Minnesota
LLC
Website link to register:
https://www.sos.state.mn.us/business-liens
Naming conventions
Names cannot include “Corporation” or “Incorporated.” Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLCs must include “Professional LLC.”
Licensing Requirements
All members must be licensed by the Minnesota Board of Medical Practice. Malpractice insurance required. Certification for diagnostic imaging or laboratory services may be necessary.
Required documentation for medical practices
Articles of Organization, Imaging Permits, Professional Licenses, Malpractice Insurance
Filing Fee: $155
Annual/Biennial Fee: None
Additional Notes: No annual report fee; however, annual renewal is required by December 31.
Medicaid
Program Name: Minnesota Medical Assistance (MA)
Official Website: Medical Assistance
Legislation: Minnesota does not have specific DPC legislation; practices operate under general healthcare and insurance laws.
Private Contracting
Permitted; DPC practices should ensure compliance with state insurance regulations to avoid being classified as insurers.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is necessary.
Medicaid Program
Minnesota Medicaid, also known as Medical Assistance (MA), provides coverage to eligible low-income residents.
Notification Requirements
Notification strongly recommended for Medicaid patient clarity.
Provider Enrollment Requirements
Providers must enroll with Minnesota Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid-designated PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS encourages streamlined enrollment for non-billing providers.
Opportunities for Collaboration
Potential collaboration with Medicaid Managed Care Organizations (MCOs) or state programs aimed at primary care access.
State-Specific Notes
Collaboration opportunities exist with MinnesotaCare for expanding access to primary care.
Dispensing Medication
Board of Pharmacy Official Link: https://mn.gov/boards/pharmacy/
State Licensing
Physicians must register with the Minnesota Board of Pharmacy to dispense controlled substances.
Scope of Practice
Dispensing is allowed for non-controlled and controlled substances within a physician’s scope of practice.
Inventory Management
Maintain secure storage and detailed inventory logs for all medications dispensed.
Record-Keeping
Records must comply with Minnesota and federal laws, including HIPAA requirements.
Dispensing Standards
Labels must meet Minnesota Board of Pharmacy standards, including patient and prescriber details.
Controlled Substances
DEA registration and reporting to the Minnesota PMP are required for controlled substances.
Billing and Reimbursement
Physicians must comply with Minnesota-specific billing regulations and federal anti-kickback laws.
Federal Compliance
Adherence to federal FDA, DEA, and OSHA standards is required for dispensing medications.
State Pharmacy Laws
Registration with the Minnesota Board of Pharmacy is required for controlled substances dispensing.
Patient Consent
Patient consent is required before dispensing any medication.
Insurance and Liability
Liability insurance must explicitly cover risks associated with dispensing.
Training Requirements
Continuing education is encouraged for physicians dispensing controlled substances in Minnesota.
Audits and Inspections
Inspections by the Minnesota Board of Pharmacy ensure compliance, with penalties for non-compliance.