Policies & Guidelines
- Compliance
- Definitions
- Ambulatory Surgical Services
- Billing Policy
- Children's Services
- Chiropractic Services
- Clinic Services
- Dental
- HCBS Elderly Waiver
- Home Care
- Hospice
- Hospital Services
- Inpatient Hospital Notification and Authorization
- Laboratory/Pathology, Radiology and Diagnostic Services
- Long-Term Care
- Mental Health Services
- Optical Services
- Pharmacy Services
- Physician and Professional Services
- Rehabilitative Services
- Requirements for Providers
- Service Authorization
- Substance Use Disorder Services
- Transportation
- Tribal and Indian Health Services
- Legal References
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- Ambulatory Surgical Services
- Billing Policy
- CFSS
- Children's Services
- Chiropractic Services
- Clinic Services
- Dental
- Equipment and Supplies
- HCBS Elderly Waiver
- Home Care
- Hospice
- Hospital Services
- Housing Stabilization Services
- Immunizations and Vaccinations
- Inpatient Hospital Notification and Authorization
- Laboratory/Pathology, Radiology and Diagnostic Services
- Long-Term Care
- Member Eligibility
- Mental Health Services
- Optical Services
- Pharmacy Services
- Physician and Professional Services
- Recuperative Care
- Rehabilitative Services
- Requirements for Providers
- Service Authorization
- Substance Use Disorder Services
- Transportation
- Tribal and Indian Health Services
- Quality: HEDIS
- Policies & Procedures
Inpatient Hospital Notification and Authorization
Legal References
MN Stat. sec. 256.969, subd. 2 – Payment Rates: Diagnostic categories
MN Stat. sec. 256B.04 – Duties of State Agency
MN Stat. sec. 256D.03 – Responsibility to Provide General Assistance
MN Stat. sec. 256L.03, subd. 3(b) – Covered Health Services: Inpatient hospital services
MN Rules parts 9505.0501 – 9505.0540 – Hospital Admissions Certification
Title 42 Code of Federal Regulations (CFR) Part 456, Subpart C – Utilization Control: Hospitals
42 CFR 456, subp. D – Utilization Control: Mental Hospitals
42 CFR 482.30 – Condition of participation: Utilization review
PW_04-19_188
Updated_12/16/2025
