The medical review agent must provide professional and technical expertise to conduct the hospital admission certification program for medical assistance, general assistance medical care, and the MinnesotaCare programs. Unless otherwise specified in parts 9505.0501 to 9505.0545, the professional and technical expertise must consist of persons who are licensed physicians or who are registered nurses licensed under Minnesota Statutes, sections 148.171 to 148.285, to practice professional nursing and who are qualified by training and experience to review the medical necessity of admissions.
Minn. R. agency 196, ch. 9505, HOSPITAL ADMISSIONS CERTIFICATION, pt. 9505.0515
Statutory Authority: MS s 256.9353; 256B.04; 256D.03