Minnesota Statutes 62Q.121 – Licensure of Medical Directors
(a) No health plan company may employ a person as a medical director unless the person is licensed as a physician in this state. This section does not apply to a health plan company that is assessed less than three percent of the total amount assessed by the Minnesota Comprehensive Health Association.
Terms Used In Minnesota Statutes 62Q.121
- Person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Minnesota Statutes 645.44
- state: extends to and includes the District of Columbia and the several territories. See Minnesota Statutes 645.44
(b) For purposes of this section, “medical director” means a physician employed by a health plan company who has direct decision-making authority, based upon medical training and knowledge, regarding the health plan company’s medical protocols, medical policies, or coverage of treatment of a particular enrollee, regardless of the physician’s title.
(c) This section applies only to medical directors who make recommendations or decisions that involve or affect enrollees who live in this state.
(d) Each health plan company that is subject to this section shall provide the commissioner with the names and licensure information of its medical directors and shall provide updates no later than 30 days after any changes.