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Minnesota Legislature

Office of the Revisor of Statutes

MINNESOTACARE

See also HEALTH AND ACCIDENT INSURANCE

Administration

Birth records, access to data, Minn. Statutes 2009 144.225

Human Services Department, duties, Minn. Statutes 2009 256L.02, 2009 256L.06

Office, Minn. Statutes 2009 256L.02

Premiums, Minn. Statutes 2009 256L.06

Rulemaking, Minn. Statutes 2009 256L.02

Test sites, integrated administrative models, Minn. Statutes 2009 256.01

Administrative personnel

Access to child support system database, Minn. Statutes 2009 13.46

Affidavits, applicants, residence, Minn. Statutes 2009 256L.09

Alignment with medical assistance, Minn. Statutes 2009 256.01

Appeals

Coverage, Minn. Statutes 2009 256B.037, 2009 256L.10

Eligibility, Minn. Statutes 2009 256L.10

Fair hearings, Minn. Statutes 2009 256.045, 2009 256.0451

Health plan companies, complaints, Minn. Statutes 2009 62Q.73

Procedures, Minn. Statutes 2009 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2009 256L.09

Appeals, fair hearings, Minn. Statutes 2009 256.045, 2009 256.0451

Asset requirements, Minn. Statutes 2009 256L.17

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2009 62Q.22

Databases, Minn. Statutes 2009 256D.03

Domestic violence waiver, Minn. Statutes 2009 256.029

Generally, Minn. Statutes 2009 256L.05

Immigration status, verification and reporting, Minn. Statutes 2009 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2009 256L.02, 2009 256L.06

Social Security numbers, Minn. Statutes 2009 256L.04

Applications

Assets and income verification, Minn. Statutes 2009 256B.056

Assistance, Minn. Statutes 2009 256.962

Availability, Minn. Statutes 2009 256.962

Generally, Minn. Statutes 2009 256L.05

Medical assistance eligible persons, Minn. Statutes 2009 256L.04

Web site availability, Minn. Statutes 2009 256.01

Armed forces members

Active service, disenrollment and reenrollment, Minn. Statutes 2009 256L.07

Eligibility after active service, Minn. Statutes 2009 256L.15

Assets, see Eligibility under this topic

Assignments

Child support, Minn. Statutes 2009 256.741, 2009 256.87

Medical support, Minn. Statutes 2009 256.741

Spousal maintenance, Minn. Statutes 2009 256.741

Benefits

Alignment with medical assistance, Minn. Statutes 2009 256.01

Attachment, exemption, Minn. Statutes 2009 550.143

Coordination, Minn. Statutes 2009 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2009 256L.05

Garnishment, exemption, Minn. Statutes 2009 550.143, 2009 571.912, 2009 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2009 256L.05

Billing, uniform forms, Minn. Statutes 2009 62J.52

Children's health program, Minn. Statutes 2009 256B.057, 2009 256L.07, 2009 256L.22 to 2009 256L.28

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2009 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2009 256.9655

State or county agency, Minn. Statutes 2009 256.045

Coinsurance, see Deductibles, copayments, or coinsurance under this topic

Complaints, health plan companies

Adverse determination appeals, Minn. Statutes 2009 62Q.73

Consumers, see Enrollees under this topic

Contested cases, birth records

Group purchaser data, disclosure, Minn. Statutes 2009 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2009 62Q.03

Managed care, medical assistance prepaid demonstration project, Minn. Statutes 2009 256B.69

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2009 256B.691

Providers, see same under this topic

Coordination of care, health care homes, Minn. Statutes 2009 62U.03, 2009 256B.0751, 2009 256B.0753

Copayments, see Deductibles, copayments, or coinsurance under this topic

Cost containment, Minn. Statutes 2009 62J.04, 2009 256B.043, 2009 256L.12

Costs, Minn. Statutes 2009 256L.02

Coverage

Appeals, Minn. Statutes 2009 62Q.73, 2009 256B.037, 2009 256L.10

Armed forces members, Minn. Statutes 2009 256L.07, 2009 256L.15

Case management, mental health, provider duties, Minn. Statutes 2009 256B.0625

Chemical dependency treatment, Minn. Statutes 2009 256L.03, 2009 256L.12

Denial, nonpayment of premiums, Minn. Statutes 2009 256D.03

Dental services, Minn. Statutes 2009 256B.037, 2009 256L.03

Effective date, Minn. Statutes 2009 256L.05

Exclusions and limitations, Minn. Statutes 2009 144.551, 2009 256L.03, 2009 256L.09

