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
Billing
Legal References
MN Stat. sec. 62J.536 – Uniform Electronic Transactions and Implementation Guide Standards
MN Stat. sec. 62Q.75 – Prompt Payment Required
MN Stat. sec. 144.1483 – Rural Health Initiatives
MN Stat. secs. 256.9685 – 256.9695 – Inpatient Hospital Payment System
MN Stat. sec. 256B.03 – Payments to Vendors
MN Stat. sec. 256B.03, subd. 5 – Payments to Vendors: Ordering or Referring Providers
MN Stat. sec. 256B.04 – Duties of State Agency
MN Stat. sec. 256B.041 – Centralized Disbursement of Medical Assistance Payments
MN Stat. sec. 256B.75 – Hospital Outpatient Reimbursement
MN Stat. sec. 256D.03 – Responsibility to Provide General Assistance
MN Stat. sec. 550.37, subd. 14 – Property Exempt: Public Assistance
MN Rules parts 9500.1090 – 9500.1140 – Hospital Medical Assistance Reimbursement
MN Rules part 9505.0070, subp. 5 – Third-Party Liability: Provider Billing; Department
MN Rules part 9505.0110 – Periods of Eligibility
MN Rules part 9505.0190 – Recipient Choice of Provider
MN Rules part 9505.0225 – Request to Recipient to Pay
MN Rules part 9505.0450 – Billing Procedures; General
MN Rules part 9505.2190 – Retention of Records
MN Rules part 9505.5010 – Prior Authorization Requirement
MN Rules part 9505.5030 – Criteria for Approval of Prior Authorization Request
42 CFR 411.8 – Services Paid for by a Government Entity
42 CFR 447.10 – Prohibition against Reassignment of Provider Claims
42 CFR 447.15 – Acceptance of State payment as Payment in Full
42 CFR 447.45 – Timely Claims Payment
42 CFR 447.46 – Timely Claims Payment by MCOs
42 CFR 447.53 – Applicability; Specification; Multiple Charges
42 USC 1396a – State Plans for Medical Assistance
PW_03-19_153
Updated_04/22/2022
