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 - MNN001 (PDF)
Aware Network Waiver (PDF)

Blue Plus

Group Value Network MNN008 (PDF)
Group Value Network Waiver (PDF)

High Value MN009 (PDF)
High Value Waiver (PDF)

Gundersen Health Plan

Gundersen Health Plan Select - MNN001 (PDF)
Gundersen Health Plan Select Waiver (PDF)

Health Partners Inc. (HPI)

Open Access Network - MNN001 (PDF)
Open Access Network Waiver (PDF)

Perform MNN002 (PDF)
Perform Waiver (PDF)

Centra Choice SE - MN004 (PDF)
Centra Choice SE Waiver (PDF)

Health Partners Insurance Corporation (HPIC)

Open Access - MN001 (PDF)
Open Access Waiver (PDF)

Perform - MN002 (PDF)
Perform Waiver (PDF)

Medica

Altru and You with Medica - MNN009 (PDF)
Altru and You with Medica Waiver (PDF)

Essentia ChoiceCare with Medica - MNN010 (PDF)
Essentia Waiver (PDF)

Vantage Plus with Medica - MNN006(PDF)
Vantage Waiver (PDF)

Medica Choice Passport - MNN003 (PDF)
Medica Choice Passport Waiver (PDF)

Medica Elect - MNN001 (PDF)
Medica Elect Waiver (PDF)

Medica Complete Health - MNN004 (PDF)
Medica Complete Health Waiver (PDF)

Park Nicollet First with Medica - MNN007 (PDF)
Park Nicollet First with Medica Waiver (PDF)

Ridgeview Community Network - MNN008 (PDF)
Ridgeview Community Network Waiver (PDF)

Preferred One Insurance

Complete - MN003 (PDF)
Complete Waiver (PDF)

Horizon - MNN007 (PDF)
Horizon Waiver (PDF)

Wilderness - MNN008 (PDF)
Wilderness Waiver (PDF)

Sandford Health Plan of MN

Simplicity Network - MNN001 (PDF)
Simplicity Network Waiver (PDF)

True Network - MNN002 (PDF)
True Network Waiver (PDF)

United Healthcare Insurance

MN SG Choice Plus - MNN001 (PDF)
MN SG Choice PlusWaiver (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.