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Section 62Q.01 — Definitions. - Subdivision 1. Applicability. For purposes of this chapter, the terms...
Section 62Q.02 — Applicability Of Chapter. - (a) This chapter applies only to health plans, as defined...
Section 62Q.021 — Federal Act; Compliance Required. - Subdivision 1. Compliance with 1996 federal law. Each health plan...
Section 62Q.025 — High Deductible Health Plans. - Subdivision 1. Qualified plan. A high deductible health plan shall...
Section 62Q.03 — Process For Risk Adjustment System. - Subdivision 1. Purpose. The purpose of risk adjustment is to...
Section 62Q.075 — Local Public Accountability And Collaboration Plan. - Subdivision 1. [Repealed by amendment, 2001 c 171 s 1]...
Section 62Q.096 — Credentialing Of Providers. - If a health plan company has initially credentialed, as providers...
Section 62Q.097 — Requirements For Timely Provider Credentialing. - Subdivision 1. Definitions. (a) The definitions in this subdivision apply...
Section 62Q.101 — Evaluation Of Provider Performance. - A health plan company, or a vendor of risk management...
Section 62Q.1055 — Chemical Dependency. - All health plan companies shall use the assessment criteria in...
Section 62Q.106 — Dispute Resolution By Commissioner. - (a) A complainant may at any time submit a complaint...
Section 62Q.107 — Prohibited Provision; Judicial Review. - Beginning January 1, 1999, no health plan, including the coverages...
Section 62Q.12 — Denial Of Access. - No health plan company may deny access to a covered...
Section 62Q.121 — Licensure Of Medical Directors. - (a) No health plan company may employ a person as...
Section 62Q.135 — Contracting For Chemical Dependency Services. - No health plan company shall contract with a chemical dependency...
Section 62Q.137 — Chemical Dependency Treatment; Coverage. - (a) Any health plan that provides coverage for chemical dependency...
Section 62Q.14 — Restrictions On Enrollee Services. - No health plan company may restrict the choice of an...
Section 62Q.145 — Abortion And Scope Of Practice. - Health plan company policies related to scope of practice for...
Section 62Q.16 — Midmonth Termination Prohibited. - The termination of a person's coverage under any health plan...
Section 62Q.165 — Universal Coverage. - Subdivision 1. Definition. It is the commitment of the state...
Section 62Q.17 — Voluntary Purchasing Pools. - Subdivision 1. Permission to form. Notwithstanding section 62A.10, employers, groups,...
Section 62Q.18 — Portability Of Coverage. - Subdivision 1. Definition. For purposes of this section: (1) "continuous...
Section 62Q.181 — Written Certification Of Coverage. - A health plan company shall provide the written certifications of...
Section 62Q.184 — Step Therapy Override. - Subdivision 1. Definitions. (a) For the purposes of this section,...
Section 62Q.1841 — Prohibition On Use Of Step Therapy For Metastatic Cancer. - Subdivision 1. Definitions. (a) For purposes of this section, the...
Section 62Q.185 — Guaranteed Renewability; Large Employer Group. - (a) No health plan company, as defined in section 62Q.01,...
Section 62Q.186 — Prohibition On Rescissions Of Health Plans. - Subdivision 1. Definitions. (a) "Rescission" means a cancellation or discontinuance...
Section 62Q.188 — Flexible Benefits Plans. - Subdivision 1. Definitions. For the purposes of this section, the...
Section 62Q.19 — Essential Community Providers. - Subdivision 1. Designation. (a) The commissioner shall designate essential community...
Section 62Q.22 — Health Care Services Prepaid Option. - Subdivision 1. Scope. A community health clinic that is designated...
Section 62Q.23 — General Services. - (a) Health plan companies shall comply with all continuation and...
Section 62Q.32 — Local Ombudsperson. - County board or community health service agencies may establish an...
Section 62Q.33 — Local Government Public Health Functions. - Subdivision 1. Findings. The legislature finds that the local government...
Section 62Q.37 — Audits Conducted By Independent Organization. - Subdivision 1. Applicability. This section applies only to (1) a...
Section 62Q.43 — Geographic Access. - Subdivision 1. Closed-panel health plan. For purposes of this section,...
Section 62Q.45 — Coverage For Out-of-area Primary Care. - Subdivision 1. Study. The commissioner of health shall develop methods...
Section 62Q.46 — Preventive Items And Services. - Subdivision 1. Coverage for preventive items and services. (a) "Preventive...
Section 62Q.47 — Alcoholism, Mental Health, And Chemical Dependency Services. - (a) All health plans, as defined in section 62Q.01, that...
Section 62Q.471 — Exclusion For Suicide Attempts Prohibited. - (a) No health plan may exclude or reduce coverage for...
Section 62Q.472 — Screening And Testing For Opioids. - (a) A health plan company shall not place a lifetime...
Section 62Q.48 — Cost-sharing In Prescription Insulin Drugs. - Subdivision 1. Scope of coverage. This section applies to all...
Section 62Q.49 — Enrollee Cost Sharing; Negotiated Provider Payments. - Subdivision 1. Applicability. This section applies to all health plans,...
Section 62Q.50 — Prostate Cancer Screening. - A health plan must cover prostate cancer screening for men...
Section 62Q.51 — Point-of-service Option. - Subdivision 1. Definition. For purposes for this section, "point-of-service option"...
Section 62Q.52 — Direct Access To Obstetric And Gynecologic Services. - Subdivision 1. Direct access. (a) Health plan companies shall allow...
Section 62Q.521 — Postnatal Care. - (a) For purposes of this section, "comprehensive postnatal visit" means...
Section 62Q.525 — Coverage For Off-label Drug Use. - Subdivision 1. Scope of coverage. This section applies to all...
