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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 2016 144.225

Human Services Department, duties, Minn. Statutes 2016 256L.02, 2016 256L.06

Office, Minn. Statutes 2016 256L.02

Premiums, Minn. Statutes 2016 256L.06

Rulemaking, Minn. Statutes 2016 256L.02

Administrative personnel, access to child support system database, Minn. Statutes 2016 13.46

Affidavits, applicants, residence, Minn. Statutes 2016 256L.09

Affordable Care Act implementation, Minn. Statutes 2016 256L.02

Appeals

Coverage, Minn. Statutes 2016 256B.037, 2016 256L.10

Eligibility, Minn. Statutes 2016 256L.10

Fair hearings, Minn. Statutes 2016 256.045, 2016 256.0451

Health plan companies, complaints, Minn. Statutes 2016 62Q.73

Procedures, Minn. Statutes 2016 256L.10

Applicants

Affidavits, residence, Minn. Statutes 2016 256L.09

Appeals, fair hearings, Minn. Statutes 2016 256.045, 2016 256.0451

Assets, see Eligibility under this topic

Community health clinic enrollees, refusal to apply, Minn. Statutes 2016 62Q.22

Domestic violence waiver, Minn. Statutes 2016 256.029

Generally, Minn. Statutes 2016 256L.05

Immigration status, verification and reporting, Minn. Statutes 2016 256.01

Income, see same under this topic

Notice received, Minn. Statutes 2016 256L.02, 2016 256L.06

Social Security numbers, Minn. Statutes 2016 256L.04

Veterans, Minn. Statutes 2016 256L.05

Applications

Assets and income verification, Minn. Statutes 2016 256B.056

Assistance, Minn. Statutes 2016 256.962

Availability, Minn. Statutes 2016 256.962

Generally, Minn. Statutes 2016 256L.05

Medical assistance eligible persons, Minn. Statutes 2016 256L.04

Web site availability, Minn. Statutes 2016 256.01

Armed forces members, eligibility after active service, Minn. Statutes 2016 256L.15

Assets, see Eligibility under this topic

Assignments, child support, Minn. Statutes 2016 256.87

Benefits

Attachment, exemption, Minn. Statutes 2016 550.143

Coordination, Minn. Statutes 2016 62A.046

Cost avoidance, Human Services Department, duties, Minn. Statutes 2016 256L.05

Garnishment, exemption, Minn. Statutes 2016 550.143, 2016 571.912, 2016 571.925

Provider payments, see same under this topic

Secondary to other coverage, Minn. Statutes 2016 256L.05

Billing, uniform forms, Minn. Statutes 2016 62J.52

Childbirth program, evidence-based, Minn. Statutes 2016 256B.0625

Children's health care services costs, accounting, Minn. Statutes 2016 256.0161

Claims

Enforcement, reduction by value of premium payments, Minn. Statutes 2016 256.045

Payments to providers, electronic claims submission, Minn. Statutes 2016 256.9655

State or county agency, Minn. Statutes 2016 256.045

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

Complaints, health plan companies, adverse determination appeals, Minn. Statutes 2016 62Q.73

Compliance system, Minn. Statutes 2016 256.017

Consumers, see Enrollees under this topic

Contested cases, birth records, group purchaser data, disclosure, Minn. Statutes 2016 144.225

Contracts and agreements

Health care public programs risk adjustment, phase in, Minn. Statutes 2016 62Q.03

Managed care, prepaid medical assistance program, Minn. Statutes 2016 256B.69

Participating entities, competitive process, Minn. Statutes 2016 256L.121

Prepaid health plans, risk-based transportation payments, Minn. Statutes 2016 256B.691

Providers, see same under this topic

Coordination of care

Health care homes, Minn. Statutes 2016 62U.03, 2016 256B.0751, 2016 256B.0753

Health homes, Minn. Statutes 2016 256B.0757

Coordination with state-administered health programs, Minn. Statutes 2016 256L.04, 2016 256L.121

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

Cost containment, Minn. Statutes 2016 62J.04, 2016 256B.043, 2016 256L.12

Coverage

Appeals, Minn. Statutes 2016 62Q.73, 2016 256B.037, 2016 256L.10

Armed forces members, Minn. Statutes 2016 256L.15

Case management, mental health, provider duties, Minn. Statutes 2016 256B.0625

Chemical dependency treatment, Minn. Statutes 2016 256L.03, 2016 256L.12

Dental services, Minn. Statutes 2016 256B.037, 2016 256L.03

Effective date, Minn. Statutes 2016 256L.05

Exclusions and limitations, Minn. Statutes 2016 144.551, 2016 256L.03, 2016 256L.09

