Minn. R. 9505.0190

Current through Register Vol. 48, No. 50, June 10, 2024
Part 9505.0190 - RECIPIENT CHOICE OF PROVIDER

Subject to the limitations in Minnesota Statutes, section 256B.69, and in parts 9505.2160 to 9505.2245, a recipient who requires a medically necessary health service may choose to use any provider located within Minnesota or within the recipient's local trade area. No provider other than a prepaid health plan shall require a recipient to use a health service that restricts a recipient's free choice of provider. A recipient who enrolls in a prepaid health plan that is a provider must use the prepaid health plan for the health services provided under the contract between the prepaid health plan and the department.

A recipient who requires a medically necessary health service that is not available within Minnesota or the recipient's local trade area shall obtain prior authorization of the health service.

Minn. R. 9505.0190

12 SR 624

Statutory Authority: MS s 256B.04