Minn. R. agency 196, ch. 9500, ADMINISTRATION OF THE PREPAID MEDICAL ASSISTANCE PROGRAM, pt. 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.

Notes

Minn. R. agency 196, ch. 9500, ADMINISTRATION OF THE PREPAID MEDICAL ASSISTANCE PROGRAM, pt. 9500.1462

11 SR 1107; 16 SR 1086

Statutory Authority: MS s 256.045; 256B.031; 256B.69