Minnesota Administrative Rules
Agency 120 - Commerce Department
Chapter 2737
Part 2737.1800 - RETROACTIVE ADJUSTMENTS

Universal Citation: MN Rules 2737.1800

Current through Register Vol. 49, No. 13, September 23, 2024

Subpart 1. Contracts.

Minnesota Statutes, section 62W.13, must not be waived or modified by contract.

Subp. 2. Billing errors.

A claim for a billing error must be documented and the information supporting the claim, if any, must be provided to the pharmacy upon request. A pharmacy benefit manager must allow a pharmacy an opportunity to rebut a billing error claim.

Subp. 3. Fees not subject to adjustment.

Payment for quality performance metrics included in a prescription drug plan that are based on a pharmacy's quality performance and calculated on prescription count are not retroactive claim adjustments.

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