Families with children, Minn. Statutes 2009 256L.11

Generally, Minn. Statutes 2009 256L.03

Indians, Minn. Statutes 2009 256L.12

Lapse, reapplication, Minn. Statutes 2009 256L.05

Medical assistance eligible persons, see same under this topic

Mental health services, Minn. Statutes 2009 256L.12

New family members, Minn. Statutes 2009 256L.05

Newborns, coordination, Minn. Statutes 2009 256L.05

Other health coverage, Minn. Statutes 2009 256L.07

Outpatient mental health services, see Integrated children's mental health service system under COMMUNITY MENTAL HEALTH SERVICES

Preexisting conditions, Minn. Statutes 2009 256L.09

Premiums, payment requirements, Minn. Statutes 2009 256L.05

Reduction, suspension, or termination, Minn. Statutes 2009 256L.07, 2009 256L.10

Retroactive, Minn. Statutes 2009 256L.05

Data collection

Health care data analysis unit, Minn. Statutes 2009 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Data

Controlled substances, utilization, Minn. Statutes 2009 256B.0636

Dental plans, access, Minn. Statutes 2009 256B.037

Health maintenance organizations, access, Minn. Statutes 2009 62D.145

Individual education plan health-related services provided by school districts, use and dissemination, Minn. Statutes 2009 13.05

Unemployment insurance, access, Minn. Statutes 2009 268.19

Databases, applicants, Minn. Statutes 2009 256D.03

Deductibles, copayments, or coinsurance

Enrollee payments, Minn. Statutes 2009 256L.12

Exclusions, Minn. Statutes 2009 62D.095

Exemptions, Minn. Statutes 2009 256L.03

Managed care plans, Minn. Statutes 2009 256L.12

Pregnant women, refunds, Minn. Statutes 2009 256L.03

Requirements, Minn. Statutes 2009 256L.03, 2009 256L.11

Definitions

Generally, Minn. Statutes 2009 256L.01

Interagency intervention services, Minn. Statutes 2009 125A.023

Small employer health benefit plan, Minn. Statutes 2009 62L.02

Demonstration projects, dental services, Minn. Statutes 2009 256.964, 2009 256B.037, 2009 256B.69

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2009 256B.075

Disqualification, asset misreporting, Minn. Statutes 2009 256L.17

Disregards

Generally, Minn. Statutes 2009 256L.01

Gross family income, Minn. Statutes 2009 256L.04

Inpatient hospital service benefits, Minn. Statutes 2009 256L.03

Eligibility

Appeals, Minn. Statutes 2009 256L.10

Assets, Minn. Statutes 2009 256.028, 2009 256L.17

Children's health program, Minn. Statutes 2009 256B.057, 2009 256L.07, 2009 256L.24

Community health clinic enrollees, Minn. Statutes 2009 62Q.22

Determination, time, Minn. Statutes 2009 256L.05

Domestic violence waiver, Minn. Statutes 2009 256.029

Free and reduced school lunch program children, Minn. Statutes 2009 124D.1115

General assistance medical care recipients, Minn. Statutes 2009 256D.03

Generally, Minn. Statutes 2009 256L.04, 2009 256L.07

Households with no children, former GAMC recipients, Minn. Statutes 2009 256L.05, 2009 256L.07

Human Services Department, duties, Minn. Statutes 2009 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2009 3.7395

Income, see same under this topic

Ineligible persons, Minn. Statutes 2009 256D.03, 2009 256L.04

Local social services agencies, duties, Minn. Statutes 2009 256L.05, 2009 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2009 256J.45

Period uninsured, Minn. Statutes 2009 256L.02, 2009 256L.07

Persons ineligible for MFIP, Minn. Statutes 2009 256J.09

Premium payments, Minn. Statutes 2009 256L.04, 2009 256L.06

Prisoners being discharged, Minn. Statutes 2009 244.054

Public assistance reporting information system, Minn. Statutes 2009 256.01

Reduction, suspension, or termination, Minn. Statutes 2009 256L.10

Renewal, Minn. Statutes 2009 256L.04, 2009 256L.05

Residence, Minn. Statutes 2009 256L.09

Retroactive changes, general assistance medical care recipients, effect, Minn. Statutes 2009 256B.0645

