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
Service Authorization
Legal References
MN Stat. sec. 62M.09, subd. 3 – Staff and Program Qualifications; Annual Report: Physician reviewer involvement
MN Stat. sec. 256B.02 – Definitions
MN Stat. sec. 256B.04 – Duties of State Agency
MN Stat. sec. 256B.055, subd. 1 – Eligibility Categories: Children eligible for subsidized adoption
MN Stat. sec. 256B.055, subd. 2 – Eligibility Categories: Subsidized foster children
MN Stat. sec. 256B.093 – Services for Persons with Traumatic Brain Injuries
MN Stat. sec. 256B.0625 – Covered Services
MN Rules part 9505.0175 – Definitions
MN Rules part 9505.0215 – Covered Services; Out-of-State Providers
MN Rules parts 9505.0501 – 9505.0540 – Hospital Admissions Certification
MN Rules parts 9505.5000 – 9505.5105 – Conditions for Medical Assistance and General Assistance Medical Care Payment
Title 42 Code of Federal Regulations (CFR) Part 431.52 – Payments for services furnished out of State
42 CFR 440.230 – Sufficiency of amount, duration, and scope
PW_04-19_198
Updated_04/10/2019
