1998 Minnesota Statutes

     62M.01 Citation, jurisdiction, and scope. 

    Subdivision 1.    Popular name.  Sections 62M.01 to 
 62M.16 may be cited as the "Minnesota Utilization Review Act of 
 1992." 

    Subd. 2.    Jurisdiction.  Sections 62M.01 to 62M.16 
 apply to any insurance company licensed under chapter 60A to 
 offer, sell, or issue a policy of accident and sickness 
 insurance as defined in section 62A.01; a health service plan 
 licensed under chapter 62C; a health maintenance organization 
 licensed under chapter 62D; a fraternal benefit society 
 operating under chapter 64B; a joint self-insurance employee 
 health plan operating under chapter 62H; a multiple employer 
 welfare arrangement, as defined in section 3 of the Employee 
 Retirement Income Security Act of 1974 (ERISA), United States 
 Code, title 29, section 1103, as amended; a third party 
 administrator licensed under section 60A.23, subdivision 8, that 
 provides utilization review services for the administration of 
 benefits under a health benefit plan as defined in section 
 62M.02; or any entity performing utilization review on behalf of 
 a business entity in this state pursuant to a health benefit 
 plan covering a Minnesota resident. 

    Subd. 3.    Scope.  Sections 62M.02, 62M.07, and 62M.09, 
 subdivision 4, apply to prior authorization of services.  
 Nothing in sections 62M.01 to 62M.16 applies to review of claims 
 after submission to determine eligibility for benefits under a 
 health benefit plan.  

    HIST: 1992 c 574 s 1