9505 HEALTH CARE PROGRAMS

9505.0245 CHIROPRACTIC SERVICES. Subpart 1. Definitions. The following terms used in this part have the meanings given them. A. "Chiropractic service" means a medically necessary health service provided by a chiropractor. B. "Chiropractor" means a person licensed under Minnesota …

9505.0250 Subpart 1. [Repealed, L 2025 c 38 art 9 s 3] Subp. 2. [Repealed, L 2025 c 38 art 9 s 3] Subp. 3. [Repealed, L 2025 c 38 art 9 s 3] Published Electronically: November 12, 2025

9505.0255 COMMUNITY HEALTH CLINIC SERVICES. Subpart 1. Definition. "Community health clinic service" means a health service provided by or under the supervision of a physician in a clinic that meets the criteria listed in items A to D. The clinic: A. has nonprofit status as speci…

9505.0260 COMMUNITY MENTAL HEALTH CENTER SERVICES. Subpart 1. Definitions. For purposes of this part, the following terms have the meanings given them. A. "Community mental health center service" means services by a community mental health center that provides mental health servi…

9505.0270 DENTAL SERVICES. Subpart 1. Definitions. For the purposes of this part, the following terms have the meanings given them. A. "Crown" means a restoration covering or replacing the major part or the whole portion of the tooth not covered by supporting tissues. B. "Dental …

9505.0275 [Repealed, L 2021 1Sp7 art 1 s 40] Published Electronically: October 7, 2021

9505.0277 EYEGLASS SERVICES. Subpart 1. Definitions. The following terms used in this part have the meanings given them. A. "Comprehensive vision examination" means a complete evaluation of the visual system. B. "Dispensing services" means the technical services necessary for the…

9505.0280 FAMILY PLANNING SERVICES. Subpart 1. Definitions. For purposes of this part, the terms in items A and B have the meanings given them. A. "Family planning service" means a family planning supply or health service, including screening, testing, and counseling for sexually…

9505.0285 HEALTH CARE PREPAYMENT PLANS OR PREPAID HEALTH PLANS. Subpart 1. Eligible provider. To be eligible for medical assistance payments, a prepaid health plan must: A. have a contract with the department; and B. provide a recipient, either directly or through arrangements wi…

9505.0287 HEARING AID SERVICES. Subpart 1. Definitions. The terms used in this part have the meanings given them. A. "Audiologic evaluation" means an assessment of communication problems caused by hearing loss that is performed by an audiologist or an otolaryngologist. B. "Audiol…

9505.0290 HOME HEALTH AGENCY SERVICES. Subpart 1. Definition. For the purposes of this part, "home health agency services" means a medically necessary health service provided by an agency qualified under subpart 2, prescribed by a physician as part of a written plan of care, and …

9505.0295 HOME HEALTH SERVICES. Subpart 1. Definition. For the purposes of this part, "home health service" means a medically necessary health service that is: A. ordered by a physician; and B. documented in a plan of care that is reviewed and revised as medically necessary by th…

9505.0297 HOSPICE CARE SERVICES. Subpart 1. Applicability. Parts 9505.0297 and 9505.0446 must be read in conjunction with United States Code, title 42, section 1396a, and Code of Federal Regulations, title 42, part 418. Subp. 2. Definitions. For purposes of this part and part 950…

9505.0300 INPATIENT HOSPITAL SERVICES. Subpart 1. Definition. "Inpatient hospital service" means a health service provided to a recipient who is an inpatient. Subp. 2. Eligibility for participation in medical assistance program; general. To be eligible for participation in the me…

9505.0305 LABORATORY AND X-RAY SERVICES. Subpart 1. Definition. "Laboratory and X-ray service" means a professional or technical health related laboratory or radiological service directly related to the diagnosis and treatment of a recipient's health status. Subp. 2. Covered serv…

9505.0310 MEDICAL SUPPLIES AND EQUIPMENT. Subpart 1. Conditions for payment. To be eligible for payment under the medical assistance program, medical supplies and equipment must meet the conditions in items A to C. A. A purchase of nondurable medical supplies not requiring prior …

9505.0315 MEDICAL TRANSPORTATION. Subpart 1. Definitions. For purposes of this part, the following terms have the meanings given them. A. "Ancillary services" means health services, incident to ambulance services, that may be medically necessary on an individual basis, but are no…

9505.0320 NURSE MIDWIFE SERVICES. Subpart 1. Definitions. For the purposes of this part, the following terms have the meanings given them. A. "Maternity period" means the interval comprised of a woman's pregnancy, labor, and delivery and up to 60 days after delivery. B. "Nurse mi…

9505.0322 MENTAL HEALTH CASE MANAGEMENT SERVICES. Subpart 1. Definitions. The terms used in this part have the meanings given them in items A to G and in part 9505.0370. A. "Clinical supervision" has the meaning given in Minnesota Statutes, section 245.462, subdivision 4a, for ca…

9505.0323 Subpart 1. [Repealed, 35 SR 1967] Subp. 2. [Repealed, 35 SR 1967] Subp. 3. [Repealed, 35 SR 1967] Subp. 4. [Repealed, 35 SR 1967] Subp. 5. [Repealed, 35 SR 1967] Subp. 6. [Repealed, 35 SR 1967] Subp. 7. [Repealed, 35 SR 1967] Subp. 8. [Repealed, 35 SR 1967] Subp. 9. [Re…

9505.0324 [Repealed, L 2003 1Sp14 art 4 s 24] Published Electronically: August 12, 2008

9505.0325 NUTRITIONAL PRODUCTS. Subpart 1. Definition. "Nutritional product" means a commercially formulated substance that provides nourishment and affects the nutritive and metabolic processes of the body. Subp. 2. Eligible provider. To be eligible for medical assistance paymen…

