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
Physician and Professional Services
Legal References
MN Stat. Chap. 147 – Board of Medical Practice
MN Stat. Chap. 147A – Physician Assistants, Licensing
MN Stat. sec. 147A.01 – Definitions
MN Stat. Chap. 147D – Traditional Midwives
MN Stat. secs. 148.171 – 148.285 – Nurses
MN Stat. sec. 148.624, subd. 1 – Licensure; Renewal: Dietetics
MN Stat. sec. 148.624, subd. 2 – Licensure; Renewal: Nutrition
MN Stat. Chap. 153 – Podiatry
MN Stat. sec. 144.615 – Birth Centers
MN Stat. sec. 144.651, subd. 10 – Health Care Bill of Rights: Participation in Planning Treatment; Notification of Family Members)
MN Stat. sec. 148.995, subd. 2 – Definitions: Certified Doula
MN Stat. sec. 148.996 – Registry
MN Stat. sec. 151.212, subd. 1 – Label of Prescription Drug Containers (Prescription drugs)
MN Stat. sec. 256B.02 – Definitions
MN Stat. sec. 256B.0621 – Covered Services – Targeted Case Management Services
MN Stat. sec. 256B.0621, subd. 4 – Covered Services – Targeted Case Management Services: Relocation targeted county case management provider qualifications
MN Stat. sec. 256B.0621, subd. 5 – Covered Services – Targeted Case Management Services: Specific provider qualifications
MN Stat. sec. 256B.0621, subd. 6 – Covered Services – Targeted Case Management Services: Eligible services
MN Stat. sec. 256B.0621, subd. 7 – Covered Services – Targeted Case Management Services: Time lines
MN Stat. sec. 256B.0625, subd. 3 – Covered Services: Physicians’ services
MN Stat. sec. 256B.0625, subd. 3b – Covered Services – Telehealth services
MN Stat. sec. 256B.0625, subd. 3h – Covered Services – Telemonitoring services
MN Stat. sec. 256B.0625, subd. 4 – Covered Services: Outpatient and physician-directed clinic services
MN Stat. sec. 256B.0625, subd. 11 – Covered Services: Nurse anesthetist services
MN Stat. sec. 256B.0625, subd. 13 – Covered Services: Drugs
MN Stat. sec. 256B.0625, subd. 14 – Covered Services: Diagnostic, screening, and preventive services
MN Stat. sec. 256B.0625, subd. 20 – Covered Services: Mental health case management
MN Stat. sec. 256B.0625, subd. 25 – Covered Services: Prior authorization required
MN Stat. sec. 256B.0625, subd. 27 – Covered Services: Organ and tissue transplants
MN Stat. sec. 256B.0625, subd. 28a – Covered Services: Licensed physician assistant services
MN Stat. sec. 256B.0625, subd. 28b – Covered Services: Doula Services
MN Stat. sec. 256B.0625, subd. 32 – Covered Services: Nutritional products
MN Stat. sec. 256B.0625, subd. 54 – Covered Services: Services provided in birth centers
MN Stat. sec. 256B.092 – Services for Persons with Developmental Disabilities
MN Stat. 256B.756, subd. 1 – Reimbursement Rates for Births
MN Stat. sec. 256B.77 – Coordinated Service Delivery System for Disabled
MN Stat. sec. 256G.02, subd. 4 – Definitions: County of financial responsibility
Minnesota Rules 9505.0280 – Family Planning Services
MN Rules part 9505.0320 – Nurse Midwife Services
MN Rules part 9505.0325 – Nutritional Products
MN Rules part 9505.0330 – Outpatient Hospital Services
MN Rules part 9505.0345 – Physician Services
MN Rules part 9505.0350 – Podiatry Services
MN Rules part 9505.0353 – Prenatal Care Services
MN Rules part 9505.0355 – Preventive Health Services
MN Rules part 9505.5010 – Prior Authorization Requirement
MN Rules part 9505.5035 – Surgical Procedures Requiring Second Medical Opinion
42 CFR 413.65 – Payments to Providers: Requirements for a determination that a facility or an organization has provider-based status
42 CFR 413.70 – Payments to Providers: Payment for services of a CAH
42 CFR 440.20 – Definitions: Outpatient hospital services and rural health clinic services
42 CFR 440.50 – Definitions: Physicians’ services and medical and surgical services of a dentist
42 CFR 440.130 (c) – Definitions: Diagnostic screening, preventive, and rehabilitative services
42 CFR 440.165 – Nurse-midwife service
42 CFR 440.166 – Definitions: Nurse practitioner services
42 CFR 441.21 – Nurse-midwife services
42 CFR 441, subp. E – Abortions
42 CFR 441, subp. F – Sterilizations
45 CFR 164.312 (e) (1) – Technical safeguards: Standard: Transmission security
Minnesota 2014 Session Law, chapter 291, article 4, section 23 (amended section 148.995, subd. 2)
Minnesota 2014 Session Law, chapter 291, article 4, section 24 (amended section 148.996, subd. 2)
PW_04-19_195
Updated_12/23/2025
