9500 ASSISTANCE PAYMENTS PROGRAMS

9500.1251 [Repealed, 32 SR 1437] Published Electronically: October 16, 2013

9500.1252 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1254 REFERRAL TO OTHER MAINTENANCE BENEFIT PROGRAMS. Subpart 1. Screening requirement. The county agency must determine the potential eligibility of each general assistance applicant or recipient for other maintenance benefits as follows: A. The county agency must determine …

9500.1256 [Repealed, 32 SR 1437] Published Electronically: October 16, 2013

9500.1257 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1258 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1259 COUNTY AGENCY RESPONSIBILITIES. Subpart 1. [Repealed, 32 SR 1437] Subp. 2. Appeals. The participant may appeal a proposed termination of benefits until five days after the effective date specified in the notice and continue benefits otherwise due, pending the outcome of…

9500.1260 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1261 EMERGENCY ASSISTANCE. Subpart 1. Emergency assistance. A county agency shall make grants of general assistance for emergency situations to eligible individuals, married couples, or families whether residents or nonresidents of the state. The emergency assistance grant m…

9500.1262 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1264 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1266 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1268 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1270 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1272 ASSIGNMENT OF REPRESENTATIVE PAYEE FOR RECIPIENTS WHO ARE DRUG DEPENDENT. Subpart 1. Definitions. As used in this part, the following terms have the meanings given them in this subpart. A. "Basic needs" means the minimum personal requirements of subsistence and is restr…

9500.1300 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1302 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1304 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1306 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1308 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1310 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1312 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1314 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1316 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1318 [Repealed, 15 SR 1842] Published Electronically: October 16, 2013

9500.1450 INTRODUCTION. Subpart 1. Scope. Parts 9500.1450 to 9500.1464 govern administration of the prepaid medical assistance program (PMAP) in Minnesota. Parts 9500.1450 to 9500.1464 shall be read in conjunction with title XIX of the Social Security Act, Code of Federal Regulat…

9500.1451 DEFINITIONS. Subpart 1. Scope. For the purposes of parts 9500.1450 to 9500.1464, the following terms have the meanings given them in this part. Subp. 2. [Repealed, 16 SR 1086] Subp. 2a. Appeal. "Appeal" means an enrollee's written request for a hearing, filed with the c…

9500.1452 ELIGIBILITY TO ENROLL IN A HEALTH PLAN. Subpart 1. Medical assistance eligibility required for PMAP participation. Only persons who have been determined eligible for medical assistance under parts 9505.0010 to 9505.0140 shall be eligible to participate in the prepaid me…

9500.1453 MANDATORY PARTICIPATION; FREE CHOICE OF HEALTH PLAN. Subpart 1. Local agency enrollment of PMAP consumers. Each local agency shall enroll recipients to participate as PMAP consumers in the prepaid medical assistance program. Health services may be provided to PMAP consu…

9500.1454 RECORDS. A health plan shall maintain fiscal and medical records as required in part 9505.0205. A local agency shall comply with part 9505.0135 and maintain a list showing the enrollment choices of recipients who participate in the PMAP. Statutory Authority: MS s 256.04…

9500.1455 THIRD-PARTY LIABILITY. To the extent required under Minnesota Statutes, section 62A.046 and part 9505.0070, the health plan shall coordinate benefits for or recover the cost of medical care provided to its enrollees who have private health care or Medicare coverage. Coo…

9500.1456 [Repealed, L 2014 c 291 art 10 s 14] Published Electronically: July 16, 2014

9500.1457 SERVICES COVERED BY PMAP. Subpart 1. In general. Services currently available under the medical assistance program in Minnesota Statutes, section 256B.0625 and parts 9505.0170 to 9505.0475 are covered under PMAP. Chemical dependency services provided under this part mus…

9500.1458 DATA PRIVACY. Under Minnesota Statutes, section 13.46, subdivisions 1 and 2, a health plan under contract with the department is considered an agent of the department and shall have access to information on its enrollees to the extent necessary to carry out its responsi…

9500.1459 CAPITATION POLICIES. Subpart 1. Rates. On or before the tenth day of each month, the commissioner shall prepay each health plan the capitation rates specified in the contract between the health plan and the state. The capitation rates shall be developed in accordance wi…

9500.1460 ADDITIONAL REQUIREMENTS. Subpart 1. Health plan requirements. An organization that seeks to participate as a health plan under the PMAP shall meet the criteria in subparts 2 to 17. Subp. 2. Medical assistance populations covered. A health plan may choose to serve the me…

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 enro…

9500.1463 COMPLAINT AND APPEAL PROCEDURES. Subpart 1. [Repealed, 16 SR 1086] Subp. 2. [Repealed, 16 SR 1086] Subp. 3. Health plan complaint procedure. A health plan shall have a written procedure for reviewing enrollee complaints. This complaint procedure must be approved by the …

9500.1464 SURVEILLANCE AND UTILIZATION REVIEW. The provisions of parts 9505.2160 to 9505.2245 apply to MAPDP. Statutory Authority: MS s 256B.69 History: 11 SR 1107 Published Electronically: October 16, 2013

9500.1650 APPLICABILITY. Parts 9500.1650 to 9500.1663 govern the procedures and the standards applicable to the way in which the commissioner decides, as a party under Minnesota Statutes, section 257.60, whether to agree to a particular lump-sum settlement or compromise agreement…

9500.1655 DEFINITIONS. Subpart 1. Scope. For the purposes of parts 9500.1650 to 9500.1663, the following terms have the meanings given to them in this part. Subp. 2. Admission of paternity. "Admission of paternity" means a written acknowledgment by a male that he is the biologica…

9500.1656 CONSENT BY COMMISSIONER TO A COMPROMISE AGREEMENT. The commissioner shall not consent to a compromise agreement. Statutory Authority: MS s 257.60 History: 11 SR 957 Published Electronically: October 16, 2013

9500.1657 COMMISSIONER'S CONSENT TO A LUMP-SUM SETTLEMENT. The commissioner shall consider each proposed lump-sum settlement that is submitted to the commissioner. If a submitted proposed lump-sum settlement does not comply with parts 9500.1650 to 9500.1663, the commissioner shal…

9500.1658 STANDARDS USED BY COMMISSIONER TO DETERMINE WHETHER TO CONSENT TO A PROPOSED LUMP-SUM SETTLEMENT. Subpart 1. Standards. The commissioner shall consent to a proposed lump-sum settlement only if the conditions of subparts 1a to 6 are met. Subp. 1a. Parties. Under Minnesot…

9500.1659 CONTENTS OF PROPOSED LUMP-SUM SETTLEMENT AGREEMENT. A proposed lump-sum settlement must include: A. the names and addresses of the parties to the paternity suit; B. a statement indicating whether there has been an admission of paternity; C. the amount of reimbursement a…

9500.1660 DOCUMENTS THAT MUST ACCOMPANY A PROPOSED LUMP-SUM SETTLEMENT AGREEMENT. The documents in items A to G must accompany the proposed lump-sum settlement submitted to the commissioner: A. the statement of blood test results or a statement that blood tests were waived by the…

9500.1661 TIME FOR SUBMISSION OF PROPOSAL. The proposed lump-sum settlement agreement under part 9500.1659 and documents required under part 9500.1660 must be submitted to the Office of Child Support Enforcement for review at least 30 days before the date scheduled for the court …