Medicaid list of covered drugs (Formulary) – effective 3/1/2022 (PDF) List of covered drugs for SNBC members with Medicare coverage (Formulary) - effective 4/1/2022 (PDF)
Advance recipient notice of non-covered service/item (PDF)
HCBS waiver / AC and ECS case management transfer (PDF)
Intensive care management (ICM) referral
MN Restricted Recipient Referral (MRRP) Program medical referral