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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 2015 144.225

Human Services Department, duties, Minn. Statutes 2015 256L.02, 2015 256L.06

Office, Minn. Statutes 2015 256L.02

Premiums, Minn. Statutes 2015 256L.06

Rulemaking, Minn. Statutes 2015 256L.02

Administrative personnel, access to child support system database, Minn. Statutes 2015 13.46

Affidavits, applicants, residence, Minn. Statutes 2015 256L.09

Affordable Care Act implementation, Minn. Statutes 2015 256L.02

Appeals

Coverage, Minn. Statutes 2015 256B.037, 2015 256L.10

Eligibility, Minn. Statutes 2015 256L.10

Fair hearings, Minn. Statutes 2015 256.045, 2015 256.0451

Health plan companies, complaints, Minn. Statutes 2015 62Q.73

Procedures, Minn. Statutes 2015 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2015 256L.09

Appeals, fair hearings, Minn. Statutes 2015 256.045, 2015 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2015 62Q.22

Domestic violence waiver, Minn. Statutes 2015 256.029

Generally, Minn. Statutes 2015 256L.05

Immigration status, verification and reporting, Minn. Statutes 2015 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2015 256L.02, 2015 256L.06

Social Security numbers, Minn. Statutes 2015 256L.04

Veterans, Minn. Statutes 2015 256L.05

Applications

Assets and income verification, Minn. Statutes 2015 256B.056

Assistance, Minn. Statutes 2015 256.962

Availability, Minn. Statutes 2015 256.962

Generally, Minn. Statutes 2015 256L.05

Medical assistance eligible persons, Minn. Statutes 2015 256L.04

Web site availability, Minn. Statutes 2015 256.01

Armed forces members, eligibility after active service, Minn. Statutes 2015 256L.15

Assets, see Eligibility under this topic

Assignments, child support, Minn. Statutes 2015 256.87

Benefits

Attachment, exemption, Minn. Statutes 2015 550.143

Coordination, Minn. Statutes 2015 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2015 256L.05

Garnishment, exemption, Minn. Statutes 2015 550.143, 2015 571.912, 2015 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2015 256L.05

Billing, uniform forms, Minn. Statutes 2015 62J.52

Childbirth program, evidence-based, Minn. Statutes 2015 256B.0625

Children's health care services costs, accounting, Minn. Statutes 2015 256.0161

Children's health program, Minn. Statutes 2015 256L.22 to 2015 256L.28

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2015 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2015 256.9655

State or county agency, Minn. Statutes 2015 256.045

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

Complaints, health plan companies, adverse determination appeals, Minn. Statutes 2015 62Q.73

Compliance system, Minn. Statutes 2015 256.017

Consumers, see Enrollees under this topic

Contested cases, birth records, group purchaser data, disclosure, Minn. Statutes 2015 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2015 62Q.03

Managed care, prepaid medical assistance program, Minn. Statutes 2015 256B.69

Participating entities, competitive process, Minn. Statutes 2015 256L.121

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2015 256B.691

Providers, see same under this topic

Coordination of care

Health care homes, Minn. Statutes 2015 62U.03, 2015 256B.0751, 2015 256B.0753

Health homes, Minn. Statutes 2015 256B.0757

Coordination with state-administered health programs, Minn. Statutes 2015 256L.04, 2015 256L.121

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

Cost containment, Minn. Statutes 2015 62J.04, 2015 256B.043, 2015 256L.12

Coverage

Appeals, Minn. Statutes 2015 62Q.73, 2015 256B.037, 2015 256L.10

Armed forces members, Minn. Statutes 2015 256L.15

Case management, mental health, provider duties, Minn. Statutes 2015 256B.0625

Chemical dependency treatment, Minn. Statutes 2015 256L.03, 2015 256L.12

Dental services, Minn. Statutes 2015 256B.037, 2015 256L.03

Effective date, Minn. Statutes 2015 256L.05

Exclusions and limitations, Minn. Statutes 2015 144.551, 2015 256L.03, 2015 256L.09

Families with children, Minn. Statutes 2015 256L.11

Generally, Minn. Statutes 2015 256L.03

Indians, Minn. Statutes 2015 256L.12

Loss ratio, Minn. Statutes 2015 256L.03

Medical assistance eligible persons, see same under this topic

Medical cannabis, Minn. Statutes 2015 152.23

Mental health services, Minn. Statutes 2015 256L.12

New family members, Minn. Statutes 2015 256L.05

Other health coverage, Minn. Statutes 2015 256L.07

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

Preexisting conditions, Minn. Statutes 2015 256L.09

Premiums, payment requirements, Minn. Statutes 2015 256L.05

Reduction, suspension, or termination, Minn. Statutes 2015 256.01, 2015 256L.07, 2015 256L.10