Families with children, Minn. Statutes 2016 256L.11

Generally, Minn. Statutes 2016 256L.03

Indians, Minn. Statutes 2016 256L.12

Loss ratio, Minn. Statutes 2016 256L.03

Medical assistance eligible persons, see same under this topic

Medical cannabis, Minn. Statutes 2016 152.23

Mental health services, Minn. Statutes 2016 256L.12

New family members, Minn. Statutes 2016 256L.05

Other health coverage, Minn. Statutes 2016 256L.07

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

Preexisting conditions, Minn. Statutes 2016 256L.09

Premiums, payment requirements, Minn. Statutes 2016 256L.05

Reduction, suspension, or termination, Minn. Statutes 2016 256.01, 2016 256L.07, 2016 256L.10

Data collection

Health care data analysis unit, Minn. Statutes 2016 145.61

Health care spending data, see Data collection under HEALTH CARE

Data institute, see HEALTH DATA INSTITUTE

Data

Controlled substances, utilization, Minn. Statutes 2016 256B.0636

Dental plans, access, Minn. Statutes 2016 256B.037

Health maintenance organizations, access, Minn. Statutes 2016 62D.145

Individualized education program health-related services provided by school districts, use and dissemination, Minn. Statutes 2016 13.05

Unemployment insurance, access, Minn. Statutes 2016 268.19

Deductibles, copayments, or coinsurance

Cost-sharing, generally, Minn. Statutes 2016 256L.03

Enrollee payments, Minn. Statutes 2016 256L.12

Exclusions, Minn. Statutes 2016 62D.095

Managed care plans, Minn. Statutes 2016 256L.12

Requirements, Minn. Statutes 2016 256L.11

Definitions

Generally, Minn. Statutes 2016 256L.01

Interagency intervention services, Minn. Statutes 2016 125A.023

Demonstration programs

Dental services, Minn. Statutes 2016 256B.037

Health care delivery systems, Minn. Statutes 2016 256B.0755

Dental services, see MinnesotaCare under DENTAL SERVICES

Disease management programs, Minn. Statutes 2016 256B.075

Disregards

Generally, Minn. Statutes 2016 256L.01

Gross family income, Minn. Statutes 2016 256L.04

Inpatient hospital service benefits, Minn. Statutes 2016 256L.03

Drugs and medicine, opioid prescribing improvement program, Minn. Statutes 2016 256B.0638

Eligibility

Appeals, Minn. Statutes 2016 256L.10

Assets, Minn. Statutes 2016 256.028

Community health clinic enrollees, Minn. Statutes 2016 62Q.22

Determination, time, Minn. Statutes 2016 256L.05

Domestic violence waiver, Minn. Statutes 2016 256.029

Free and reduced-price school lunch program children, Minn. Statutes 2016 124D.1115

Generally, Minn. Statutes 2016 256L.04, 2016 256L.07

Human Services Department, duties, Minn. Statutes 2016 256L.05

I-35W bridge collapse, payments, effect, Minn. Statutes 2016 3.7395

Income, see same under this topic

Ineligible persons, Minn. Statutes 2016 256L.04

Local social services agencies, duties, Minn. Statutes 2016 256L.05, 2016 256L.07

Medical assistance eligible persons, see same under this topic

MFIP caregivers, orientation requirements, Minn. Statutes 2016 256J.45

Period uninsured, Minn. Statutes 2016 256L.07

Periodic data matching, Minn. Statutes 2016 256B.0561

Persons ineligible for MFIP, Minn. Statutes 2016 256J.09

Premium payments, Minn. Statutes 2016 256L.04, 2016 256L.06

Prisoners being discharged, Minn. Statutes 2016 244.054

Public assistance reporting information system, Minn. Statutes 2016 256.01

Redetermination, Minn. Statutes 2016 256L.05

Reduction, suspension, or termination, Minn. Statutes 2016 256.01, 2016 256L.10

Renewal, Minn. Statutes 2016 256L.04

Residence, Minn. Statutes 2016 256L.09

Verification, Minn. Statutes 2016 256L.05

Enforcement of law, providers, revenue limits, Minn. Statutes 2016 62J.04

Enrollees

Adults without children, healthy Minnesota contribution program, Minn. Statutes 2016 62E.14

