Minnesota Statutes
Chapters 59A - 79A — Insurance
Chapter 62M — Utilization Review Of Health Care

Section 62M.01 — Citation, Jurisdiction, And Scope. - Subdivision 1. Popular name. This chapter may be cited as...

Section 62M.02 — Definitions. - Subdivision 1. Terms. For the purposes of this chapter, the...

Section 62M.03 — Compliance With Standards. - Subdivision 1. Licensed utilization review organization. Beginning January 1, 1993,...

Section 62M.04 — Standards For Utilization Review Performance. - Subdivision 1. Responsibility for obtaining authorization. A health benefit plan...

Section 62M.05 — Procedures For Review Determination. - Subdivision 1. Written procedures. A utilization review organization must have...

Section 62M.06 — Appeals Of Adverse Determinations. - Subdivision 1. Procedures for appeal. (a) A utilization review organization...

Section 62M.07 — Prior Authorization Of Services. - Subdivision 1. Written standards. Utilization review organizations conducting prior authorization...

Section 62M.072 — Use Of Evidence-based Standards. - If no independently developed evidence-based standards exist for a particular...

Section 62M.08 — Confidentiality. - Subdivision 1. Written procedures to ensure confidentiality. A utilization review...

Section 62M.09 — Staff And Program Qualifications. - Subdivision 1. Staff criteria. A utilization review organization shall have...

Section 62M.10 — Accessibility And On-site Review Procedures. - Subdivision 1. Toll-free number. A utilization review organization must provide...

Section 62M.11 — Complaints To Commerce Or Health. - Notwithstanding the provisions of this chapter, an enrollee may file...

Section 62M.12 — Prohibition Of Inappropriate Incentives. - No individual who is performing utilization review may receive any...

Section 62M.13 — Severability. - If any provisions of this chapter are held invalid, illegal,...

Section 62M.14 — Effect Of Compliance. - Evidence of a utilization review organization's compliance or noncompliance with...

Section 62M.15 — Applicability Of Other Chapter Requirements. - The requirements of this chapter regarding the conduct of utilization...

Section 62M.16 — Rulemaking. - If it is determined that rules are reasonable and necessary...

Section 62M.17 — Continuity Of Care; Prior Authorizations. - Subdivision 1. Compliance with prior authorization approved by previous utilization...

Section 62M.18 — Annual Posting On Website; Prior Authorizations. - (a) By April 1, 2022, and each April 1 thereafter,...