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 Service Area (PDF)
Metro MN Network Waiver Request (PDF)

Southeast MN Network Service Area (PDF)
Southeast MN Network Waiver Request (PDF)

Western MN Network Service Area (PDF)
Western MN Network Waiver Request (PDF)

Northeast MN Network Service Area (PDF)
Northeast MN Network Waiver Request (PDF)

Group Health, Inc.

Health Partners Peak Service Area (PDF)
Health Partners Peak Waiver Request (PDF)

Medica

Altru Prime by Medica Service Area (PDF)
Altru Prime by Medica Waiver Request (PDF)

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

Engage by Medica Service Area (PDF)
Engage by Medica Waiver Request (PDF)

North Memorial Acclaim by Medica Service Area (PDF)
North Memorial Acclaim by Medica Waiver Request (PDF)

Medica Symphony, Solo, Encore and Direct Service Area (PDF)
Medica Symphony, Solo, Encore and Direct Waiver Request (PDF)

Preferred One Insurance

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

UCare

UCare Choices Service Area (PDF)
UCare Choices 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.