Section 62Q.526 — Coverage For Participation In Approved Clinical Trials. - Subdivision 1. Definitions. (a) As used in this section, the...
Section 62Q.527 — Nonformulary Antipsychotic Drugs; Required Coverage. - Subdivision 1. Definitions. (a) For purposes of this section, the...
Section 62Q.528 — Drug Coverage In Emergency Situations. - A health plan that provides prescription drug coverage must provide...
Section 62Q.529 — Coverage For Drugs Prescribed And Dispensed By Pharmacies. - (a) A health plan that provides prescription coverage must provide...
Section 62Q.53 — Mental Health Coverage; Medically Necessary Care. - Subdivision 1. Requirement. No health plan that covers mental health...
Section 62Q.535 — Coverage For Court-ordered Mental Health Services. - Subdivision 1. Mental health services. For purposes of this section,...
Section 62Q.54 — Referrals For Residents Of Health Care Facilities. - If an enrollee is a resident of a health care...
Section 62Q.545 — Coverage Of Home Care Nursing. - (a) Home care nursing services, as provided under section 256B.0625,...
Section 62Q.55 — Emergency Services. - Subdivision 1. Access to emergency services. (a) Enrollees have the...
Section 62Q.556 — Unauthorized Provider Services. - Subdivision 1. Unauthorized provider services. (a) Except as provided in...
Section 62Q.56 — Continuity Of Care. - Subdivision 1. Change in health care provider; general notification. (a)...
Section 62Q.57 — Designation Of Primary Care Provider. - Subdivision 1. Choice of primary care provider. (a) If a...
Section 62Q.58 — Access To Specialty Care. - Subdivision 1. Standing referral. A health plan company shall establish...
Section 62Q.645 — Efficiency Reports And Distribution Of Information. - (a) The commissioner may use reports submitted by health plan...
Section 62Q.65 — Access To Provider Discounts. - Subdivision 1. Requirement. A high deductible health plan must, when...
Section 62Q.66 — Durable Medical Equipment Coverage. - No health plan company that covers durable medical equipment may...
Section 62Q.67 — Disclosure Of Covered Durable Medical Equipment. - Subdivision 1. Disclosure. A health plan company that covers durable...
Section 62Q.675 — Hearing Aids; Persons 18 Or Younger. - A health plan must cover hearing aids for individuals 18...
Section 62Q.676 — Medication Therapy Management. - A pharmacy benefit manager that provides prescription drug services must...
Section 62Q.677 — Lifetime And Annual Limits. - Subdivision 1. Applicability and scope. Except as provided in subdivision...
Section 62Q.678 — Dependent Child Notice. - Group health plans and health plan companies that offer group...
Section 62Q.68 — Definitions. - Subdivision 1. Application. For purposes of sections 62Q.68 to 62Q.72,...
Section 62Q.69 — Complaint Resolution. - Subdivision 1. Establishment. Each health plan company must establish and...
Section 62Q.70 — Appeal Of The Complaint Decision. - Subdivision 1. Establishment. (a) Each health plan company shall establish...
Section 62Q.71 — Notice To Enrollees. - Each health plan company shall provide to enrollees a clear...
Section 62Q.72 — Record Keeping; Reporting. - Subdivision 1. Record keeping. Each health plan company shall maintain...
Section 62Q.73 — External Review Of Adverse Determinations. - Subdivision 1. Definition. For purposes of this section, "adverse determination"...
Section 62Q.731 — Appeal From Adverse Determination. - Subdivision 1. Definitions. (a) For purposes of this section, the...
Section 62Q.732 — Citation. - Sections 62Q.732 to 62Q.75 may be cited as the "Minnesota...
Section 62Q.733 — Definitions. - Subdivision 1. Applicability. For purposes of sections 62Q.732 to 62Q.739,...
Section 62Q.734 — Exemption. - Sections 62Q.735 to 62Q.739 and 62Q.74 do not apply to...
Section 62Q.735 — Provider Contracting Procedures. - Subdivision 1. Contract disclosure. (a) Before requiring a health care...
Section 62Q.736 — Payment Rates. - A contract between a health plan company and a provider...
Section 62Q.737 — Service Code Changes. - (a) For purposes of this section, "service code" means current...
Section 62Q.739 — Unilateral Terms Prohibited. - (a) A contract between a health plan company and a...
Section 62Q.74 — Network Shadow Contracting. - Subdivision 1. Definitions. (a) For purposes of this section, "category...
Section 62Q.746 — Access To Certain Information Regarding Providers. - Upon request of the commissioner, a health plan company licensed...
Section 62Q.75 — Prompt Payment Required. - Subdivision 1. Definitions. (a) For purposes of this section, the...
Section 62Q.751 — Collecting Deductibles And Coinsurance. - A health plan company shall not prohibit providers from collecting...
Section 62Q.76 — Definitions. - Subdivision 1. Applicability. For purposes of sections 62Q.76 to 62Q.79,...
Section 62Q.77 — Terms Of Coverage Disclosure. - A dental organization shall make available to an enrollee, upon...
Section 62Q.78 — Dental Benefit Plan Requirements. - Subdivision 1. Utilization profiling. (a) A dental organization that uses...
Section 62Q.79 — Limitations. - (a) The provisions contained in section 62Q.77 shall not require...
Section 62Q.80 — Community-based Health Care Coverage Program. - Subdivision 1. Scope. (a) Any community-based health care initiative may...
Section 62Q.81 — Essential Health Benefit Package Requirements. - Subdivision 1. Essential health benefits package. (a) Health plan companies...
Section 62Q.82 — Benefits And Coverage Explanation. - Subdivision 1. Summary. Health plan companies offering health plans shall...