EPM 2.5.5.4.1
Health Care Delivery
- Effective:
- April 4, 2025
- Version:
- 1
- Last edited:
- October 3, 2026
Medical Assistance (MA) enrollees who are incarcerated are generally excluded from managed care enrollment. Medical services are provided via fee-for-service.
Fee-for-Service
Fee-for-service is a method of payment where the medical provider bills the Minnesota Health Care Programs (MHCP) for specific, individual services. Enrollees must use a medical provider enrolled with MHCP, except in special circumstances. A directory of enrolled providers is available online.
Covered Services
MA only covers services received while the person who is incarcerated is in an inpatient in a hospital.
Legal citations
- Code of Federal Regulations, title 42, section 435.1009
- Code of Federal Regulations, title 42, section 435.1010
- Minnesota Rules, part 9505.0050
- Minnesota Statutes, section 256B.055, subdivision 14