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
Hospital Services
Legal References
MN Stat. sec. 144.1483 – Rural Health Initiatives
MN Stat. sec. 144.50 – Hospitals, Licenses; Definitions
MN Stat. sec. 256B.0625, subd. 1 – Covered Services: Inpatient hospital services
MN Stat. sec. 256B.0625, subd. 4 – Covered Services: Outpatient and physician-directed clinic services
MN Stat. sec. 256B.32 – Facility Fee Payment
MN Stat. sec. 256B.75(b) – Hospital Outpatient Reimbursement
MN Stat. sec. 256L.03, subd. 3 – Covered Health Services: Inpatient hospital services
MN Stat. sec. 256.9685 – Establishment of Inpatient Hospital Payment System
MN Stat. sec. 256.9686 – Definitions
MN Stat. sec. 256.969 – Payment Rates
MN Stat 256.969, subd. 3b – Nonpayment for hospital-acquired conditions and for certain treatments
MN Stat. sec. 256.9695 – Appeals of Rates; Prohibited Practices for Hospitals; Transition Rates
MN Rules part 9505.0300 – Inpatient Hospital Services
MN Rules parts 9505.0501 – 9505.0540 – Hospital Admissions Certification
MN Rules part 9500.1105, subp. 1. A. (2) – Basis of Payment for Inpatient Hospital Services: Reporting requirements
Title 42 Code of Federal Regulations (CFR) Part 440.10 – Inpatient hospital services, other than services in an institution for mental diseases
42 CFR 440.20 – Outpatient hospital services and rural health clinic services
PW_04-19_186
Updated_12/16/2025

