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
Member Eligibility
Legal References
MN Stat. sec. 256.045 – Administrative and Judicial Review of Human Services Matters
MN Stat. sec. 256B.02 – Definitions
MN Stat. secs. 256B.055 – 256B.061 – Medical Assistance for Needy Persons: Eligibility
MN Stat. sec. 256B.0625 – Covered Services
MN Stat. sec. 256B.0625, subd. 26 – Covered Services: Special Education Services
MN Stat. sec. 256B.0625, subd. 55 – Payment for Noncovered Services
MN Stat. sec. 256B.0631 – Medical Assistance Co-Payments
MN Stat. secs. 256L.01 – 256L.15 – MinnesotaCare
MN Stat. sec. 256L.03 – Covered Health Services
MN Stat. sec. 571.72 – Garnishment; When Authorized
MN Stat. sec. 571.912 – Form of Exemption Notice
MN Stat. sec. 571.914 – Objection to Exemption Claim
MN Rules parts 9505.0010 – 9505.0140 – Medical Assistance Eligibility
MN Rules part 9505.0065, subp. 1 – Income
MN Rules parts 9505.0170 – 9505.0475 – Medical Assistance Payments
Minnesota Rules part 9505.0210 – Covered Services; General Requirements
Minnesota Rules part 9505.0225 – Request to Recipient to Pay
Minnesota Rules part 9505.0195, subp. 10 – Condition of Participation
MN Rules parts 9505.2160 – 9505.2245 – Surveillance and Integrity Review Program
Title 42 Code of Federal Regulations (CFR) Part 440 – General Provisions
42 CFR 447.54 – Deductible, Coinsurance, Copayment or Similar Cost-Sharing Charge; Maximum Allowable and Nominal Charges
42 CFR 456 – Utilization Control
42 USC 1396o(e) – Prohibition of Denial of Services on Basis of Individual's Inability to Pay Certain Charges
PW_04-19_191
Updated_4/16/2020