Data collection

Health care data analysis unit, Minn. Statutes 2015 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Data

Controlled substances, utilization, Minn. Statutes 2015 256B.0636

Dental plans, access, Minn. Statutes 2015 256B.037

Health maintenance organizations, access, Minn. Statutes 2015 62D.145

Individualized education program health-related services provided by school districts, use and dissemination, Minn. Statutes 2015 13.05

Unemployment insurance, access, Minn. Statutes 2015 268.19

Deductibles, copayments, or coinsurance

Cost-sharing, generally, Minn. Statutes 2015 256L.03

Enrollee payments, Minn. Statutes 2015 256L.12

Exclusions, Minn. Statutes 2015 62D.095

Managed care plans, Minn. Statutes 2015 256L.12

Requirements, Minn. Statutes 2015 256L.11

Definitions

Generally, Minn. Statutes 2015 256L.01

Interagency intervention services, Minn. Statutes 2015 125A.023

Demonstration programs

Dental services, Minn. Statutes 2015 256B.037

Health care delivery systems, Minn. Statutes 2015 256B.0755

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2015 256B.075

Disregards

Generally, Minn. Statutes 2015 256L.01

Gross family income, Minn. Statutes 2015 256L.04

Inpatient hospital service benefits, Minn. Statutes 2015 256L.03

Drugs and medicine, opioid prescribing improvement program, Minn. Statutes 2015 256B.0638

Eligibility

Appeals, Minn. Statutes 2015 256L.10

Assets, Minn. Statutes 2015 256.028

Children's health program, Minn. Statutes 2015 256L.24

Community health clinic enrollees, Minn. Statutes 2015 62Q.22

Determination, time, Minn. Statutes 2015 256L.05

Domestic violence waiver, Minn. Statutes 2015 256.029

Free and reduced school lunch program children, Minn. Statutes 2015 124D.1115

Generally, Minn. Statutes 2015 256L.04, 2015 256L.07

Human Services Department, duties, Minn. Statutes 2015 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2015 3.7395

Income, see same under this topic

Ineligible persons, Minn. Statutes 2015 256L.04

Local social services agencies, duties, Minn. Statutes 2015 256L.05, 2015 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2015 256J.45

Period uninsured, Minn. Statutes 2015 256L.07

Periodic data matching, Minn. Statutes 2015 256B.0561

Persons ineligible for MFIP, Minn. Statutes 2015 256J.09

Premium payments, Minn. Statutes 2015 256L.04, 2015 256L.06

Prisoners being discharged, Minn. Statutes 2015 244.054

Public assistance reporting information system, Minn. Statutes 2015 256.01

Redetermination, Minn. Statutes 2015 256L.05

Reduction, suspension, or termination, Minn. Statutes 2015 256.01, 2015 256L.10

Renewal, Minn. Statutes 2015 256L.04

Residence, Minn. Statutes 2015 256L.09

Retroactive changes, general assistance medical care recipients, effect, Minn. Statutes 2015 256B.0645

Verification, Minn. Statutes 2015 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2015 62J.04

Enrollees

Adults without children, healthy Minnesota contribution program, Minn. Statutes 2015 62E.14

Affidavits, residence, Minn. Statutes 2015 256L.09

Appeals, Minn. Statutes 2015 62Q.73, 2015 256B.037, 2015 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2015 256.87

Children, copayments, exemptions, Minn. Statutes 2015 256L.03

Community integrated service networks, Minn. Statutes 2015 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2015 253B.03, 2015 253D.17

Controlled substances, utilization, Minn. Statutes 2015 256B.0636

Cooperation, Minn. Statutes 2015 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2015 268.19

Dental plans or providers, change, Minn. Statutes 2015 256B.037

Eligibility, see same under this topic

Human Services Department, duties, Minn. Statutes 2015 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 2015 256.046

Dental plans or providers, Minn. Statutes 2015 256B.037

Disenrollment, Minn. Statutes 2015 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2015 256L.10

Managed care plans, request to change providers, Minn. Statutes 2015 256L.12

Premiums, payment, Minn. Statutes 2015 256L.06

Wellness discounts, Minn. Statutes 2015 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2015 256L.11, 2015 256L.12

Personal data, classification, disclosure, Minn. Statutes 2015 13.46

Pregnant women, Minn. Statutes 2015 256L.03

Provider choice, limitations, Minn. Statutes 2015 256L.12

Reports given, income, Minn. Statutes 2015 256L.05, 2015 256L.06

Enrollment

Continuation, Minn. Statutes 2015 256L.07

Disenrollment, Minn. Statutes 2015 256L.04 to 2015 256L.07, 2015 256L.15

Fees, Minn. Statutes 2015 256L.06

Generally, Minn. Statutes 2015 256L.04

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2015 256L.05

Reenrollment, premium payment, Minn. Statutes 2015 256L.06

Establishment, Minn. Statutes 2015 256L.02

Fair hearings, Minn. Statutes 2015 256.045, 2015 256.0451

Federal waivers, see Waivers under this topic

Fraud, see MinnesotaCare under WELFARE FRAUD

Funding

Federal receipts, appropriated to Human Services Department, Minn. Statutes 2015 16A.724

