All health maintenance organizations shall provide comprehensive health maintenance services, as defined in part 4685.0100, subpart 5, to enrollees.
Such comprehensive health maintenance services shall include but need not be limited to:
A health service that may be excluded under subpart 4 may instead be limited. The following health services may be limited, but cannot be excluded:
These provisions relate to the aggregate number of days of both acute care and convalescent care, both of which must be rendered to enrollees by the health maintenance organization, but which may be limited, as indicated. These provisions do not relate to custodial care that may be limited or excluded completely pursuant to subpart 4, item H, nor do these provisions allow limitations relative to the spectrum of service during a covered day, which is provided for in subpart 4.
The following services may be excluded:
Minn. R. 4685.0700
Statutory Authority: MS s 62D.20