Policy Library

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.

  • 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