Medicaid Minnesota policies, page 3

Search Medicaid Minnesota's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

1,406 public policies Substrate tracks for Medicaid Minnesota, by title.

Medicaid Minnesota policies
PolicyDetailsCodesSource
9505.2175 HEALTH SERVICE RECORDS.9505.2175 · Medicaid · MN—Original policy ↗
9505.2180 FINANCIAL RECORDS.9505.2180 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2185 ACCESS TO RECORDS.9505.2185 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2190 RETENTION OF RECORDS.9505.2190 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2195 COPYING RECORDS.9505.2195 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2197 VENDOR'S RESPONSIBILITY FOR ELECTRONIC RECORDS.9505.2197 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2200 IDENTIFYING FRAUD, THEFT, ABUSE, OR ERROR.9505.2200 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2205 IMPOSITION OF VENDOR SANCTIONS.9505.2205 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2207 PLACEMENT OF RECIPIENT IN RESTRICTED RECIPIENT PROGRAM.9505.2207 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2210 ADMINISTRATIVE SANCTIONS FOR VENDORS.9505.2210 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2215 MONETARY RECOVERY.9505.2215 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2220 MONETARY RECOVERY; RANDOM SAMPLE EXTRAPOLATION.9505.2220 · Effective Jan 10, 2022 · Medicaid · MN—Original policy ↗
9505.2225 PROVIDER OR VENDOR SUSPENSION.9505.2225 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2230 NOTICE OF AGENCY ACTION.9505.2230 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2231 SUSPENSION OR WITHHOLDING OF PAYMENTS.9505.2231 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2235 SUSPENSION OR TERMINATION OF VENDOR PARTICIPATION.9505.2235 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2236 RESTRICTION OF PROVIDER OR VENDOR PARTICIPATION.9505.2236 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2238 PLACEMENT IN RESTRICTED RECIPIENT PROGRAM.9505.2238 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.2240 NOTICE TO THIRD PARTIES.9505.2240 · Effective Apr 6, 2017 · Medicaid · MN—Original policy ↗
9505.2245 APPEAL OF DEPARTMENT ACTION.9505.2245 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5000 APPLICABILITY.9505.5000 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
9505.5005 DEFINITIONS.9505.5005 · Medicaid · MN—Original policy ↗
9505.5010 PRIOR AUTHORIZATION REQUIREMENT.9505.5010 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5020 DEPARTMENT RESPONSIBILITIES.9505.5020 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5025 PRIOR AUTHORIZATION REQUIREMENT FOR HEALTH SERVICES PROVIDED OUTSIDE OF MINNESOTA.9505.5025 · Effective Aug 22, 2011 · Medicaid · MN—Original policy ↗
9505.5030 CRITERIA FOR APPROVAL OF PRIOR AUTHORIZATION REQUEST.9505.5030 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5035 SURGICAL PROCEDURES REQUIRING SECOND MEDICAL OPINION.9505.5035 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5041 SURGICAL PROCEDURE ELIGIBLE FOR MEDICARE PAYMENT.9505.5041 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5045 CRITERIA TO DETERMINE WHEN SECOND MEDICAL OPINION IS REQUIRED.9505.5045 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5046 CRITERIA TO DETERMINE MEDICAL APPROPRIATENESS.9505.5046 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5075 PHYSICIAN RESPONSIBILITY.9505.5075 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5076 MEDICAL REVIEW AGENT DETERMINATION.9505.5076 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
9505.5077 DETERMINATION BY PHYSICIAN ADVISER.9505.5077 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5078 RECONSIDERATION.9505.5078 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5079 INELIGIBILITY TO SERVE AS PHYSICIAN ADVISER.9505.5079 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5080 FAILURE TO OBTAIN REQUIRED OPINIONS.9505.5080 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5082 NOTICE ABOUT DETERMINATION OF MEDICAL APPROPRIATENESS.9505.5082 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5085 PROHIBITION OF PAYMENT REQUEST.9505.5085 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5091 PENALTIES.9505.5091 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
9505.5105 FAIR HEARINGS AND APPEALS.9505.5105 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5200 PURPOSE.9505.5200 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5210 DEFINITIONS.9505.5210 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5220 CONDITIONS OF PARTICIPATION; VENDOR OTHER THAN HEALTH MAINTENANCE ORGANIZATION.9505.5220 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.5240 REPORTS; EXCLUSION FROM PARTICIPATION.9505.5240 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
Abortion Services — Authorization RequirementsEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Abortion Services — BillingEffective Jan 8, 2026 · Medicaid · MN2Original policy ↗
Abortion Services — Covered ServicesEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Abortion Services — Eligible MembersEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Abortion Services — Eligible ProvidersEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Abortion Services — OverviewEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.