Minnesota State Bar Association
Elder Law section icon

Minnesota Medicaid State Plan

The Minnesota Department of Human Services (DHS) provided this copy of the Minnesota Medicaid Plan at the request of the MSBA Elder Law Section.



This posting is correct and only current as of February 4, 2010. Do not, however, rely on the document's accuracy without contacting DHS for updates. (See DHS contact information.)

Section 1: Single State Agency Organization

Section 1.1
Designation and Authority | View

Section 1.2
Organization for Administration | View

Section 1.3
Statewide Operation | View

Section 1.4
State Medical Care Advisory Committee | View

Section 1.5
Pediatric Immunization Program | View

                    (link to Attachments)


Section 2: Coverage and Eligibility

Section 2.1
Application, Determination of Eligibility and Furnishing Medicaid | View

Section 2.2
Coverage and Conditions of Eligibility | View

Section 2.3
Residence | View

Section 2.4
Blindness | View

Section 2.5
Disability | View

Section 2.6
Financial Eligibility | View

Section 2.7
Medicaid Furnished Out of State | View

                    (link to top)

                    (link to Attachments)


Section 3: Services: General Provisions

Section 3.1
Amount, Duration, and Scope of Services | View

Section 3.2
Coordination of Medicaid with Medicare and Other Insurance | View

Section 3.3
Medicaid for Individuals Age 65 or Over in Institutions for Mental Diseases | View

Section 3.4
Special Requirements Applicable to Sterilization Procedures | View

Section 3.5
Families Receiving Extended Medicaid Benefits | View

                    (link to top)

                    (link to Attachments)


Section 4: General Program Administration

Section 4.01
Methods of Administration | View

Section 4.02
Hearings for Applicants and Recipients | View

Section 4.03
Safeguarding Applications and Recipients | View

Section 4.04
Medicaid Quality Control | View

Section 4.05
Medicaid Agency Fraud Detection and Investigation Program | View

Section 4.06
Reports | View

Section 4.07
Maintenance of Records | View

Section 4.08
Availability of Agency Program Manuals | View

Section 4.09
Reporting Provider Payment to Internal Revenue Service | View

Section 4.10
Free Choice of Providers | View

Section 4.11
Relations with Standard-Setting and Survey Agencies | View

Section 4.12
Consultation to Medical Facilities | View

Section 4.13
Required Provider Agreement | View

Section 4.14
Utilization / Quality Control | View

Section 4.15
Inspection of Care in Intermediate Care Facilities for the Mentally Retarded (ICFs/MR), Facilities Providing Inpatient Psychiatric Services for Individuals under 21, and Mental Hospitals | View

Section 4.16
Relations with State Health and Vocational Rehabilitation Agencies and Title V Grantees | View

Section 4.17
Liens and Adjustments for Recoveries | View

Section 4.18
Recipient Cost Sharing and Similar Charges | View

                    (link to top)

                    (link to Attachments)

Section 4.19
Payment for Services | View

Section 4.20
Direct Payments to Certain Recipients for Physicians' or Dentists Services | View

Section 4.21
Prohibition Against Reassignment | View

Section 4.22
Third Party Liability | View

Section 4.23
Use of Contracts | View

Section 4.24
Standards for Payments for Nursing Facility (NF) and Intermediate Care Facility for the Mentally Retarded (ICF/MR) Services | View

Section 4.25
Nursing Facility (NF) Administrator Standards | View

Section 4.26
Drug Utilization Review | View

Section 4.27
Disclosure of Survey Information and Provider or Contractor Evaluation | View

Section 4.28
Appeals Process | View

Section 4.29
Conflict of Interest Provisions | View

Section 4.30
Exclusion of Providers and Suspension of Practitioners and Other Individuals | View

Section 4.31
Disclosure of Information by Providers and Fiscal Agents | View

Section 4.32
Income and Eligibility Verification System | View

Section 4.33
Medicaid Eligibility Cards for Homeless Individuals | View

Section 4.34
Systematic Alien Verification for Entitlements | View

Section 4.35
Enforcement of Compliance for Nursing Facilities | View

Section 4.36
Required Coordination Between the Medicaid and WIC Programs | View

Section 4.37 REMOVED

Section 4.38
Nurse Aide Training and Competency Evaluation for Nursing Facilities | View

Section 4.39
Preadmission Screening and Annual Resident Review (PASARR) in Nursing Facilities | View

Section 4.40
Standard and Extended Surveys | View

Section 4.41
Resident Assessment for Nursing Facilities | View

Section 4.42
Employee Education About False Claims | View

Section 4.43
Cooperation with Medicaid Integrity Program Efforts | View

                    (link to top)

                    (link to Attachments)


Section 5: Personnel Administration

Section 5.1
Standards of Personnel Administration | View

Section 5.2 [Reserved]

Section 5.3
Training Programs: Subprofessional and Volunteer Programs | View

                    (link to top)


Section 6: Financial Administration

Section 6.1
Fiscal Policies and Accountability | View

Section 6.2
Cost Allocation | View

Section 6.3
State Financial Participation | View

                    (link to top)


Section 7: General Provisions

Section 7.1
Plan Amendments | View

Section 7.2
Nondiscrimination | View

Section 7.3 [Deleted]

Section 7.4
State Governor's Review | View

                    (link to top)

                    (link to Attachments)

 

DHS Contact

For information on updates to the Minnesota Medicaid State Plan, contact:

Sarina L. Turner, Esq.
Privacy Official
Dept. of Human Services
P.O. Box 64998
St. Paul, MN 55164-0998
E-mail Ms. Turner
Phone: 651-431-4930