Minnesota Administrative Rules
Agency 151 - Labor and Industry Department
Chapter 5218 - MANAGED CARE FOR INJURED WORKERS
Part 5218.0600 - CHARGES AND FEES

Universal Citation: MN Rules 5218.0600
Current through Register Vol. 48, No. 39, March 25, 2024

Billings for medical services under a managed care plan shall be submitted in the form and format as prescribed in part 5221.0700, subpart 2. The payment by the insurer or the managed care plan to participating and nonparticipating health care providers for medical services shall be according to the time frames and procedures in part 5221.0600, subpart 3, and Minnesota Statutes, section 176.135, subdivision 6, and shall be the amount allowed under part 5221.0500 and Minnesota Statutes, section 176.136, subdivisions 1a and 1b. A managed care plan may not require a health care provider to accept a lesser payment or pay a fee as a condition of receiving referrals from or becoming a participating provider in the plan.

Statutory Authority: MS s 176.1351

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