Restricted Recipient Program

The Restricted Recipient Program is a program for members who have received medical care and have not followed the rules or have misused services. If you are placed in this program, you must get health services from 1 designated primary care provider, 1 drug store, 1 hospital, or other designated health services provider(s) located in your local trade area. You must do this for 24 or 36 months of eligibility for Minnesota Health Care Programs (MHCP). You may also be assigned to a home health agency. You will not be allowed to use the personal care assistance choice option or consumer-directed services. Placement in the program will stay with you if you change health plans. Placement in the program will also stay with you if you change to fee-for-service. You will not lose eligibility for MHCP because of placement in the program. At the end of the 24 or 36 months, your health care services will be reviewed. If you still do not follow the rules, you will be placed in the program for an additional 36 months of eligibility. You have the right to Appeal placement in the Restricted Recipient Program. The Restricted Recipient Program does not apply to Medicare-covered services.