Managed Care Regulation
The Managed Care Systems Section of the Minnesota Department of Health licenses and regulates Health Maintenance Organizations (HMOs), Community Integrated Service Networks (CISNs), County-Based Purchasers (CBPs), and Accountable Provider Networks (APNs). Regulation helps to ensure that your health plan company follows all applicable laws and rules governing financial solvency, quality of care, access to services, complaints, appeals and other consumer rights.
The Managed Care Section also reviews Networks, Service Area and ECP requirements for MNSure.
We also provide information that may assist you in making decisions
about your health insurance and your rights as a health plan company
member. Click on the links below to view frequently asked questions,
information, pamphlets and brochures that may be of interest.
Frequently Asked Questions and Hot Issues:
- Network Adequacy: Filing Requirements for Healthcare Providers
- COBRA-How to continue your health care coverage
- Minnesota Health Information Clearinghouse Frequently Asked Questions and Answers - Portability
- Minnesota Health Information Clearinghouse Frequently Asked Questions and Answers - Small Employer Health Insurance
For more information, or to file a complaint, contact MCS section at (651) 201-5100 or 1-800-657-3916.