62D.1071 COVERAGE OF LICENSED PHARMACIST SERVICES.
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62D.1071 COVERAGE OF LICENSED PHARMACIST SERVICES.
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Subdivision 1. Pharmacist.
All benefits provided by a health maintenance contract relating to expenses incurred for medical treatment or services provided by a licensed physician must include services provided by a licensed pharmacist to the extent a licensed pharmacist's services are within the pharmacist's scope of practice.
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Subd. 2. Denial of benefits.
When paying claims for enrollees in Minnesota, a health maintenance organization must not deny payment for medical services covered by an enrollee's health maintenance contract if the services are lawfully performed by a licensed pharmacist.
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Subd. 3. Exemptions.
(a)This section does not apply to or affect the coverage or reimbursement for medication therapy management services under section 62Q.676 or 256B.0625, subdivisions 5 , 13h, and 28a.
(b)This section does not apply to managed care organizations or county-based purchasing plans when the plan provides coverage to public health care program enrollees under chapter 256B or 256L.