Minnesota Only: MinnesotaCare
MinnesotaCare is a state law that governs how physicians and other health professionals can bill for services provided to Medicare beneficiaries, for which the provider does not accept assignment. MinnesotaCare charge limits are more restrictive than Medicare's limiting charges.
Important Note: MinnesotaCare provisions limit charges to Minnesota Medicare beneficiaries to 100% of Medicare's approved amount. Nonparticipating providers cannot charge Minnesota beneficiaries more than the Non-Par Fee on non-assigned claims. Charging Minnesota Medicare beneficiaries more than the approved amount would be a violation of Minnesota law. The MinnesotaCare law applies to Medicare claims as follows:
- MinnesotaCare applies to Minnesota residents only.
- Minnesota Medicare beneficiaries may be charged no more than Medicare's allowed charge-i.e., the fee schedule amount for nonparticipating physicians.
- MinnesotaCare applies to services provided within the state of Minnesota.
- Providers are not required to accept assignment on Medicare claims.
- Ambulance claims are exempt from this law.
- Since MinnesotaCare is a state law, responsibility for its enforcement lies with the state. Questions regarding MinnesotaCare may be directed to the Minnesota Board on Aging, 1-800-882-6262.
Page Last Updated: Tuesday, 04-Dec-2007 13:19:02 CST
