Restricted Recipient Program (RRP)

The Restricted Recipient Program (RRP) is for members who have misused or abused medical services provided to them through Minnesota Health Care Programs (MHCP). You do not lose eligibility for MHCP-covered services because of placement in this program. If you are placed in the RRP, you are assigned to 1 primary care provider, 1 clinic, 1 hospital, and 1 pharmacy. These will all be within 30 miles of your home. Your primary care provider can refer you to a specialist if needed. 

As part of the program:

  1. You may choose a network primary care clinic for your health care. Once you have chosen a clinic, you may choose a primary care provider from that clinic. The primary care provider you choose must accept you as a patient. You may only use this clinic and provider for your care unless the provider refers you to another health care provider.
  2. You may choose a hospital where you will get hospital services, including emergency room (ER) services. The primary care provider you choose must have rights to practice at the hospital you choose.
    1. If you have an emergency and are not near your chosen hospital, go to the closest hospital or call 911. You must work with your primary care provider to fill any prescriptions written by an ER provider and for appropriate follow-up care.
  3. You may select a pharmacy where you will have all of your prescriptions filled. You may not use other pharmacies or pay cash for controlled substances.
  4. Placement in the program continues if you change health plans or if you change to fee-for-service health coverage.
  5. You may not use the personal care assistance (PCA) choice option or consumer-directed services. You may use the PCA shared care option if a county public health nurse (PHN) says it is appropriate.
  6. You do not need to see or get a referral from your primary care provider for dental, chiropractic, or optical services.

Placement in the RRP is for 24 months to begin with. Your medical and pharmacy use will be reviewed at the end of the 24 months to see if you have used the services appropriately. If you have not followed the program guidelines, you will be placed in the program for another 36 months.

If you feel you have a dependency or addiction to a medication or another substance, you can be assessed for treatment. For more information on assessments and how to schedule one, visit our Substance Use Disorder web page. You can also call Member Services at 1-866-431-0801. TTY users call 1-800- 627-3529 or 711. These calls are free.

PW_07-17_242
DHS_Approved_05/25/2021
Updated_05/25/2021