Affidavits, residence, Minn. Statutes 2016 256L.09

Appeals, Minn. Statutes 2016 62Q.73, 2016 256B.037, 2016 256L.10

Assets, see Eligibility under this topic

Assignments by, Minn. Statutes 2016 256.87

Children, copayments, exemptions, Minn. Statutes 2016 256L.03

Community integrated service networks, Minn. Statutes 2016 62N.25

Continuation of benefits, committed persons, Minn. Statutes 2016 253B.03, 2016 253D.17

Controlled substances, utilization, Minn. Statutes 2016 256B.0636

Cooperation, Minn. Statutes 2016 256L.04

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

Data, unemployment insurance, access, Minn. Statutes 2016 268.19

Dental plans or providers, change, Minn. Statutes 2016 256B.037

Eligibility, see same under this topic

Human Services Department, duties, Minn. Statutes 2016 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 2016 256.046

Dental plans or providers, Minn. Statutes 2016 256B.037

Disenrollment, Minn. Statutes 2016 256L.07

Eligibility, suspension, reduction, or termination, Minn. Statutes 2016 256L.10

Managed care plans, request to change providers, Minn. Statutes 2016 256L.12

Premiums, payment, Minn. Statutes 2016 256L.06

Wellness discounts, Minn. Statutes 2016 256.362

Payments by

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

Inpatient hospital charges, Minn. Statutes 2016 256L.11, 2016 256L.12

Personal data, classification, disclosure, Minn. Statutes 2016 13.46

Pregnant women, Minn. Statutes 2016 256L.03

Provider choice, limitations, Minn. Statutes 2016 256L.12

Reports given, income, Minn. Statutes 2016 256L.05, 2016 256L.06

Enrollment

Continuation, Minn. Statutes 2016 256L.07

Disenrollment, Minn. Statutes 2016 256L.04 to 2016 256L.07, 2016 256L.15

Fees, Minn. Statutes 2016 256L.06

Generally, Minn. Statutes 2016 256L.04

Medical assistance eligible persons, see same under this topic

Process, Minn. Statutes 2016 256L.05

Reenrollment, premium payment, Minn. Statutes 2016 256L.06

Establishment, Minn. Statutes 2016 256L.02

Fair hearings, Minn. Statutes 2016 256.045, 2016 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 2016 16A.724

Health care access fund

Appropriations, Minn. Statutes 2016 295.581

Deposits to, Minn. Statutes 2016 16A.724

Transfers from, Minn. Statutes 2016 297I.05

Grievance procedures, managed care plan vendors, duties, Minn. Statutes 2016 256L.12

Health care delivery systems demonstration program, Minn. Statutes 2016 256B.0755

Health care homes, Minn. Statutes 2016 62U.03, 2016 256B.0751 to 2016 256B.0753

Health care risk adjustment system, public programs, Minn. Statutes 2016 62Q.03

Health homes, Minn. Statutes 2016 256B.0757

Health plan companies, complaints, Minn. Statutes 2016 62Q.73

Health plans, competitive bidding, Minn. Statutes 2016 256L.121

Health Services Policy Committee, Minn. Statutes 2016 256B.0625

Healthy Minnesota contribution program, Minn. Statutes 2016 62E.14

Hearings

Administrative fraud disqualification, Minn. Statutes 2016 256.046

Applicants or recipients, fair hearings, Minn. Statutes 2016 256.045, 2016 256.0451

Rulemaking, Minn. Statutes 2016 256.045

I-35W bridge collapse, payments, effect on eligibility, Minn. Statutes 2016 3.7395

Identification cards, uniform health care cards, issuance, Minn. Statutes 2016 62J.60

Income

Applicants, duties, Minn. Statutes 2016 256L.01

Disregards, Minn. Statutes 2016 256L.01

Generally, Minn. Statutes 2016 256L.04, 2016 256L.05

Gross family income, Minn. Statutes 2016 256L.04

Increase, continuation of enrollment, Minn. Statutes 2016 256L.07

Limitation, Minn. Statutes 2016 256L.04, 2016 256L.07

Reports about, Minn. Statutes 2016 256L.05, 2016 256L.06

Tax rebates, exclusion, Minn. Statutes 2016 256.028

Inpatient hospital payment system, Minn. Statutes 2016 256.969

Integration with state-operated systems for disabled, managed care systems for disabled persons, Minn. Statutes 2016 256B.693

