Minn. Stat. § 62M.12. Prohibition of inappropriate incentives: Minnesota Utilization Review Act of 1992 – Minnesota

Status: Enacted
Year Enacted: 1992
Year Amended: 1999
File: Download

No individual who is performing utilization review may receive any financial incentive based on the number of denials of certifications made by such individual, provided that utilization review organizations may establish medically appropriate performance standards. This prohibition does not apply to financial incentives established between health plan companies and providers.


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