Minnesota § 62M.18 ANNUAL POSTING ON WEBSITE; PRIOR AUTHORIZATIONS

Minnesota Statutes

§ 62M.18 — ANNUAL POSTING ON WEBSITE; PRIOR AUTHORIZATIONS

Minnesota § 62M.18

PartINSURANCE

Ch. 62MUTILIZATION REVIEW OF HEALTH CARE

This text of Minnesota § 62M.18 (ANNUAL POSTING ON WEBSITE; PRIOR AUTHORIZATIONS) is published on Counsel Stack Legal Research, covering Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Minn. Stat. § 62M.18 (2026).

Text

(a)By April 1, 2022, and each April 1 thereafter, a health plan company must post on the health plan company's public website the following data for the immediately preceding calendar year for each commercial product:

(1)the number of prior authorization requests for which an authorization was issued;

(2)the number of prior authorization requests for which an adverse determination was issued and sorted by:

(i)health care service;

(ii)whether the adverse determination was appealed; and (iii) whether the adverse determination was upheld or reversed on appeal;

(3)the number of prior authorization requests that were submitted electronically and not by facsimile or email or other method pursuant to section62J.497; and

(4)the reasons for prior authorization denial including but not limite

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(a) By April 1, 2022, and each April 1 thereafter, a health plan company must post on the health plan company's public website the following data for the immediately preceding calendar year for each commercial product:
(1) the number of prior authorization requests for which an authorization was issued;
(2) the number of prior authorization requests for which an adverse determination was issued and sorted by: (i) health care service; (ii) whether the adverse determination was appealed; and (iii) whether the adverse determination was upheld or reversed on appeal;
(3) the number of prior authorization requests that were submitted electronically and not by facsimile or email or other method pursuant to section62J.497; and
(4) the reasons for prior authorization denial including but not limited to:
(i) patient did not meet prior authorization criteria;
(ii) incomplete information submitted by the provider to the utilization review organization;
(iii) change in treatment program; and
(iv) the patient is no longer covered by the plan.
(b) All information posted under this section must be written in easily understandable language.