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

Blue Cross Blue Shield

Aware Network Service Area (PDF)
Aware Network Waiver Request (PDF)

Blue Plus

Group Value Network Service Area (PDF)
Group Value Network Waiver Request (PDF)

High Value Service Area (PDF)
High Value Waiver Request (PDF)

Gundersen Health Plan

Gundersen Health Plan Select Service Area (PDF)
Gundersen Health Plan Waiver Request (PDF)

Health Partners Inc. (HPI)

Open Access Network Service Area (PDF)
Open Access Network Waiver Request (PDF)

Perform Service Area (PDF)
Perform Waiver Request (PDF)

Centra Choice SE Service Area (PDF)
Centra Choice SE Waiver Request (PDF)

Health Partners Insurance Corporation (HPIC)

Open Access Network Service Area (PDF)
Open Access Network Waiver Request (PDF)

Perform Service Area (PDF)
Perform Waiver Request (PDF)

Medica

Altru and You with Medica Service Area (PDF)
Altru and You with Medica Waiver Request (PDF)

Essentia ChoiceCare with Medica Service Area (PDF)
Essentia ChoiceCare with Medica Waiver Request (PDF)

Vantage Plus Service Area (PDF)
Vantage Plus Waiver Request (PDF)

Medica Choice Passport Service Area (PDF)
Medica Choice Passport Waiver Request (PDF)

Medica Elect Service Area (PDF)
Medica Elect Waiver Request (PDF)

Medica Complete Health Service Area (PDF)
Medica Complete Health Service Waiver Request (PDF)

Park Nicollet First with Medica Service Area (PDF)
Park Nicollet First with Medica Waiver Request (PDF)

Ridgeview Community Network Service Area (PDF)
Ridgeview Community Waiver Request (PDF)

Medica Essential Network Service Area (PDF)
Medica Essential Waiver Request (PDF)

Preferred One Community Health Plan

Complete Service Area (PDF)
Complete Waiver Request (PDF)

Preferred One Insurance

Complete Service Area (PDF)
Complete Waiver Request (PDF)

Horizon Service Area (PDF)
Horizon Waiver Request (PDF)

Wilderness Service Area (PDF)
Wilderness Waiver Request (PDF)

Sandford Health Plan of MN

Sanford Health Plan Service Area (PDF)
Sanford Health Plan Waiver Request (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.