Direct Primary Care Model

Direct Primary Care Model

The direct primary care (“DPC”) model gives physicians (and related professionals such as physician’s assistants or nurse practitioners) an alternative to insurance billing. In this model, the medical professional charges a monthly, quarterly, or...
PCA Provider Enrollment Minnesota

PCA Provider Enrollment Minnesota

Your initial PCA Application (PCPO or PCA Choice) must include all items listed below. Any additional business sites or locations must also submit a complete application. First, you will need to get: Your Business Entity registered with the Minnesota Secretary of...
Changes to Medical Transportation Laws Minnesota

Changes to Medical Transportation Laws Minnesota

  Beginning January 1, 2016, Special Transportation Service providers are subject to the Department of Human Services (DHS) background study requirements (Minn. Stat. §174.30, subd. 10). Beginning July 1, 2016, Nonemergency Medical Transportation (NEMT) providers are...
Prior Authorization Law in Minnesota

Prior Authorization Law in Minnesota

Prior authorization in Minnesota, as it relates to private health plans, is governed by Minn. Stat. § 62M.01 to 62M.16 also commonly referred to as the “Minnesota Utilization Review Act of 1992.” (Some “Minnesota Health Care Program” health plans may have...
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