Single persons, former GAMC recipients, Minn. Statutes 2009 256L.05, 2009 256L.07

Verification, Minn. Statutes 2009 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2009 62J.04

Enrollees

Affidavits, residence, Minn. Statutes 2009 256L.09

Appeals, Minn. Statutes 2009 62Q.73, 2009 256B.037, 2009 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2009 256.741, 2009 256.87

Child support, distribution, Minn. Statutes 2009 256.741

Children, copayments, exemptions, Minn. Statutes 2009 256L.03

Community integrated service networks, Minn. Statutes 2009 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2009 253B.03

Controlled substances, utilization, Minn. Statutes 2009 256B.0636

Cooperation, Minn. Statutes 2009 256L.04

Copayments, see Deductibles, copayments, or coinsurance under this topic

Data, unemployment insurance, access, Minn. Statutes 2009 268.19

Dental plans or providers, change, Minn. Statutes 2009 256B.037

Eligibility, see same under this topic

General assistance medical care recipients, Minn. Statutes 2009 256D.03

Human Services Department, duties, Minn. Statutes 2009 256B.035

Income, see same under this topic

Managed care plans, see same under this topic

Medical assistance eligible persons, see same under this topic

Notice received

Combined hearings, Minn. Statutes 2009 256.046

Dental plans or providers, Minn. Statutes 2009 256B.037

Disenrollment, Minn. Statutes 2009 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2009 256L.02, 2009 256L.10

Managed care plans, request to change providers, Minn. Statutes 2009 256L.12

Premium subsidy, decrease, Minn. Statutes 2009 256L.02

Premiums, payment, Minn. Statutes 2009 256L.06

Private health and accident insurance, Minn. Statutes 2009 256L.05

Wellness discounts, Minn. Statutes 2009 256.362

Payments by

Copayments, see Deductibles, copayments, or coinsurance under this topic

Inpatient hospital charges, Minn. Statutes 2009 256L.11, 2009 256L.12

Personal data, classification, disclosure, Minn. Statutes 2009 13.46

Pregnant women, copayments, exemptions, Minn. Statutes 2009 256L.03

Prescription drug program, Minn. Statutes 2009 256.01

Provider choice, limitations, Minn. Statutes 2009 256L.12

Reports given, income, Minn. Statutes 2009 256L.05, 2009 256L.06

Spousal maintenance, distribution, Minn. Statutes 2009 256.741

Enrollment

Adjustment, Minn. Statutes 2009 256L.02

Continuation, Minn. Statutes 2009 256L.07

Disenrollment, Minn. Statutes 2009 256L.04 to 2009 256L.07, 2009 256L.15

Fees, Minn. Statutes 2009 256L.06

Generally, Minn. Statutes 2009 256L.04

Households with no children, former GAMC recipients, Minn. Statutes 2009 256L.05

Limitation, Minn. Statutes 2009 256L.02

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2009 256L.05

Reenrollment, premium payment, Minn. Statutes 2009 256L.06

Single persons, former GAMC recipients, Minn. Statutes 2009 256L.05

Establishment, Minn. Statutes 2009 256L.02

Fair hearings, Minn. Statutes 2009 256.045, 2009 256.0451

Federal waivers, see Waivers under this topic

Financial management, Minn. Statutes 2009 256L.02

Forms, assets, checkoff, Minn. Statutes 2009 256L.17

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding, health care access fund

Appropriations, Minn. Statutes 2009 295.581

Deposits to, Minn. Statutes 2009 16A.724

Transfers from, Minn. Statutes 2009 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2009 256L.12

Health care homes, Minn. Statutes 2009 62U.03, 2009 256B.0751 to 2009 256B.0753

Health care risk adjustment system

Public programs risk adjustment system, Minn. Statutes 2009 62Q.03

Health plan companies, complaints, Minn. Statutes 2009 62Q.73

Health Services Policy Committee, Minn. Statutes 2009 256B.0625

Hearings

Administrative fraud disqualification, Minn. Statutes 2009 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2009 256.045, 2009 256.0451

