.18 Portability of coverage.
62Q.181 Written certification of coverage.
62Q.185 Guaranteed renewability; large employer group health coverage.
62Q.19 Essential community providers.
62Q.21 [Repealed, 1995 c 234 art 2 s 36]
62Q.22 Health care services prepaid option.
62Q.23 General services.
62Q.25 [Repealed, 1997 c 225 art 2 s 63]
62Q.251 Discounted payments.
62Q.27 [Repealed, 1995 c 234 art 2 s 36]
62Q.29 [Repealed, 1997 c 225 art 2 s 63]
62Q.30 [Repealed, 1999 c 239 s 43]
62Q.32 Local ombudsperson.
62Q.33 Local government public health functions.
62Q.37 Audits conducted by nationally recognized independent organization.
62Q.41 [Repealed, 1997 c 225 art 2 s 63]
62Q.43 Geographic access.
62Q.45 Coverage for out-of-area primary care.
62Q.47 Mental health and chemical dependency services.
62Q.471 Exclusion for suicide attempts prohibited.
62Q.49 Enrollee cost sharing; negotiated provider payments.
62Q.50 Prostate cancer screening.
62Q.51 Point-of-service option.
62Q.52 Direct access to obstetric and gynecologic services.
62Q.525 Coverage for off-label drug use.
62Q.527 Coverage of nonformulary drugs for mental illness and emotional disturbance.
62Q.53 Mental health coverage; minimum standards for medically necessary care.
62Q.535 Coverage for court-ordered mental health services.
62Q.54 Referrals for residents of health care facilities.
62Q.55 Emergency services.
62Q.56 Continuity of care.
62Q.58 Access to specialty care.
62Q.64 Disclosure of executive compensation.
62Q.65 Access to provider discounts.
62Q.66 Durable medical equipment coverage.
62Q.67 Disclosure of covered durable medical equipment.
62Q.675 Hearing aids; persons 18 or younger.

COMPLAINT RESOLUTION

62Q.68 Definitions.
62Q.69 Complaint resolution.
62Q.70 Appeal of the complaint decision.
62Q.71 Notice to enrollees.
62Q.72 Record keeping; reporting.
62Q.73 External review of adverse determinations.
62Q.731 External review of adverse determination from Comprehensive Health Association.

MINNESOTA HEALTH PLAN CONTRACTING ACT

62Q.732 Citation.
62Q.733 Definitions.
62Q.734 Exemption.
62Q.735 Provider contracting procedures.
62Q.736 Payment rates.
62Q.737 Service code changes.
62Q.739 Unilateral terms prohibited.
62Q.74 Network shadow contracting.
62Q.745 Provider contract amendment disclosure.
62Q.746 Access to certain information regarding providers.
62Q.75 Prompt payment required.

DENTAL PLANS

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

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