Coordination of Benefits (COB): How to handle COB claims and calculations, including Medicare claims.
Government Program Requirements: Requirements that apply to Medica’s Medicare, Medicaid and other government program products, as well as contracts with Minnesota Department of Human Services and South Dakota Regulatory Requirements.
Personal Care Assistant Agencies: Administrative requirements for participating agencies.
Reimbursement for Health Services: Contractual and reimbursement obligations.
Resolution of Member Complaints: Information for complaint resolution.
Special Transportation Driver and Vehicle Services: Definitions and vehicle, personnel and certification requirements.
Subcontracting: Process and provisions for providers who want to subcontract with Medica.
Subrogation and Recovery: Information on recovery of expenses from third parties.
Return to Provider Administrative Manual.