2025 Session Last amended: 2024 session

§ 62D.20 — Rules

Plain-Language Summary

This section authorizes the Commissioner of Health to adopt rules needed to carry out the HMO law. The rules must include minimum requirements for comprehensive health maintenance services and reasonable exclusions. The commissioner must also adopt rules about prior authorization requirements, balancing enrollee needs and administrative concerns.

62D.20 RULES.

Subdivision 1.Rulemaking.

The commissioner of health may, pursuant to chapter 14, promulgate such reasonable rules as are necessary or proper to carry out the provisions of sections 62D.01 to 62D.30. Included among such rules shall be those which provide minimum requirements for the provision of comprehensive health maintenance services, as defined in section 62D.02, subdivision 7, and reasonable exclusions therefrom. §

Subd. 2.Prior authorization.

The commissioner shall adopt rules that address the issue of appropriate prior authorization requirements, considering enrollee needs, administrative concerns, and the nature of the benefit.

History:

1973 c 670 s 20; 1977 c 305 s 45; 1981 c 122 s 2; 1982 c 424 s 130; 1985 c 248 s 70; 1987 c 384 art 2 s 1; 1988 c 434 s 16; 1988 c 592 s 10; 1997 c 205 s 16; 2024 c 127 art 57 s 13

History: History: 1973 c 670 s 20; 1977 c 305 s 45; 1981 c 122 s 2; 1982 c 424 s 130; 1985 c 248 s 70; 1987 c 384 art 2 s 1; 1988 c 434 s 16; 1988 c 592 s 10; 1997 c 205 s 16; 2024 c 127 art 57 s 13

Practical Notes

The commissioner’s rulemaking power lets the state set detailed standards that go beyond what the statute itself requires. The prior authorization rules are particularly important for enrollees, as they determine when an HMO can require approval before you receive certain services. These rules must balance your needs as a patient with the HMO’s administrative needs.

Source: Minnesota Office of the Revisor of Statutes