Health Maintenance Organization Licensure

Health Maintenance Organization (HMO) Certificate of Authority Applications

The HMO Certificate of Authority Application Checklist (PDF) includes the items that prospective HMOs must submit to the Minnesota Department of Health (MDH) in order for MDH to issue a certificate of authority to operate as an HMO. Prospective HMOs must complete the checklist and submit all applicable information to MDH in accordance with the instructions on the attached form. The certification for County Based Purchasers requires the same information. For questions, please contact health.healthplan@state.mn.us. 

HMO and CBP License updates 

Under Minnesota Statutes, section 62D.08, subd. 1, HMOs and CBPs are required to provide notice of changes to certain licensure documents for approval.

Updates to licensure documents, except those related to SERFF filing, can be submitted in the Managed Care Systems Portal. 

HMO and CBP other required reporting

Annual reporting requirements are outlined on the Health Plan Reporting Requirements page. 

Minnesota HMO Benefits Checklist

The Minnesota Department of Health has compiled this HMO required benefit checklist for use by HMO issuers and the public to have a greater understanding of HMO required benefits in Minnesota. This checklist is based on state laws, rules and applicable federal law.

Minnesota HMO Required Benefits Checklist (PDF)

This is not an exhaustive list of all laws that apply to HMOs. Additional state or federal requirements govern other provisions found in policy forms and certificates.