Minnesota Legislature
Office of the Revisor of Statutes
2006 Minnesota Statutes
This is an historical version of this statute chapter. Also view the most recent published version.
62Q.53 MENTAL HEALTH COVERAGE; MEDICALLY NECESSARY CARE.
Subdivision 1. Requirement. No health plan that covers mental health services may be
offered, sold, issued, or renewed in this state that requires mental health services to satisfy
a definition of "medically necessary care," "medical necessity," or similar term that is more
restrictive with respect to mental health than the definition provided in subdivision 2.
Subd. 2. Minimum definition. "Medically necessary care" means health care services
appropriate, in terms of type, frequency, level, setting, and duration, to the enrollee's diagnosis
or condition, and diagnostic testing and preventive services. Medically necessary care must be
consistent with generally accepted practice parameters as determined by health care providers in
the same or similar general specialty as typically manages the condition, procedure, or treatment
at issue and must:
(1) help restore or maintain the enrollee's health; or
(2) prevent deterioration of the enrollee's condition.
Subd. 3. Health plan; definition. For purposes of this section, "health plan" has the meaning
given in section 62Q.01, subdivision 3, but includes the coverages listed in section62A.011,
subdivision 3 , clauses (7) and (10).
History: 1997 c 49 s 1
Subdivision 1. Requirement. No health plan that covers mental health services may be
offered, sold, issued, or renewed in this state that requires mental health services to satisfy
a definition of "medically necessary care," "medical necessity," or similar term that is more
restrictive with respect to mental health than the definition provided in subdivision 2.
Subd. 2. Minimum definition. "Medically necessary care" means health care services
appropriate, in terms of type, frequency, level, setting, and duration, to the enrollee's diagnosis
or condition, and diagnostic testing and preventive services. Medically necessary care must be
consistent with generally accepted practice parameters as determined by health care providers in
the same or similar general specialty as typically manages the condition, procedure, or treatment
at issue and must:
(1) help restore or maintain the enrollee's health; or
(2) prevent deterioration of the enrollee's condition.
Subd. 3. Health plan; definition. For purposes of this section, "health plan" has the meaning
given in section 62Q.01, subdivision 3, but includes the coverages listed in section
subdivision 3
History: 1997 c 49 s 1
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Revisor of Statutes