Please note: A waiver request may not have been submitted for some provider networks because the network completely met all geographic access standards.

Blue Plus

Metro MN Network - MNN005 (PDF)
Metro MN Network Waiver (PDF)

Southeast MN Network - MNN007 (PDF)
Southeast MN Network Waiver (PDF)

Western MN Network - MNN004 (PDF)
Western MN Network Waiver (PDF)

Northeast MN Network - MNN006 (PDF)
Northeast MN Network Waiver (PDF)

Group Health, Inc.

Health Partners Peak - MNN001 (PDF)
Health Partners Peak Waiver (PDF)

Health Partners Peak - MN002 (PDF)
Health Partners Peak Waiver (PDF)

Medica

Altru Prime by Medica - MNN015 (PDF)
Altru Prime by Medica Waiver (PDF)

Medica Applause - MNN011 (PDF)
Medica Applause Waiver (PDF)

Engage by Medica - MNN014 (PDF)
Engage by Medica Waiver (PDF)

North Memorial Acclaim by Medica - MNN012 (PDF)
North Memorial Acclaim by Medica Waiver (PDF)

Medica Symphony, Encore, Solo and Direct - MN020 (PDF)
Medica Symphony, Encore, Solo and Direct Waiver (PDF)

Preferred One Insurance

Choice - MNN001 (PDF)
Choice Waiver (PDF)

UCare

UCare Individual and Family Plans - MN001 (PDF)
UCare Individual and Family Plans Waiver (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.