This is an archived document and does not contain the most current information for this topic. Use this document for reference only.

Minnesota Family Planning Program

4.1.1.4.4 Other Health Insurance (Archive)

Minnesota Family Planning Program (MFPP) applicants and enrollees may opt out of providing information on other health insurance if they fear physical or emotional harm. Applicants or enrollees who provide incomplete information about other health insurance are considered to have opted out.

Third Party Liability

The Minnesota Department of Human Services (DHS) may recover medical costs for applicants and enrollees who provide information about other health insurance. Third parties include other health insurance that are, or may be, liable to pay all or part of the medical costs provided to MFPP. MFPP is always the payer of last resort. This means enrollees with third party liability (TPL) will have medical costs paid by those sources before MA pays claims.

Medicare

MFPP will not pay for prescription drugs covered under the Medicare prescription drug benefit.

Legal Citations

Code of Federal Regulations, title 42, section 433.147

Minnesota Rules, parts 9505.5300 to 9505.5325

Minnesota Statutes, section 256B.78