Lawsuits

Medical assistance subrogation rights, enforcement, Minn. Statutes 2016 256B.37

Parents' contribution, Minn. Statutes 2016 256.87

Public assistance liens, Minn. Statutes 2016 256.015, 2016 256L.03

Legislative intent, Minn. Statutes 2016 62J.015

Liability

Parents, Minn. Statutes 2016 256.87

Third parties, Minn. Statutes 2016 256L.04

Liens, public assistance, lawsuits, Minn. Statutes 2016 256.015, 2016 256L.03

Managed care plans

Competitive bidding, Minn. Statutes 2016 256B.69

Financial audits, Minn. Statutes 2016 256B.69

Generally, Minn. Statutes 2016 256L.12

Payments to, see Provider payments under this topic

Prepaid program, Minn. Statutes 2016 256B.69

Providers, see same under this topic

Public assistance liens, Minn. Statutes 2016 256.015, 2016 256L.03

Mandatory Medicare assignment, providers, duties, Minn. Statutes 2016 62J.25

Medical assistance eligible persons

Coordination of eligibility and coverage, Minn. Statutes 2016 256L.04, 2016 256L.121

Cost-sharing, duties, Minn. Statutes 2016 256L.03

Coverage, Minn. Statutes 2016 256B.037, 2016 256B.0625, 2016 256L.07

Dental services, Minn. Statutes 2016 256B.037

Eligibility

Applications, procedures, Minn. Statutes 2016 256L.05

Generally, Minn. Statutes 2016 256L.04

Local social services agencies, duties, Minn. Statutes 2016 256B.19

Managed care plans, Minn. Statutes 2016 256L.12

Enrollment, Human Services Department, duties, Minn. Statutes 2016 256B.035

Providers, Minn. Statutes 2016 256B.035

Spenddown, Minn. Statutes 2016 256L.03

Subrogation rights, enforcement, Minn. Statutes 2016 256B.37

Minnesota employees insurance program, see under HEALTH AND ACCIDENT INSURANCE

MinnesotaCare tax, see HEALTH CARE TAXES

MNsure, coordination, Minn. Statutes 2016 256L.02

Orders, Minn. Statutes 2016 256.87

Overpayments, recovery, revenue recapture, Minn. Statutes 2016 270A.03

Parents' contribution, Minn. Statutes 2016 256.87

Participants

Enrollees, see same under this topic

Providers, see same under this topic

Participating entities

Competitive bidding, Minn. Statutes 2016 256L.121

Definitions, Minn. Statutes 2016 256L.01

Patient Protection Act, application, Minn. Statutes 2016 62J.701

Patients, see Enrollees under this topic

Pay-for-performance system, Minn. Statutes 2016 256.01

Payments to providers, errors, rate penalties, Minn. Statutes 2016 256.017

Planning, eligibility, coordination with medical assistance, Minn. Statutes 2016 256.362

Policy of state, Minn. Statutes 2016 256L.09

Preferred provider programs, see Providers under this topic

Premiums

Adjustment, Minn. Statutes 2016 256L.05, 2016 256L.06, 2016 256L.15

Agreement to pay defined as debt, Minn. Statutes 2016 270A.03

Amount, Minn. Statutes 2016 256L.04, 2016 256L.15

Eligibility, enforcement of claims, reduction by value of premium payments, Minn. Statutes 2016 256.045

