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2006 Minnesota Statutes

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

62Q.121 LICENSURE OF MEDICAL DIRECTORS.
(a) No health plan company may employ a person as a medical director unless the person is
licensed as a physician in this state. This section does not apply to a health plan company that is
assessed less than three percent of the total amount assessed by the Minnesota Comprehensive
Health Association.
(b) For purposes of this section, "medical director" means a physician employed by a health
plan company who has direct decision-making authority, based upon medical training and
knowledge, regarding the health plan company's medical protocols, medical policies, or coverage
of treatment of a particular enrollee, regardless of the physician's title.
(c) This section applies only to medical directors who make recommendations or decisions
that involve or affect enrollees who live in this state.
(d) Each health plan company that is subject to this section shall provide the commissioner
with the names and licensure information of its medical directors and shall provide updates no
later than 30 days after any changes.
History: 1Sp2001 c 9 art 16 s 6; 2002 c 379 art 1 s 113

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