Minn. R. agency 196, ch. 9500, ADMINISTRATION OF THE PREPAID MEDICAL ASSISTANCE PROGRAM, pt. 9500.1462
Current through Register Vol. 49, No. 24, December 9, 2024
Part 9500.1462 - SECOND MEDICAL OPINION A health plan must indicate in the certificate of coverage that enrollees have a right to a second medical opinion according to items A to C.
A. A health plan must provide, at its expense, a second medical opinion within the health plan upon enrollee request.B. According to Minnesota Statutes, section 62D.103, a health plan is required to provide a second medical opinion by a qualified nonparticipating provider when it determines that an enrollee's chemical dependency or mental health problem does not require structured treatment.C. According to Minnesota Statutes, section 256.045, subdivision 3a, paragraph (b), a health plan must provide, at its expense, a second medical opinion by a participating provider or nonparticipating provider when ordered by a state human services referee.Minn. R. agency 196, ch. 9500, ADMINISTRATION OF THE PREPAID MEDICAL ASSISTANCE PROGRAM, pt. 9500.1462
Statutory Authority: MS s 256.045; 256B.031; 256B.69