Health care access fund

Appropriations, Minn. Statutes 2015 295.581

Deposits to, Minn. Statutes 2015 16A.724

Transfers from, Minn. Statutes 2015 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2015 256L.12

Health care delivery systems demonstration program, Minn. Statutes 2015 256B.0755

Health care homes, Minn. Statutes 2015 62U.03, 2015 256B.0751 to 2015 256B.0753

Health care risk adjustment system, public programs, Minn. Statutes 2015 62Q.03

Health homes, Minn. Statutes 2015 256B.0757

Health plan companies, complaints, Minn. Statutes 2015 62Q.73

Health plans, competitive bidding, Minn. Statutes 2015 256L.121

Health Services Policy Committee, Minn. Statutes 2015 256B.0625

Healthy Minnesota contribution program, Minn. Statutes 2015 62E.14

Hearings

Administrative fraud disqualification, Minn. Statutes 2015 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2015 256.045, 2015 256.0451

Rulemaking, Minn. Statutes 2015 256.045

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2015 3.7395

Identification cards, uniform health care cards, issuance, Minn. Statutes 2015 62J.60

Income

Applicants, duties, Minn. Statutes 2015 256L.01

Disregards, Minn. Statutes 2015 256L.01

Generally, Minn. Statutes 2015 256L.04, 2015 256L.05

Gross family income, Minn. Statutes 2015 256L.04

Increase, continuation of enrollment, Minn. Statutes 2015 256L.07

Limitation, Minn. Statutes 2015 256L.04, 2015 256L.07

Reports about, Minn. Statutes 2015 256L.05, 2015 256L.06

Tax rebates, exclusion, Minn. Statutes 2015 256.028

Inpatient hospital payment system, Minn. Statutes 2015 256.969

Integration with state-operated systems for disabled, managed care systems for disabled persons, Minn. Statutes 2015 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2015 256B.37

Parents' contribution, Minn. Statutes 2015 256.87

Public assistance liens, Minn. Statutes 2015 256.015, 2015 256L.03

Legislative intent, Minn. Statutes 2015 62J.015

Liability

Parents, Minn. Statutes 2015 256.87

Third parties, Minn. Statutes 2015 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2015 256.015, 2015 256L.03

Managed care plans

Children's health program, Minn. Statutes 2015 256L.26

Competitive bidding, Minn. Statutes 2015 256B.69

Financial audits, Minn. Statutes 2015 256B.69

Generally, Minn. Statutes 2015 256L.12

Payments to, see Provider payments under this topic

Prepaid program, Minn. Statutes 2015 256B.69

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2015 256.015, 2015 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2015 62J.25

Medical assistance eligible persons

Coordination of eligibility and coverage, Minn. Statutes 2015 256L.04, 2015 256L.121

Cost-sharing, duties, Minn. Statutes 2015 256L.03

Coverage, Minn. Statutes 2015 256B.037, 2015 256B.0625, 2015 256L.07

Dental services, Minn. Statutes 2015 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2015 256L.05

Generally, Minn. Statutes 2015 256L.04

Local social services agencies, duties, Minn. Statutes 2015 256B.19

Managed care plans, Minn. Statutes 2015 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2015 256B.035

Local social services agencies, referrals to, Minn. Statutes 2015 256L.04

Providers, Minn. Statutes 2015 256B.035

Spenddown, Minn. Statutes 2015 256L.03

Subrogation rights, enforcement, Minn. Statutes 2015 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

MNsure, coordination, Minn. Statutes 2015 256L.02

Orders, Minn. Statutes 2015 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2015 270A.03

Parents' contribution, Minn. Statutes 2015 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Participating entities

Competitive bidding, Minn. Statutes 2015 256L.121

Definitions, Minn. Statutes 2015 256L.01

Patient Protection Act, application, Minn. Statutes 2015 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2015 256.01

Payments to providers, errors, rate penalties, Minn. Statutes 2015 256.017

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2015 256.362

Policy of state, Minn. Statutes 2015 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2015 256L.05, 2015 256L.06, 2015 256L.15

Agreement to pay defined as debt, Minn. Statutes 2015 270A.03

Amount, Minn. Statutes 2015 256L.04, 2015 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2015 256.045

