Minnesota prior authorization laws (2026)
General reference compiled from public statutes and the AMA state-law chart. This is not legal advice. Statutes change; confirm the current law before relying on it.
Decision deadlines
Prior authorization (State-regulated health plans)
Standard decision: 5 business_days.
Minn. Stat. § 62M.05 · sourcePatient-protection mandates
Retrospective Denial Prohibition
A plan may not revoke, limit, condition, or restrict a PA unless it was authorized based on fraud or misinformation.
Minn. Stat. § 62M.05 · sourceFrequently asked questions
How long does an insurer have to decide a prior authorization in Minnesota?
Under Minn. Stat. § 62M.05, a standard prior authorization decision is generally due within 5 business_days. Confirm the current statute, as timeframes vary by plan type.
What prior authorization patient protections does Minnesota have?
Minnesota law includes retrospective denial prohibition. Each is grounded in a specific statute (see above).
Other states
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