Exemptions, Minn. Statutes 2016 256L.06, 2016 256L.15

Generally, Minn. Statutes 2016 256L.15

Increase, notice, Minn. Statutes 2016 256L.03

Payment, Minn. Statutes 2016 256L.04 to 2016 256L.07, 2016 256L.15

Purchases at full cost, reports about, Minn. Statutes 2016 256.362

Reports about, Minn. Statutes 2016 256.362

Sliding fee scale, Minn. Statutes 2016 256L.06, 2016 256L.15

Wellness discounts, Minn. Statutes 2016 256.362

Primary care access initiative, Minn. Statutes 2016 256.963

Provider payments

Abortions, reporting, Minn. Statutes 2016 145.4131, 2016 145.4133

Audits and examinations, Minn. Statutes 2016 256B.194

Certain providers, Minn. Statutes 2016 256L.11

Generally, Minn. Statutes 2016 256L.12

Human Services Department, 30-day deadline, Minn. Statutes 2016 16A.124

Indian health services facilities, Minn. Statutes 2016 256B.0625

Inpatient hospital services, Minn. Statutes 2016 256L.11

Medical assistance rates, use, Minn. Statutes 2016 256L.11

Mental health case management services, Minn. Statutes 2016 256B.0625

Pay-for-performance system, Minn. Statutes 2016 256.01

Payment reforms, Minn. Statutes 2016 62U.01 to 2016 62U.08, 2016 256B.0754

Physicians' services, Minn. Statutes 2016 256B.0625

Quality improvement payment system, Minn. Statutes 2016 256B.072

Recovery, Minn. Statutes 2016 62A.046

Targeted case management services, Minn. Statutes 2016 256B.0924

Transportation services, risk basis, Minn. Statutes 2016 256B.691

Provider taxes, health care cost containment, taxes and assessments, exemption, Minn. Statutes 2016 62J.041

Providers

Audits and examinations, Minn. Statutes 2016 256B.194

Claims, electronic submission, Minn. Statutes 2016 256.9655

Contracts

General, Minn. Statutes 2016 256B.035

Managed care plans and similar entities, Minn. Statutes 2016 256L.12

Prohibited contracts, Patient Protection Act, Minn. Statutes 2016 62J.71

Directives, prohibited directives, Patient Protection Act, Minn. Statutes 2016 62J.71

Disclosure of Medicaid-related costs, Minn. Statutes 2016 256B.194

Generally, Minn. Statutes 2016 256L.12

Health care facilities, applications, Minn. Statutes 2016 256L.05

Interagency data exchange, Minn. Statutes 2016 256.0281

Mandatory Medicare assignment, duties, Minn. Statutes 2016 62J.25

Participation requirements, Minn. Statutes 2016 62D.04, 2016 62D.30, 2016 62N.25, 2016 256B.0644

Payments to, see Provider payments under this topic

Performance reporting and quality improvement payment system, Minn. Statutes 2016 256B.072

Preferred provider programs, Human Services Department, Minn. Statutes 2016 256B.035

Revenue limits, enforcement of law, Minn. Statutes 2016 62J.04

Public information and education programs, Minn. Statutes 2016 256.962

Purpose, Minn. Statutes 2016 256L.02

Quality control/quality assurance

Case penalties, Minn. Statutes 2016 256.017

Compliance system, Minn. Statutes 2016 256.017

Human Services Department, duties, Minn. Statutes 2016 256.017

Recipients, see Enrollees under this topic

Recovery of money

Apportionment, Minn. Statutes 2016 256.019

Contingency contract fee retention, Minn. Statutes 2016 256.01

Overpayments, revenue recapture, Minn. Statutes 2016 270A.03

Reports about, eligibility, coordination with medical assistance, Minn. Statutes 2016 256.362

Residence, Minn. Statutes 2016 256L.09

Severability of law, residency, Minn. Statutes 2016 256L.09

State aid, comprehensive health insurance plans, member premiums, exclusion, Minn. Statutes 2016 62E.11

Subrogation

Health and accident insurance, Minn. Statutes 2016 62A.045

I-35W bridge collapse survivors, Human Services Department duties, Minn. Statutes 2016 3.7395

Taxes, provider tax, exemption, Minn. Statutes 2016 62J.041

Termination, Minn. Statutes 2016 256.01

Third parties, identification, eligibility, Minn. Statutes 2016 256L.04

Toll-free telephone lines, Minn. Statutes 2016 256L.02

Transportation, payments, risk basis, Minn. Statutes 2016 256B.691

Utilization review, controlled substances, Minn. Statutes 2016 256B.0636

Vendors

Generally, see Providers under this topic

Managed care plans, see same under this topic

Selection, Minn. Statutes 2016 256B.69

Verification, Minn. Statutes 2016 256L.05

Violations and penalties

Fraud, see MinnesotaCare under WELFARE FRAUD

Premiums, nonpayment, disenrollment, Minn. Statutes 2016 256L.06

Waivers

Federal waivers

Coordination with medical assistance, Minn. Statutes 2016 256.362

Dental services, coverage, Minn. Statutes 2016 256B.037

Health insurance credit, assignment, Minn. Statutes 2016 256.362

Individualized education programs, Minn. Statutes 2016 256B.69

Individualized family service plan services, Minn. Statutes 2016 256B.69

Provider contracts, Minn. Statutes 2016 256B.035

MinnesotaCare health care reform, Minn. Statutes 2016 256L.03

Web pages, government information on, Minn. Statutes 2016 256L.02

Wrongfully obtaining, disqualification, Minn. Statutes 2016 256.98