Exemptions, Minn. Statutes 2015 256L.06, 2015 256L.15

Generally, Minn. Statutes 2015 256L.15

Increase, notice, Minn. Statutes 2015 256L.03

Payment, Minn. Statutes 2015 256L.04 to 2015 256L.07, 2015 256L.15

Purchases at full cost, reports about, Minn. Statutes 2015 256.362

Reports about, Minn. Statutes 2015 256.362

Sliding fee scale, Minn. Statutes 2015 256L.06, 2015 256L.15

Wellness discounts, Minn. Statutes 2015 256.362

Primary care access initiative, Minn. Statutes 2015 256.963

Provider payments

Abortions, reporting, Minn. Statutes 2015 145.4131, 2015 145.4133

Audits and examinations, Minn. Statutes 2015 256B.194

Certain providers, Minn. Statutes 2015 256L.11

Generally, Minn. Statutes 2015 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2015 16A.124

Indian health services facilities, Minn. Statutes 2015 256B.0625

Inpatient hospital services, Minn. Statutes 2015 256L.11

Medical assistance eligible enrollees, redetermination, Minn. Statutes 2015 256L.04

Medical assistance rates, use, Minn. Statutes 2015 256L.11

Mental health case management services, Minn. Statutes 2015 256B.0625

Pay-for-performance system, Minn. Statutes 2015 256.01

Payment reforms, Minn. Statutes 2015 62U.01 to 2015 62U.08, 2015 256B.0754

Physicians' services, Minn. Statutes 2015 256B.0625

Quality improvement payment system, Minn. Statutes 2015 256B.072

Recovery, Minn. Statutes 2015 62A.046

Retroactive eligibility changes, effect, Minn. Statutes 2015 256B.0645

Targeted case management services, Minn. Statutes 2015 256B.0924

Transportation services, risk basis, Minn. Statutes 2015 256B.691

Provider taxes, health care cost containment, taxes and assessments, exemption, Minn. Statutes 2015 62J.041

Providers

Audits and examinations, Minn. Statutes 2015 256B.194

Claims, electronic submission, Minn. Statutes 2015 256.9655

Contracts

General, Minn. Statutes 2015 256B.035

Managed care plans and similar entities, Minn. Statutes 2015 256L.12

Prohibited contracts, Patient Protection Act, Minn. Statutes 2015 62J.71

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2015 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2015 256B.194

Generally, Minn. Statutes 2015 256L.12

Health care facilities, applications, Minn. Statutes 2015 256L.05

Interagency data exchange, Minn. Statutes 2015 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2015 62J.25

Participation requirements, Minn. Statutes 2015 62D.04, 2015 62D.30, 2015 62N.25, 2015 256B.0644

Payments to, see Provider payments under this topic

Performance reporting and quality improvement payment system, Minn. Statutes 2015 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2015 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2015 62J.04

Public information and education programs, Minn. Statutes 2015 256.962

Purpose, Minn. Statutes 2015 256L.02

Quality control/quality assurance

Case penalties, Minn. Statutes 2015 256.017

Compliance system, Minn. Statutes 2015 256.017

Human Services Department, duties, Minn. Statutes 2015 256.017

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2015 256.019

Contingency contract fee retention, Minn. Statutes 2015 256.01

Overpayments, revenue recapture, Minn. Statutes 2015 270A.03

Relative caretakers, cooperation, children, paternity, medical support, Minn. Statutes 2015 256L.04

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2015 256.362

Residence, Minn. Statutes 2015 256L.09

Severability of law, residency, Minn. Statutes 2015 256L.09

State aid, comprehensive health insurance plans, member premiums, exclusion, Minn. Statutes 2015 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2015 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2015 3.7395

Taxes, provider tax, exemption, Minn. Statutes 2015 62J.041

Termination, Minn. Statutes 2015 256.01

Third parties, identification, eligibility, Minn. Statutes 2015 256L.04

Toll-free telephone lines, Minn. Statutes 2015 256L.02

Transportation, payments, risk basis, Minn. Statutes 2015 256B.691

Utilization review, controlled substances, Minn. Statutes 2015 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Selection, Minn. Statutes 2015 256B.69

Verification, Minn. Statutes 2015 256L.05

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2015 256L.06

Waivers

Federal waivers

Children's health program, Minn. Statutes 2015 256L.28

Coordination with medical assistance, Minn. Statutes 2015 256.362

Dental services, coverage, Minn. Statutes 2015 256B.037

Health insurance credit, assignment, Minn. Statutes 2015 256.362

Individualized education programs, Minn. Statutes 2015 256B.69

Individualized family service plan services, Minn. Statutes 2015 256B.69

Provider contracts, Minn. Statutes 2015 256B.035

MinnesotaCare health care reform, Minn. Statutes 2015 256L.03

Web pages, government information on, Minn. Statutes 2015 256L.02

Wrongfully obtaining, disqualification, Minn. Statutes 2015 256.98