2005 Minnesota Statutes - 256B.81 — Mental health provider appeal process.

     256B.81 Mental health provider appeal process. 


    If a county contract or certification is required to enroll 
 as an authorized provider of mental health services under 
 medical assistance, and if a county refuses to grant the 
 necessary contract or certification, the provider may appeal the 
 county decision to the commissioner.  A recipient may initiate 
 an appeal on behalf of a provider who has been denied 
 certification.  The commissioner shall determine whether the 
 provider meets applicable standards under state laws and rules 
 based on an independent review of the facts, including comments 
 from the county review.  If the commissioner finds that the 
 provider meets the applicable standards, the commissioner shall 
 enroll the provider as an authorized provider.  The commissioner 
 shall develop procedures for providers and recipients to appeal 
 a county decision to refuse to enroll a provider.  After the 
 commissioner makes a decision regarding an appeal, the county, 
 provider, or recipient may request that the commissioner 
 reconsider the commissioner's initial decision.  The 
 commissioner's reconsideration decision is final and not subject 
 to further appeal. 


    HIST: 1Sp2001 c 9 art 9 s 44; 2002 c 379 art 1 s 113