Rulemaking, Minn. Statutes 2009 256.045

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2009 3.7395

Identification cards

Uniform health care identification cards, issuance, Minn. Statutes 2009 62J.60

Income

Applicants, duties, Minn. Statutes 2009 256D.03, 2009 256L.01

Child support, unearned income, Minn. Statutes 2009 256.741

Disregards, Minn. Statutes 2009 256L.01

Generally, Minn. Statutes 2009 256L.04, 2009 256L.05

Gross family income, Minn. Statutes 2009 256L.01, 2009 256L.04

Increase, continuation of enrollment, Minn. Statutes 2009 256L.07

Limitation, Minn. Statutes 2009 256L.04, 2009 256L.07

Reports about, Minn. Statutes 2009 256L.05, 2009 256L.06

Tax rebates, exclusion, Minn. Statutes 2009 256.028

Inpatient hospital payment system, Minn. Statutes 2009 256.969

Integration with state-operated systems for disabled

Managed care systems for disabled persons, Minn. Statutes 2009 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2009 256B.37

Parents' contribution, Minn. Statutes 2009 256.87

Public assistance liens, Minn. Statutes 2009 256.015, 2009 256L.03

Legislative intent, Minn. Statutes 2009 62J.015

Liability

Parents, Minn. Statutes 2009 256.87

Third parties, Minn. Statutes 2009 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2009 256.015, 2009 256L.03

Managed care plans

Children's health program, Minn. Statutes 2009 256L.26

Generally, Minn. Statutes 2009 256L.12

Payments to, see Provider payments under this topic

Prepaid demonstration project, Minn. Statutes 2009 256B.69

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2009 256.015, 2009 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2009 62J.25

Marketing, Minn. Statutes 2009 256L.02

Medical assistance eligible persons

Copayments, duties, Minn. Statutes 2009 256L.03

Coverage, Minn. Statutes 2009 256B.037, 2009 256B.0625, 2009 256L.07

Dental services, Minn. Statutes 2009 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2009 256L.05

Determination, Minn. Statutes 2009 256B.04

Generally, Minn. Statutes 2009 256L.04

Local social services agencies, duties, Minn. Statutes 2009 256B.19

Managed care plans, Minn. Statutes 2009 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2009 256B.035

Local social services agencies, referrals to, Minn. Statutes 2009 256L.04

Providers, Minn. Statutes 2009 256B.035

Spenddown, Minn. Statutes 2009 256L.03

Subrogation rights, enforcement, Minn. Statutes 2009 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

Orders, Minn. Statutes 2009 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2009 270A.03

Parents' contribution, Minn. Statutes 2009 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Patient Protection Act, application, Minn. Statutes 2009 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2009 256.01

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2009 256.362

Policy of state, Minn. Statutes 2009 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2009 256L.02, 2009 256L.05, 2009 256L.06, 2009 256L.15

Agreement to pay defined as debt, Minn. Statutes 2009 270A.03

Amount, Minn. Statutes 2009 256L.04, 2009 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2009 256.045

Exemptions, Minn. Statutes 2009 256L.06, 2009 256L.15

Generally, Minn. Statutes 2009 256L.15

Increase, notice, Minn. Statutes 2009 256L.03

Payment, Minn. Statutes 2009 256L.04 to 2009 256L.07, 2009 256L.15

Purchases at full cost, reports about, Minn. Statutes 2009 256.362

Reports about, Minn. Statutes 2009 256.362

Rulemaking, nonpayment, good cause, Minn. Statutes 2009 256L.06

Sliding fee scale, Minn. Statutes 2009 256L.02, 2009 256L.06, 2009 256L.15

Wellness discounts, Minn. Statutes 2009 256.362

Primary care access initiative, Minn. Statutes 2009 256.963

Provider payments

Abortions, reporting, Minn. Statutes 2009 145.4131, 2009 145.4133

Audits and examinations, Minn. Statutes 2009 256B.194

Certain providers, Minn. Statutes 2009 256L.11

Generally, Minn. Statutes 2009 256L.02, 2009 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2009 16A.124

