Individual Health Network Maps and Waivers 2021

Please note: Waivers are not required for networks meeting all geographic access requirements.

Blue Plus

Metro MN Maps - MNN005 (PDF)
Metro MN Waivers - MNN005 (PDF)

Southeast MN Maps - MNN007 (PDF)
Southeast MN Waivers - MNN007 (PDF)

Minnesota Value Maps - MNN012 (PDF)
Minnesota Value Waivers - MNN012 (PDF)

Group Health, Inc.

HealthPartners Peak Maps- MNN001 (PDF)

HealthPartners Peak Maps - MNN002 (PDF)

SmartCare Individual Maps - MNN003 (PDF)

SmartCare Individual Maps- MNN004 (PDF)

HealthPartners Apex Maps - MNN005 (PDF)
HealthPartners Apex Waivers - MNN005 (PDF)

HealthPartners Apex Maps - MNN006 (PDF)
HealthPartners Apex Waivers - MNN006 (PDF)

Medica Insurance Company

Medica Applause Maps - MNN011 (PDF)
Medica Applause Waivers - MNN011 (PDF)

North Memorial Acclaim by Medica Maps - MNN012 (PDF)
North Memorial Acclaim by Medica Waivers - MNN012(PDF)

Engage by Medica Maps- MNN014 (PDF)
Engage by Medica Waivers - MNN014 (PDF)

Altru Prime by Medica Maps - MNN015 (PDF)
Altru Prime by Medica Waivers - MNN015 (PDF)

Ridgeview Distinct by Medica Maps - MNN016 (PDF)
Ridgeview Distinct by Medica Waivers - MNN016 (PDF)

Bold by MHealth Fairview and Medica Maps - MNN017 (PDF)
Bold by MHealth Fairview and Medica Waivers - MNN017 (PDF)

Medica Symphony, Encore, Solo and Direct Maps - MNN020 (PDF)
Medica Symphony, Encore, Solo and Direct Waivers - MNN020 (PDF)

Preferred One Insurance Company

Choice Maps - MNN001 (PDF)
Choice Waivers - MNN001(PDF)

Select Maps - MNN002 (PDF)
Select Waivers - MNN002 (PDF)

PreferredHealth Maps - MNN009 (PDF)
PreferredHealth Waivers - MNN009 (PDF)

Quartz Health Plan MN Corporation

Select Maps - MNN002 (PDF)
Select Waivers - MNN002 (PDF)

UCare

Individual and Family Plans Maps - MNN001 (PDF)
Individual and Family Plans Waivers - MNN001 (PDF)

Individual and Family Plans with MHealth Fairview Maps - MNN002 (PDF)

 

The Minnesota Department of Health reviews provider network waiver requests as part of annual provider network reviews of individual and small employer health plans. Waiver requests are considered approved with the approval of the health plan’s provider network.

For more information, email health.mcs@state.mn.us.