62Q.096 CREDENTIALING OF PROVIDERS.
If a health plan company has initially credentialed, as providers in its provider network,
individual providers employed by or under contract with an entity that:
(1) is authorized to bill under section
256B.0625, subdivision 5;
(2) meets the requirements of Minnesota Rules, parts
9520.0750 to
9520.0870;
(3) is designated an essential community provider under section
62Q.19; and
(4) is under contract with the health plan company to provide mental health services, the
health plan company must continue to credential at least the same number of providers from that
entity, as long as those providers meet the health plan company's credentialing standards.
A health plan company shall not refuse to credential these providers on the grounds that their
provider network has a sufficient number of providers of that type.
History: 1998 c 407 art 8 s 4