Indian health services facilities, Minn. Statutes 2009 256B.0625

Inpatient hospital services, Minn. Statutes 2009 256L.11

Medical assistance eligible enrollees, redetermination, Minn. Statutes 2009 256L.04

Medical assistance rates, use, Minn. Statutes 2009 256L.11

Mental health case management services, Minn. Statutes 2009 256B.0625

Pay-for-performance system, Minn. Statutes 2009 256.01

Payment reforms, Minn. Statutes 2009 62U.01 to 2009 62U.09, 2009 256B.0754

Physicians' services, Minn. Statutes 2009 256B.0625

Quality improvement payment system, Minn. Statutes 2009 256B.072

Recovery, Minn. Statutes 2009 62A.046

Retroactive eligibility changes, effect, Minn. Statutes 2009 256B.0645

Targeted case management services, Minn. Statutes 2009 256B.0924

Transportation services, risk basis, Minn. Statutes 2009 256B.691

Provider taxes, health care cost containment

Taxes and assessments, exemption, Minn. Statutes 2009 62J.041

Providers

Audits and examinations, Minn. Statutes 2009 256B.194

Claims, electronic submission, Minn. Statutes 2009 256.9655

Contracts

Children's mental health services, Minn. Statutes 2009 245.493, 2009 245.4933

General, Minn. Statutes 2009 256B.035

Managed care plans, Minn. Statutes 2009 256L.12

Prohibited contracts, Patient Protection Act, Minn. Statutes 2009 62J.71

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2009 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2009 256B.194

Generally, Minn. Statutes 2009 256L.12

Health care facilities, applications, Minn. Statutes 2009 256L.05

Interagency data exchange, Minn. Statutes 2009 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2009 62J.25

Participation requirements, Minn. Statutes 2009 62D.04, 2009 62D.30, 2009 62N.25

Payments to, see Provider payments under this topic

Performance reporting and quality improvement payment system, Minn. Statutes 2009 256B.072

Performance thresholds, Minn. Statutes 2009 256B.032

Preferred provider programs, Human Services Department, Minn. Statutes 2009 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2009 62J.04

Public assistance, MinnesotaCare defined as, Minn. Statutes 2009 256.741

Public information and education programs, Minn. Statutes 2009 256.962

Purpose, Minn. Statutes 2009 256L.02

Qualifying coverage, MinnesotaCare defined as, Minn. Statutes 2009 62L.02

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2009 256.019

Overpayments, revenue recapture, Minn. Statutes 2009 270A.03

Relative caretakers, cooperation, children, paternity, medical support, Minn. Statutes 2009 256L.04

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2009 256.362

Reserves, Minn. Statutes 2009 256L.02

Residence, Minn. Statutes 2009 256L.09

Severability of law, residency, Minn. Statutes 2009 256L.09

State agency, MinnesotaCare defined as

General assistance medical care, Minn. Statutes 2009 256D.03

State aid, comprehensive health insurance plans

Member premiums, exclusion, Minn. Statutes 2009 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2009 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2009 3.7395

Taxes, provider tax, exemption, Minn. Statutes 2009 62J.041

Third parties, identification, eligibility, Minn. Statutes 2009 256L.04

Toll-free telephone lines, Minn. Statutes 2009 256L.02

Transportation, payments, risk basis, Minn. Statutes 2009 256B.691

Utilization review, controlled substances, Minn. Statutes 2009 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Verification, Minn. Statutes 2009 256L.05, 2009 256L.17

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2009 256L.06

Waivers

Federal waivers

Children's health program, Minn. Statutes 2009 256L.28

Coordination with medical assistance, Minn. Statutes 2009 256.362

Dental services, coverage, Minn. Statutes 2009 256B.037

Health insurance credit, assignment, Minn. Statutes 2009 256.362

Individual education plans, Minn. Statutes 2009 256B.69

Individualized family service plan services, Minn. Statutes 2009 256B.69

Provider contracts, Minn. Statutes 2009 256B.035

Medical assistance, transfer from MinnesotaCare, Minn. Statutes 2009 256L.17

MinnesotaCare health care reform, Minn. Statutes 2009 256L.03

Wrongfully obtaining, disqualification

Violations and penalties, Minn. Statutes 2009 256.98