MN SF1509

Medical assistance must cover any drug on a recipient's primary third-party payer formulary for which partial payment was made, even if the drug is excluded from the medical assistance formulary or preferred drug list

Prior authorization requirements are waived for drugs covered by a primary third-party payer, regardless of the payment amount initially covered by that payer

Medical assistance must cover medical services deemed out-of-network or requiring referral by a primary third-party payer, if those services are in-network and do not require referral under medical assistance

Amends Minnesota Statutes sections 256B.0625 (subdivisions 13 and 25b) and 256B.37 (subdivision 5)