The obsolete portion of this rule pertains to the definition of the term “investigative” as used in procedures for prior authorization of health services and the requirement of a second surgical opinion as conditions of payment to providers of health services for recipients of medical assistance and MinnesotaCare. As the rule is presently written, it relies upon the National Blue Cross and Blue Shield Association Medical Advisory Committee determination of whether a health service procedure lacks wide recognition as a proven and effective procedure in clinical medicine. The repeal is necessary because the National Blue Cross and Blue Shield Association Medical Advisory Committee no longer exists. Following the repeal, the rule will rely on the determination of Blue Cross and Blue Shield of Minnesota regarding whether a health service procedure is investigative..
On Aug. 18, 2014, the department will publish a Notice of Intent to Repeal Obsolete Rule. The comment period will remain open until Oct. 20, 2014.
Written comments, questions, and requests for more information on the content of the rule amendment should be directed to: Camille Miller, Minnesota Department of Human Services, PO Box 64984, Saint Paul, Minnesota 55164-0984, phone 651-431-4866, fax 651-431-7426; or email Camille.Miller@state.mn.us. Written comments, questions, and requests for more information on the rulemaking process should be directed to: Karen E. Sullivan Hook, Department of Human Services, Management and Policy Division, PO Box 64238, St. Paul, MN 55164-0238, 651-431-5771, fax at 651-431-7488, email Karen.SullivanHook@state.mn.us.
Notice of Intent to Repeal Obsolete Rule (PDF): Proposed Repeal of Obsolete Rule Governing Definition of “Investigative” for Purpose of Health Care Program Payment; Minnesota Rules, part 9505.5005; Revisor’s ID Number RD4260
Proposed Rule Language (PDF)