9505.0326 [Repealed, L 2003 1Sp14 art 4 s 24] Published Electronically: August 12, 2008

9505.0327 [Repealed, L 2003 1Sp14 art 4 s 24] Published Electronically: August 12, 2008

9505.0330 OUTPATIENT HOSPITAL SERVICES. Subpart 1. Definition. "Outpatient hospital service" means a health service that is medically necessary and is provided to a recipient by or under the supervision of a physician, dentist, or other provider having medical staff privileges in…

9505.0335 [Repealed, 48 SR 487] Published Electronically: November 29, 2023

9505.0340 PHARMACY SERVICES. Subpart 1. Definitions. The following terms used in this part have the meanings given to them. A. "Actual acquisition cost" means the cost to the provider including quantity and other special discounts except time and cash discounts. B. "Compounded pr…

9505.0345 PHYSICIAN SERVICES. Subpart 1. Definitions. For purposes of this part, the following terms have the meanings given them. A. "Physician directed clinic" means an entity with at least two physicians on staff which is enrolled in the medical assistance program to provide p…

9505.0350 PODIATRY SERVICES. Subpart 1. Definitions. The following terms used in this part shall have the meanings given them. A. "Foot hygiene" means the care of the foot to maintain a clean condition. B. "Podiatry service" means a service provided by a podiatrist within the sco…

9505.0353 PRENATAL CARE SERVICES. Subpart 1. Definitions. For purposes of this part, the terms in items A to F have the meanings given them. A. "At risk" refers to the recipient who requires additional prenatal care services because of a health condition that increases the probab…

9505.0355 PREVENTIVE HEALTH SERVICES. Subpart 1. Definition; preventive health service. For the purposes of this part, "preventive health service" means a health service provided to a recipient to avoid or minimize the occurrence of illness, infection, disability, or other health…

9505.0360 HOME CARE NURSING SERVICES. Subpart 1. Definition; home care nursing service. For purposes of this part, "home care nursing service" means a nursing service ordered by a physician to provide individual and continual care to a recipient by a registered nurse or by a lice…

9505.0365 PROSTHETIC AND ORTHOTIC DEVICES. Subpart 1. Definitions. The terms used in this part have the meanings given them. A. "Ambulatory aid" means a prosthetic or orthotic device that assists a person to move from place to place. B. "Prosthetic or orthotic device" means an ar…

9505.0370 [Repealed, L 2021 c 30 art 17 s 113] Published Electronically: March 14, 2023

9505.0371 [Repealed, L 2021 c 30 art 17 s 113] Published Electronically: March 14, 2023

9505.0372 [Repealed, L 2021 c 30 art 17 s 113] Published Electronically: March 14, 2023

9505.0380 PUBLIC HEALTH CLINIC SERVICES. Subpart 1. Definition. "Public health clinic services" means a health service provided by or under the supervision of a physician in a clinic that is a department of, or operates under the direct authority of a unit of government. Subp. 2.…

9505.0385 REHABILITATION AGENCY SERVICES. Subpart 1. Definitions. For purposes of this part, the following terms have the meanings given them in this part. A. "Physical impairment" means physical disabilities including those physical disabilities that result in cognitive impairme…

9505.0386 COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES. Subpart 1. Definition. For purposes of this part and part 9505.0410, "comprehensive outpatient rehabilitation facility" means a nonresidential facility that is established and operated exclusively to provide diagnostic…

9505.0390 REHABILITATIVE AND THERAPEUTIC SERVICES. Subpart 1. Definitions. For purposes of parts 9505.0390 to 9505.0392 and 9505.0410 to 9505.0412, the following terms have the meanings given them in this part. A. "Audiologist" means a person who maintains state licensure and reg…

9505.0391 THERAPISTS ELIGIBLE TO ENROLL AS PROVIDERS. A physical therapist, an occupational therapist, an audiologist, or a speech-language pathologist is eligible to enroll as a provider if the therapist complies with the requirements of part 9505.0195. Additionally, a physical …

9505.0392 COMPLIANCE WITH MEDICARE REQUIREMENTS. Notwithstanding requirements of parts 9505.0385, 9505.0386, 9505.0390, and 9505.0391, a rehabilitative and therapeutic service that is denied Medicare payment because of the provider's failure to comply with Medicare requirements s…

9505.0395 RURAL HEALTH CLINIC SERVICES AND FEDERALLY QUALIFIED HEALTH CENTER SERVICES. Subpart 1. Definition. "Rural health clinic service" and "federally qualified health center service" are health services provided in a clinic or center defined in Code of Federal Regulations, t…

9505.0405 [Repealed, 19 SR 2004] Published Electronically: August 12, 2008

9505.0410 LONG-TERM CARE FACILITIES; REHABILITATIVE AND THERAPEUTIC SERVICES TO RESIDENTS. Subpart 1. Eligible providers. The providers in items A to F are eligible for medical assistance payment on a fee for service basis for restorative therapy and specialized maintenance thera…

9505.0411 LONG-TERM CARE FACILITIES; REHABILITATIVE AND THERAPEUTIC SERVICES TO NONRESIDENTS. Rehabilitative and therapeutic services provided by and at the site of a long-term care facility to a recipient who is not a resident of a long-term care facility are eligible for medica…

9505.0412 REQUIRED DOCUMENTATION OF REHABILITATIVE AND THERAPEUTIC SERVICES. A rehabilitative or therapeutic service provided under parts 9505.0385, 9505.0386, 9505.0390, 9505.0391, 9505.0395, 9505.0410, and 9505.0411 must be documented as specified in items A to D. A. The servic…