Learn more about new federal Medicaid changes.
The Minnesota Restricted Recipient Program (MRRP) was developed to improve safety and quality of care, and to reduce costs for Minnesota Health Care Program (MHCP) recipients who have misused or abused MHCP services. Restricted recipients must receive all their health care needs only from their chosen primary care provider (PCP), hospital and pharmacy. If they need to go to someone else, they will need to get a referral from their primary care provider. This does not apply to the following services:
Members are enrolled in MRRP for periods of 24 or 36 months. Members cannot change their assigned providers for the first 90 days of their restriction unless their address changes by more than 40 miles or a change would be in the member’s best interests. Members are only permitted two voluntary assigned provider changes per 12-month period. What if the member needs to see a specialist? Complete the online MN Restricted Recipient Program (MRRP) medical referral form. Fax the completed form to 612-288-2837. What if a referred specialist writes another referral? A referral from a specialist will NOT be accepted. Only the designated PCP can write a referral. If the specialist determines the member needs to be referred to another provider, the PCP must write the subsequent referral if deemed necessary. What if the member’s assigned doctor no longer works in the clinic or transfers to a different location? The clinic is responsible to call 612-543-9944 as soon as possible to notify us of the change. The member will be assigned a new doctor within the clinic. What should a designated PCP do if a member goes to a non-designated PCP, hospital or pharmacy? Talk with the member about the benefits of receiving care from their designated providers/facilities. Designated PCPs may find it beneficial to obtain documentation of the care provided by another provider or in an emergency room.
How and when can a member change their designated provider? Members may need to change their PCP or pharmacy if:
After a member has been on the Restricted Recipient Program at Hennepin Health for 90 days, the member is allowed two changes per year for reasons other than the above.
Phone: 612-543-9944 direct (toll free Customer Service 800-647-0550) Email: HH.RestrictedRecipientTeam@hennepin.us Fax: 612-288-2837
Member information on MRRP
MN Restricted Recipient Program (MRRP) medical referral form